Breast cancer screening utilization among women from Muslim majority countries in Ontario, Canada

Vahabi, Mandana; Lofters, Aisha; Kim, Eliane; Wong, Josephine Pui‐Hing; Ellison, Lisa; Graves, Erin; Glazier, Richard H.

doi:10.1016/j.ypmed.2017.09.008

Cited by 33 publications

(42 citation statements)

References 31 publications

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“…In Ontario, there has been considerable work examining the specific patient enrollment model (PEM) that attaches patients to a PCP and how this correlates with breast screening 8, 9, 10, 11. PEM's provide various models of rostering patients to individual or teams of physicians with differences in the model of remuneration for care provided to patients.…”

Section: Discussionmentioning

confidence: 99%

“…Disappointing breast screening participation rates as well as a desire to assess potential health inequities in cancer screening have motivated several recent investigations into potential screening disparities among socio‐demographic groups in Canada 4, 5, 6, 7, 8, 9, 10, 11, 12. Studies that have specifically examined breast screening have found screening disparities among immigrant subpopulations, as well as associations between mammography rates and duration of residence in Canada, primary care physician characteristics, primary care contacts, and other health and socio‐demographic variables 8, 9, 10, 11, 12.…”

Section: Introductionmentioning

confidence: 99%

“…Studies that have specifically examined breast screening have found screening disparities among immigrant subpopulations, as well as associations between mammography rates and duration of residence in Canada, primary care physician characteristics, primary care contacts, and other health and socio‐demographic variables 8, 9, 10, 11, 12. Research in Ontario, Canada identified disparities in screening rates among immigrant groups defined by world region of birth, including that South Asians had the lowest breast screening rates among all groups examined 9.…”

Section: Introductionmentioning

confidence: 99%

“…The world region categorization used in prior Canadian studies8, 9, 11 pooled women from a diverse set of countries, all of which have sizeable populations in Canada. For example, the East Asia/Pacific group included Filipino, Chinese, Korean, and Japanese immigrants.…”

Section: Introductionmentioning

confidence: 99%

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Breast screening participation and retention among immigrants and nonimmigrants in British Columbia: A population‐based study

et al. 2018

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Breast cancer screening programs operate across Canada providing mammography to women in target age groups with the goal of reducing breast cancer mortality through early detection of tumors. Disparities in breast screening participation among socio‐demographic groups, including immigrants, have been reported in Canada. Our objectives were to: (1) assess breast screening participation and retention among immigrant and nonimmigrant women in British Columbia (BC), Canada; and (2) to characterize factors associated with screening among screening‐age recent immigrant women in BC. We examined 2 population‐based cohorts of women eligible for breast screening participation (537 783 women) and retention (281 052 women) using linked health and immigration data. Breast screening rates were presented according to socio‐demographic and health‐related variables stratified by birth country. Factors associated with screening among recent immigrant women were explored using Poisson regression. We observed marked variation in screening participation across birth country cohorts. Eastern European/Central Asian women showed low participation (37.9%) with rates from individual countries ranging from 35.0% to 49.0%. Participation rates for immigrant women from the most common birth countries, such as China/Macau/Hong Kong/Taiwan (45.7%), India (44.5%), the Philippines (45.9%), and South Korea (39.0%), were lower than the nonimmigrant rates (51.2%). Retention rates showed less variation by birth country; however, some disparities between immigrant and nonimmigrant groups persisted. Associations between screening indicators and study factors varied considerably across immigrant groups. Primary care physician visits were consistently positively associated with screening participation; this variable was also the only predictor associated with screening within each of the groups of recent immigrants. Our study provides unique data on both screening participation and retention among Canadian immigrant women compiled by individual country of birth. Our results are further demonstration that screening disparities exist among immigrant populations as well as in comparison with nonimmigrant women.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Breast screening participation and retention among immigrants and nonimmigrants in British Columbia: A population‐based study

et al. 2018

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“…We have previously examined cervical and breast cancer screening for women from Muslim‐majority countries, and found differences in screening uptake …”

Section: Introductionmentioning

confidence: 99%

Fecal occult blood test screening uptake among immigrants from Muslim majority countries: A retrospective cohort study in Ontario, Canada

et al. 2019

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BackgroundColorectal cancer (CRC) is the second and third highest cause of cancer deaths among Canadian men and women, respectively. Population‐based screening through fecal occult blood testing (FOBT) has been proven to be effective in reducing CRC morbidity and mortality. Although participation in Ontario's organized CRC screening program has been increasing steadily since 2008, its uptake remains low among recent immigrant populations despite the known benefits of screening. To promote participation in CRC screening, it is imperative to understand both individual and system level barriers and enablers. Although a number of immigrant and nonimmigrant factors have been associated with low participation, there is a dearth of knowledge related to the religious affiliation in CRC screening uptake. Our study is among the first to examine this issue in Ontario, one of the most ethnically diverse Canadian provinces and preferred settlement destinations for immigrants.MethodsWe conducted a population‐based retrospective cohort study using linked health care administrative databases. Our cohort included Ontario residents, age 50‐74 who were eligible for FOBT from 1 April 2013 to 31 March 2015.ResultsWe found that immigrants from the Middle East and North Africa and Eastern Europe and Central Asia had the lowest rates of screening. Furthermore, being born in a Muslim‐majority country was associated with lower FOBT screening even after controlling for other confounders including world region and income (ie, overall adjusted relative risk (ARR) of screening 0.92 [95% CI 0.90‐0.93]). Moreover, being enrolled in a primary care model, having a female primary care provider and having an internationally trained physician were associated with increased screening among immigrants from Muslim‐majority countries.ConclusionsThese findings can inform future efforts to improve screening uptake like: enhancing access to primary care providers and enrollment in primary care models, targeted FOBT education for male providers and providers not in a primary care model, development of culturally sensitive and appropriate educational materials, and use of interactive approaches for communication of cancer screening information.

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Breast cancer screening and immigrant women—A scoping review of attendance, knowledge, barriers and facilitators

Dumky

Fridell

Leifland³

et al. 2023

Nursing Open

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Aim The aim of this study was to summarize the latest research reports about immigrant women and attendance in breast cancer screening. Design Scoping review. Methods Literature searches were made in CINAHL, PubMed, Web of Science, Google Scholar, Oatd and Oalster. Twenty‐three articles were included in the study. Data were analysed with inductive content analysis. Results Out of data four main categories were formed: attendance rates, incidence, barriers and facilitators, and knowledge and perception. The results show that attendance rates, barriers and facilitators for attendance, knowledge and experience of breast cancer and breast cancer screening differ between several factors such as the woman's migrant background, country of origin, religion, length of stay in the new home country and sociodemographic factors.

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Breast cancer screening utilization among women from Muslim majority countries in Ontario, Canada

Cited by 33 publications

References 31 publications

Breast screening participation and retention among immigrants and nonimmigrants in British Columbia: A population‐based study

Breast screening participation and retention among immigrants and nonimmigrants in British Columbia: A population‐based study

Fecal occult blood test screening uptake among immigrants from Muslim majority countries: A retrospective cohort study in Ontario, Canada

Breast cancer screening and immigrant women—A scoping review of attendance, knowledge, barriers and facilitators

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