Polish immigrants’ access to colorectal cancer screening in Norway – a qualitative study

Bhargava, Sameer; Czapka, Elżbieta; Hofvind, Solveig; Kristiansen, Maria; Díaz, Esperanza; Berstad, Paula

doi:10.1186/s12913-022-08719-3

Cited by 5 publications

(6 citation statements)

References 31 publications

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“…Most are migrant workers, and in 2017 about half of them had lived in Norway for less than five years35; they may thus be less familiar with healthcare services in Norway than in Poland. Studies have shown that immigrants from Poland living in Norway want information about cancer and screening and that they request information translated into Polish 3738. Some Polish immigrants have their colonoscopy, as a screening tool for colorectal cancer, performed in Poland.…”

Section: Discussionmentioning

confidence: 99%

“…Some Polish immigrants have their colonoscopy, as a screening tool for colorectal cancer, performed in Poland. This is, among other reasons, due to higher trust in and familiarity with the Polish compared with the Norwegian healthcare system and being able to communicate in their language of origin 37. These explanations may also be relevant for breast cancer screening.…”

Section: Discussionmentioning

confidence: 99%

“…Studies have shown that immigrants from Poland living in Norway want information about cancer and screening and that they request information translated into Polish. 37 38 Some Polish immigrants have their colonoscopy, as a screening tool for colorectal cancer, performed in Poland. This is, among other reasons, due to higher trust in and familiarity with the Polish compared with the Norwegian healthcare system and being able to communicate in their language of origin.…”

Section: Discussionmentioning

confidence: 99%

“…This is, among other reasons, due to higher trust in and familiarity with the Polish compared with the Norwegian healthcare system and being able to communicate in their language of origin. 37 These explanations may also be relevant for breast cancer screening. Trust in the Polish healthcare system, the convenience of speaking a known language, and the short and easy travel between Norway and Poland might outweigh the potentially positive effect of receiving translated information.…”

Section: Discussionmentioning

confidence: 99%

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Effect of invitation letter in language of origin on screening attendance: randomised controlled trial in BreastScreen Norway

Hofvind,

Iqbal,

Thy

et al. 2023

BMJ

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Objective To explore attendance at organised mammographic screening among immigrant groups that received an invitation letter and information leaflet (invitation) in their language of origin and Norwegian compared with Norwegian only. Design Randomised controlled trial. Setting Population based screening programme for breast cancer in Norway (BreastScreen Norway), which invites women aged 50-69 to two-view mammographic screening biennially. Participants All women invited to BreastScreen Norway in the study period April 2021 to June 2022 whose language of origin was Arabic (women born in Algeria, Egypt, Lebanon, Iraq, Palestine, Sudan, Syria, Tunisia, or Morocco), English (women born in the Philippines), Polish (women born in Poland), Somali (women born in Somalia), or Urdu (women born in Pakistan) (n=11 347). Intervention The study group received an invitation to screening in their language of origin and in Norwegian, whereas the control group received an invitation in Norwegian only during the study period. Main outcome measure Attendance at BreastScreen Norway during the study period. Results Overall attendance was 46.5% (2642/5683) in the study group and 47.4% (2682/5664) in the control group. No statistical differences in attendance were observed after stratification by language of invitation, age at invitation, or years since immigration. Conclusions No difference in attendance was observed between immigrant women invited to BreastScreen Norway in their language of origin and in Norwegian compared with Norwegian only. Several barriers to cancer screening may exist among immigrants, and translating the invitation is probably only a part of a complex explanation. Trial registration NCT04672265.ClinicalTrials.gov NCT04672265 .

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Effect of invitation letter in language of origin on screening attendance: randomised controlled trial in BreastScreen Norway

Hofvind,

Iqbal,

Thy

et al. 2023

BMJ

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“…Polish immigrants are the most populous immigrant group in Norway including more than 107,000 individuals ( 10 ). We recently performed a qualitative study exploring Polish immigrants’ access to CRC screening in Norway ( 26 ). The immigrants from Poland in this study had trust in CRC screening, but often did not understand that FIT was a method of CRC screening.…”

Section: Discussionmentioning

confidence: 99%

Lower participation among immigrants in colorectal cancer screening in Norway

Bhargava,

Botteri,

Berthelsen

et al. 2023

Front. Public Health

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IntroductionOrganized cancer screening programs should be equally accessible for all groups in society. We assessed differences in participation in colorectal cancer (CRC) screening among different immigrant groups.MethodsBetween 2012 and 2019, 140,000 individuals aged 50 to 74 years were randomly invited to sigmoidoscopy or repeated faecal immunochemical test (FIT) in a CRC screening trial. In this study, we included 46,919 individuals invited to sigmoidoscopy and 70,018 invited to the first round of FIT between 2012 and 2017. We examined difference in participation between non-immigrants and immigrants, and within different immigrant groups by geographic area of origin, using logistic regression models, adjusted for several sociodemographic factors and health factors.ResultsIn total, we included 106,695 non-immigrants and 10,242 immigrants. The participation rate for FIT was 60% among non-immigrants, 58% among immigrants from Western countries and 37% among immigrants from non-Western countries. The participation rate for sigmoidoscopy was 53% among non-immigrants, 48% among immigrants from Western countries and 23% among immigrants from non-Western countries. Compared to non-immigrants, multivariate adjusted odds ratio for non-participation in FIT screening was 1.13 (95% confidence interval 1.04–1.23) and 1.82 (1.69–1.96) for immigrants from Western and non-Western countries. The corresponding numbers in sigmoidoscopy screening were 1.34 (1.21–1.48) and 2.83 (2.55–3.14). The lowest participation was observed in immigrants from Eastern Europe, Northern Africa and Western Asia, and South-Central Asia.ConclusionParticipation in CRC screening in Norway was particularly low among non-Western immigrants, which could put them at increased risk for late stage diagnosis of CRC. Participation was lower in sigmoidoscopy screening than in FIT screening, especially among immigrants from non-Western countries.

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