Abstract
Despite the strong evidence for screening mammography in reducing mortality from breast cancer, uptake is hampered especially in recent immigrant populations. Although mammography screening behaviors of immigrant populations compared to the general population have been widely studied, evidence of the specific characteristics within the immigrant population in a universal healthcare setting, which explain differential uptake is lacking. The current cross sectional study used self-reported data from the 2011–2012 Canadian Community Health Survey to examine the association between recency of immigration and mammography uptake among 1825 immigrant women aged 50–69 years, using multivariable logistic model adjusted for confounders. In the adjusted analysis, non-recent immigrants had a nonsignificantly increased odds of recent mammography uptake, 1.19 (95 % CI 0.41, 3.44) compared to recent immigrants. In the face of evidence depicting differential health care utilization of recent immigrants compared to non-recent ones or the general population, findings from this study highlight further thinking into strategies for improving the health of immigrants.
References
Shields M, Wilkins K. An update on mammography use in Canada. Health Rep. 2009;20(3):7–19.
Screening for breast cancer—Canadian Cancer Society [Internet]. www.cancer.ca. [cited 2015 Aug 18]. http://www.cancer.ca/en/cancer-information/cancer-type/breast/screening/?region=on.
Maxwell CJ, Bancej CM, Snider J. Predictors of mammography use among Canadian women aged 50–69: findings from the 1996/97 National Population Health Survey. Can Med Assoc J. 2001;164(3):329–34.
Schueler KM, Chu PW, Smith-Bindman R. Factors associated with mammography utilization: a systematic quantitative review of the literature. J Womens Health. 2008;17(9):1477–98.
Beaulieu MD, Béland F, Roy D, Falardeau M, Hébert G. Factors determining compliance with screening mammography. Can Med Assoc J. 1996;154(9):1335–43.
Lebrun LA, Dubay LC. Access to primary and preventive care among foreign-born adults in Canada and the United States. Health Serv Res. 2010;45(6 Pt 1):1693–719.
Wilson E, Chen AH, Grumbach K, Wang F, Fernandez A. Effects of limited English proficiency and physician language on health care comprehension. J Gen Intern Med. 2005;20(9):800–6.
Zanchetta MS, Poureslami IM. Health literacy within the reality of immigrants’ culture and language. Can J Public Health. 2006;97(Suppl 2):S26–30.
Gushulak BD, Pottie K, Roberts JH, Torres S, DesMeules M. Migration and health in Canada: health in the global village. Can Med Assoc J. 2011;183(12):E952–8.
Government of Canada SC, Government of Canada SC. Canadian Demographics at a Glance, Second edition [Internet]. 2014 [cited 2015 Jul 7]. http://www.statcan.gc.ca/pub/91-003-x/91-003-x2014001-eng.htm.
Lebrun LA. Effects of length of stay and language proficiency on health care experiences among immigrants in Canada and the United States. Soc Sci Med. 2012;74(7):1062–72.
Poole B, Black C, Gelmon K, Kan L. Is Canadian women’s breast cancer screening behaviour associated with having a family doctor? Can Fam Physician. 2010;56(4):e150–7.
Rakowski W, Rimer BK, Bryant SA. Integrating behavior and intention regarding mammography by respondents in the 1990 National Health Interview Survey of Health Promotion and Disease Prevention. Public Health Rep. 1993;108(5):605–24.
StataCorp. Stata statistical software: release 12. College Station: StataCorp LP; 2011.
Statistics Canada. Canadian Community Health Survey: annual component (CCHS) [Internet]. 2013 [cited 2015 Jul 7]. http://www23.statcan.gc.ca/imdb/p2SV.pl?Function=getSurvey&SurvId=144171&InstaId=144170&SDDS=3226.
The University of British Columbia Board of Governors. Policy #89: Research Involving Human Participants. Vancouver: University of British Columbia. 2012 [cited 2015 July 7]. http://universitycounsel.ubc.ca/files/2012/06/policy89.pdf.
Tabar L, Yen MF, Vitak B, Chen HHT, Smith RA, Duffy SW. Mammography service screening and mortality in breast cancer patients: 20-year follow-up before and after introduction of screening. Lancet. 2003;361(9367):1405–10.
Rauscher GH, Johnson TP, Cho YI, Walk JA. Accuracy of self-reported cancer-screening histories: a meta-analysis. Cancer Epidemiol Biomark Prev. 2008;17(4):748–57.
Paskett ED, Tatum CM, Mack DW, Hoen H, Case LD, Velez R. Validation of self-reported breast and cervical cancer screening tests among low-income minority women. Cancer Epidemiol Biomark Prev. 1996;5(9):721–6.
De Maio FG, Kemp E. The deterioration of health status among immigrants to Canada. Glob Public Health. 2010;5(5):462–78.
Davidovitch N, Filc D, Novack L, Balicer RD. Immigrating to a universal health care system: utilization of hospital services by immigrants in Israel. Health Place. 2013;20:13–8.
Acknowledgments
The authors would like to thank Professor Mieke Koehoorn, School of Population and Public Health, University of British Columbia and Dr Jones Adjei, School of Nursing, University of British Columbia for their feedback on prior drafts of this manuscript.
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Adu, P.A., Ukah, U.V. & Palmer, S.D. Association Between Recency of Immigration and Mammography Uptake: Results from a Canadian National Survey. J Immigrant Minority Health 19, 228–235 (2017). https://doi.org/10.1007/s10903-015-0298-6
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DOI: https://doi.org/10.1007/s10903-015-0298-6