title: Association Between Recency of Immigration and Mammography Uptake: Results from a Canadian National Survey.
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.
authors.affiliation: School of Population and Public Health, Faculty of Medicine, University of British Columbia, 2206 East Mall, Vancouver, BC, V6T 1Z3, Canada. prince.adu@alumni.ubc.ca.
authors.forename: Prince A
authors.initials: PA
authors.lastname: Adu
authors.affiliation: Department of Obstetrics and Gynaecology, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
authors.forename: U Vivian
authors.initials: UV
authors.lastname: Ukah
authors.affiliation: School of Nursing, College of Health Sciences and Professions, Ohio University, Athens, OH, USA.
authors.forename: Sheena D
authors.initials: SD
authors.lastname: Palmer
mesh_terms: D000368:Aged; D002170:Canada; D003430:Cross-Sectional Studies; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D004641:Emigration and Immigration / Q000706:statistics & numerical data*; D005260:Female; D019538:Health Care Surveys; D006306:Health Surveys; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data*; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D012959:Socioeconomic Factors; D013997:Time Factors
keywords: Breast cancer; Immigrant; Mammography; Screening; Universal healthcare