Colorectal cancer screening of immigrants to Italy. Figures from the 2013 National Survey

Turrin, Anna; Zorzi, Manuel; Rossi, Paolo Giorgi; Senore, Carlo; Campari, Cinzia; Fedato, Chiara; Naldoni, Carlo; Anghinoni, Emanuela; Carrozzi, Giuliano; Bianchi, Priscilla Sassoli de; Zappa, Marco; Giacomo, Manuela Di; Sigillito, Angelo; Rizzo, Liliana; Luciano, Giovanna; Coppola, Nora; Barca, Alessandra; Paoli, Gabriella; Bonelli, Luigina; Cóppola, Liliana; Furia, Lucia Di; Cecere, Giuseppe; Segnan, Nereo; Fanolla, Antonio; Piffer, Silvano; Germinario, Cinzia Annatea; Tanchis, Pierina; Dardanoni, Gabriella; Mantellini, Paola; Giaimo, Mariadonata; Furfaro, Gabriella

doi:10.1016/j.ypmed.2015.08.016

Cited by 16 publications

(28 citation statements)

References 8 publications

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“…The migrant respondents seem to be more similar to the Italians as the length of stay increases, confirming what has been called the “convergence effect” or the “assimilation process” [9, 10, 15–17, 29]. Moreover, the results are certainly interesting for health policies, such as recognizing the increased participation in preventive actions and assessing negative increases in risk factors, as already described by Turrin et al [30].…”

Section: Resultssupporting

confidence: 80%

“…Public health has some powerful tools to overcome these difficulties, and the data on cervical cancer screening provide a nice example of the effects of health promotion applied to a preventive service. Pap smear tests have been free of charge and universally offered in all Italy for several decades, but the overall coverage increased, and socio-economic differences started to decrease [39], when a health promotion approach has been taken involving all the population in the screening activity, better targeting the promotion of these services [30]. Similar results, interestingly, are seen also among the migrant population: the prevalence of migrant women attending cervical screening increases as integration (and exposure to health promotion) increases.…”

Section: Discussionmentioning

confidence: 99%

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Migrant health in Italy: a better health status difficult to maintain—country of origin and assimilation effects studied from the Italian risk factor surveillance data

Campostrini

Carrozzi²,

Severoni

et al. 2019

Popul Health Metrics

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BackgroundMany studies on migrant health have focused on aspects of morbidity and mortality, but very few approach the relevant issues of migrants’ health considering behavioral risk factors. Previous studies have often been limited methodologically because of sample size or lack of information on migrant country of origin. Information about risk factors is fundamental to direct any intervention, particularly with regard to non-communicable diseases that are leading causes of death and disease. Thus, the main focus of our analysis is the influence of country of origin and the assimilation process.MethodUtilizing a surveillance system that has been collecting over 30,000 interviews a year in Italy since 2008, we have studied migrants’ attitudes and behaviors by country of origin and by length of stay. Given 6 years of observation, we have obtained and analyzed 228,201 interviews of which over 9000 were migrants.ResultsWhile migrants overall present similar conditions to native-born Italians, major differences appear when country of origin or length of stay is considered. Subgroups of migrants present substantially different behaviors, some much better than native-born Italians, some worse. However, integration processes generally produce a convergence towards the behavioral prevalence observed for native-born Italians.ConclusionsHealth programs should consider the diversity of the growing migrant population: data and analyses are needed to support appropriate policies. Many migrants’ subgroups arrive with healthier behaviors than those of their adopted country. However, they are likely to have a less favorable social position in their destination countries that could lead to a change towards less healthy behaviors. Interventions capable of identifying this tendency could produce significant better health for this important part of the future (multicultural) populations.

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Section: Resultssupporting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Migrant health in Italy: a better health status difficult to maintain—country of origin and assimilation effects studied from the Italian risk factor surveillance data

Campostrini

Carrozzi²,

Severoni

et al. 2019

Popul Health Metrics

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“…CCC sends letters to all 50–74 year old residents of Ontario inviting them to discuss CRC screening with their primary care providers, who are supplied with gFOBT sampling kits to distribute to their eligible patients. It is already known that immigrants to Ontario are less likely to participate in colorectal screening than non-immigrants [18], as is true elsewhere in North America and Europe [19–22]. The goal of this work is to inform CCC of the risk of CRC stratified by origin of immigrants and time since immigration, so that its efforts to improve screening participation among immigrants may be tailored by this information.…”

Section: Introductionmentioning

confidence: 99%

Risk of colorectal cancer among immigrants to Ontario, Canada

et al. 2017

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BackgroundThe risk of colorectal cancer (CRC) varies around the world and between females and males. We aimed to compare the risk of CRC among immigrants to Ontario, Canada, to its general population.MethodsWe used an exposure-control matched design. We identified persons in the Immigration, Refugees and Citizenship Canada Permanent Resident Database with first eligibility for the Ontario Health Insurance Plan between July 1, 1991 and June 30, 2008 at age 40 years or older, and matched five controls by year of birth and sex on the immigrant’s first eligibility date. We identified CRC from the Ontario Cancer Registry between the index date and December 31, 2014. All analyses were stratified by sex. We calculated crude and relative rates of CRC. We estimated risk of CRC over time by the Kaplan-Meier method and compared immigrants to controls in age and sex stratified strata using log-rank tests. We modeled the hazard of CRC using Cox proportional hazards regression, accounting for within-cluster correlation by a robust sandwich variance estimation approach, and assessed an interaction with time since eligibility.ResultsAmong females, 1877 cases of CRC were observed among 209,843 immigrants, and 16,517 cases among 1,049,215 controls; the crude relative rate among female immigrants was 0.623. Among males, 1956 cases of CRC were observed among 191,792 immigrants and 18,329 cases among 958,960 controls; the crude relative rate among male immigrants was 0.582.. Comparing immigrants to controls in all age and sex stratified strata, the log rank test p < 0.0001 except for females aged > = 75 years at index, where p = 0.01. The age-adjusted hazard ratio (HR) for CRC among female immigrants was 0.63 (95% CI 0.59, 0.67) during the first 10 years, and 0.66 (95% CI 0.59, 0.74) thereafter. Among male immigrants the age-adjusted HR = 0.55 (95% CI 0.52, 0.59) during the first 10 years and increased to 0.63 (95% CI 0.57, 0.71) thereafter. The adjusted HR > = 1 only among immigrants born in Europe and Central Asia.ConclusionsThe risk of CRC among immigrants to Ontario relative to controls varies by origin and over time since immigration.

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“…Fourth, the 2013 National Survey on Italian colorectal cancer screening programmes has shown that immigrants born in low‐ or middle‐income countries have lower participation rates than Italians (Turrin et al., ). In this study, immigrants from developing countries had a lower participation rate associated to the mailing of faecal occult blood tests.…”

Section: Discussionmentioning

confidence: 99%

Strategies for delivery of faecal occult blood test kits and participation to colorectal cancer screening in the Emilia-Romagna Region of Italy

et al. 2016

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Colorectal cancer screening of immigrants to Italy. Figures from the 2013 National Survey

Cited by 16 publications

References 8 publications

Migrant health in Italy: a better health status difficult to maintain—country of origin and assimilation effects studied from the Italian risk factor surveillance data

Migrant health in Italy: a better health status difficult to maintain—country of origin and assimilation effects studied from the Italian risk factor surveillance data

Risk of colorectal cancer among immigrants to Ontario, Canada

Strategies for delivery of faecal occult blood test kits and participation to colorectal cancer screening in the Emilia-Romagna Region of Italy

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