Health inequalities among Russian-born immigrant women in Finland: Longitudinal analysis on cervical cancer incidence and participation in screening.
Health inequalities among Russian-born immigrant women in Finland: Longitudinal analysis on cervical cancer incidence and participation in screening.
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DOI：
10.1016/j.jmh.2022.100117
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发表时间：
2022
影响因子：
4.6
通讯作者：
Heinavaara, Sirpa
中科院分区：
文献类型：
--
作者：
Lamminmaki, Maarit;Leivonen, Aku;Sarkeala, Tytti;Virtanen, Anni;Heinavaara, Sirpa
研究表明，移民的癌症发病率有高有低。然而，在大量俄罗斯出生的移民人口中，证据很少。我们研究了芬兰俄罗斯出生的移民妇女的宫颈癌发病率和筛查参与情况，芬兰是一个拥有完整癌症登记和全民公共卫生保健的国家，包括有组织的癌症筛查。我们的研究人群包括1970年至2017年期间居住在芬兰的所有女性，并将来自四个全国登记处的个人水平数据联系起来。使用不同的统计模型分别分析了关于癌症和癌症筛查的关联数据集。与芬兰一般女性人口相比，俄罗斯出生的移民妇女宫颈癌发病率增加（+62%），她们参加宫颈癌筛查的人数略少于其他妇女。我们的研究结果表明，癌症发病率或筛查参与率与住院时间之间没有一致的过渡模式。对观察到的差异的可能解释包括体制和行为因素。子宫颈癌是最容易预防的癌症之一，癌症普查可预防及减低子宫颈癌的发病率和死亡率。应努力鼓励流动人口参加宫颈筛查。
Research has documented both lower and higher cancer incidence among migrants. Evidence among the large Russian-born migrant population, however, is scarce. We examined cervical cancer incidence and screening participation among Russian-born immigrant women in Finland, a country with complete cancer registration and universal public health care including organized cancer screening. Our study population included all the women that resided in Finland during 1970–2017 and was formed linking individual-level data from four nationwide registries. The linked data sets on cancer and cancer screening were analysed separately using different statistical models. Russian-born immigrant women had increased (+62%) incidence of cervical cancer compared to the general Finnish female population, and they participated in cervical cancer screening slightly less than other women. Our findings showed no consistent transition pattern in cancer incidence or screening participation rate with duration of stay. Potential explanations for the observed differences include institutional and behavioural factors. Cervical cancer is one of the most preventable cancers, and cancer screening can both prevent and reduce incidence and mortality of cervical cancer. Efforts should be made to encourage migrant populations to participate in cervical screening.
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