Is Immigrant Status Associated With Cervical Cancer Screening Among Women in Canada? Results From a Cross-Sectional Study

Bacal, Vanessa; Blinder, Henrietta; Momoli, Franco; Wu, Kuang‐Tsan; McFaul, Susan

doi:10.1016/j.jogc.2018.07.010

Cited by 15 publications

(18 citation statements)

References 22 publications

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“…Cervical cancer is the fourth most prevalent cancer among women globally, with approximately 604,000 cases diagnosed and 342,000 deaths in 2020 [2] . Numerous studies from different countries, including the United States, Canada, and Australia, have consistently found immigrant women to be at higher risk for underutilizing screenings for cervical cancer [3] – [5] and breast cancer [6] , [7] than native-born women. In 2018, the number of immigrants living in the United States (U.S.) reached a record 44.8 million or 13.7% of the population [8] .…”

Section: Introductionmentioning

confidence: 99%

Perceived neighborhood social cohesion and cervical and breast cancer screening utilization among U.S.-born and immigrant women

Frinere-Sandoval¹,

Cubbin²,

DiNitto

2022

AIMSPH

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<abstract> <p>Research suggests that factors beyond the individual level, such as neighborhood-level factors, warrant further investigation in explaining preventive screening utilization disparities. In addition, research shows that immigrant women, especially recent immigrants, are less likely than U.S.-born women to utilize preventive screenings. Our study examined the relationship between perceived neighborhood social cohesion and breast and cervical cancer screening utilization among U.S.-born and immigrant women. Data came from the 2018 National Health Interview Survey (NHIS). The sample for this study included 7801 women ages 21−64 without a hysterectomy. Of them, 1477 (19%) reported being born outside the United States. Logistic regression was used to examine associations of perceived neighborhood social cohesion and sociodemographic factors with the odds of screening by nativity status. Though we found no link between neighborhood social cohesion and Papanicolaou (Pap) test or mammogram utilization, our findings contribute to understanding sociodemographic barriers to and facilitators of preventive screening utilization among immigrant and U.S.-born women. Most importantly, racial/ethnic and socioeconomic disparities in Pap tests and mammogram utilization were evident among immigrant women. The disparities we identified indicate the need to target prevention messages and tailor interventions to address each group's sociodemographic characteristics and needs. Our findings also support the need to expand health insurance so that all women are covered.</p> </abstract>

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Section: Introductionmentioning

confidence: 99%

Perceived neighborhood social cohesion and cervical and breast cancer screening utilization among U.S.-born and immigrant women

Frinere-Sandoval¹,

Cubbin²,

DiNitto

2022

AIMSPH

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“…Several Canadian studies have shown significant cervical cancer screening inequalities based on age, income, immigration status, and world region of origin [ 25 , 27 ]. A review of the literature conducted in 2019 showed that women from sub-Saharan Africa and living in Canada origin had the lowest cervical cancer screening rates [ 45 ].…”

Section: Discussionmentioning

confidence: 99%

“…Some studies have also found that migrant women are screened less often than native women [ 11 , 22 – 27 ]. In Canada, migrant women have an adjusted RR 1.32; 95% CI 1.20–1.45) for an overdue Pap test compared to Canadian-born women [ 25 ]. Several French studies found that foreign women born to foreign parents underwent recommended cervical cancer screening less often than French women born to foreign parents, who themselves were less likely to be screened than French women born to French parents [ 12 , 28 , 29 ].…”

Section: Introductionmentioning

confidence: 99%

Women’s country of birth and failure to catch up an overdue cervical cancer cytological screening participation during pregnancy in France, an observational study based on survey sources

Lyonnais,

Vigoureux,

Blondel

et al. 2024

BMC Cancer

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Background Cervical cancer is the fourth most common cancer among women worldwide, both for incidence and mortality. Prevention relies on screening with a Pap test to detect precancerous lesions, which can then be treated. Access to this screening is currently both improvable and inequitable. Pregnancy may be an ideal moment for women to catch up on their overdue cervical cancer screening. In the general population, women's risk of not being screened is associated with their place of birth and other social factors; this may be true as well among pregnant women. Our objective was to study the association between women's place of birth and their failure to catch up with this screening during pregnancy. Methods The 2016 French National Perinatal Survey included 13,147 women who gave birth after 21 weeks of gestation. The association between their place of birth and failure to catch up on this screening (defined by the absence of a Pap test during pregnancy for women overdue for it) was adjusted for age, parity, education level, health insurance, and when they began prenatal care with logistic regression models. Results Among the women for whom screening was then recommended, 49% were not up to date at the start of pregnancy, and of these, 53% were not caught up before delivery. After adjustment for other risk factors, maternal place of birth was not associated with a higher risk of failure to catch up with this screening during pregnancy. However, factors identified as associated with this risk included a low education level and late start of prenatal care. Conclusion About half of women overdue for cervical cancer screening did not catch up with it during their pregnancy. Professionals should pay special attention to women with lower education levels and late initiation of prenatal care, who constitute a group at high risk of not catching up on this screening during pregnancy.

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“…Strategies to reach under-screened groups and eliminate barriers to screening must be implemented, such as mobile screening units, mail-in self-collection HPV sampling kits, community health workers who provide education and information, media campaigns, and direct telephone calls [ 24 , 25 ]. As well, closer monitoring of groups that are known to be perpetually under-screened, including Indigenous and visible minority populations, should be considered in order to ensure they are accessing screening at the recommended schedule [ 26 ].…”

Section: Screening and Social Disparitiesmentioning

confidence: 99%

The Path to Eliminating Cervical Cancer in Canada: Past, Present and Future Directions

et al. 2022

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Cervical cancer remains a common cancer affecting women in Canada. While cervical cancer incidence and mortality in Canada have declined for several decades due to the success of organized, provincial cervical cancer screening programs, further decreases will require enhancement of primary, secondary, and tertiary prevention efforts. The present commentary provides a historical overview of cervical cancer trends in Canada, presents current statistics on cervical cancer incidence, mortality and survival, and discusses future directions in relation to cervical cancer elimination.

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Is Immigrant Status Associated With Cervical Cancer Screening Among Women in Canada? Results From a Cross-Sectional Study

Cited by 15 publications

References 22 publications

Perceived neighborhood social cohesion and cervical and breast cancer screening utilization among U.S.-born and immigrant women

Perceived neighborhood social cohesion and cervical and breast cancer screening utilization among U.S.-born and immigrant women

Women’s country of birth and failure to catch up an overdue cervical cancer cytological screening participation during pregnancy in France, an observational study based on survey sources

The Path to Eliminating Cervical Cancer in Canada: Past, Present and Future Directions

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