Access to Colon Cancer Screening of Migrants in Four European Countries
In Europe, colorectal cancer is the second most common cause of cancer with over 200,000 deaths per year. Research has shown that ethnic minority groups in developed countries are less likely to participate in colorectal cancer screening than the resident population and hence less likely to be diagnosed at an early stage when treatment is potentially more successful. Previous research has indicated that ethnic groups living in European countries perceive their risk of colorectal cancer as lower than the native population, suggesting that lower participation in cancer screening could be explained by a lack of recognition of cancer risk. The chapter will review the available evidence about access to colorectal screening among migrants in European countries. An analysis of data from the Health Interview Surveys conducted in various EU countries on this topic will also be presented.
KeywordsColorectal cancer Screening Migrant populations Ethnic groups Barriers to access Cultural factors
- Carrasco-Garrido, P., Hernandez-Barrera, V., Lopez de Andres, A., Jimenez-Trujillo, I., Gallardo Pino, C., & Jimenez-Garcıa, R. (2014). Awareness and uptake of colorectal, breast, cervical and prostate cancer screening tests in Spain. European Journal of Public Health, 24, 264–270.CrossRefGoogle Scholar
- European Commission. (2017). Commission Implementing Decision of 26.1.2017 concerning the work programme for 2017 in the framework of the third Programme of the Union’s action in the field of health (2014–2020) and the EU financial contribution to the WHO Framework Convention on Toba.Google Scholar
- European Commission. (n.d.). Eurostat – Database. Brussels. Available at: http://ec.europa.eu/eurostat/data/database. Accessed 1 Aug Brussels, 2017.
- Ferroni, E., Camilloni, L., Jimenez, B., Furnari, G., Borgia, P., Guasticchi, G., & Giorgi Rossi, P. (2012). How to increase uptake in oncologic screening: A systematic review of studies comparing population-based screening programs and spontaneous access. Preventive Medicine, 55, 587–596.CrossRefGoogle Scholar
- Huddleston, T. (2015). Migrant integration policy index. Available at: http://www.mipex.eu/. Accessed 1 Sept 2017.
- International Agency for Research on Cancer (IARC). (2017). Cancer Screening in the European Union Report on the implementation of the Council Recommendation on cancer screening. Brussels: European Commission.Google Scholar
- Mackenbach, J. P., Stirbu, I., Roskam, A. J., Schaap, M. M., Menvielle, G., Leinsalu, M., Kunst, A. E., & European Union Working Group on Socioeconomic Inequalities in Health. (2008). Socioeconomic inequalities in health in 22 European countries. New England Journal of Medicine, 358, 2468–2481.CrossRefGoogle Scholar
- Rex, D. K., Boland, C. R., Dominitz, J. A., Giardiello, F. M., Johnson, D. A., Kaltenbach, T., Levin, T. R., Lieberman, D., & Robertson, D. J. (2017). Colorectal cancer screening: Recommendations for physicians and patients from the U.S. Multi-Society Task Force on Colorectal Cancer. American Journal of Gastroenterology, 153, 307–323.CrossRefGoogle Scholar
- von Karsa, L., Patnick, J., & Segnan, N. (2012). European guidelines for quality assurance in colorectal cancer screening and diagnosis. First Edition – Executive summary. Endoscopy, 44(S 03), SE1–SE8.Google Scholar