1. Uptake of Gynecological Cancer Screening and Performance of Breast Self-Examination Among 50-Year-Old Migrant and Non-migrant Women in Germany. Results of a Cross-Sectional Study (InEMa)
- Author
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Lea-Marie Mohwinkel, Sandra van Eckert, Petra Kolip, Jacob Spallek, Maren Reder, and Eva-Maria Berens
- Subjects
medicine.medical_specialty ,Turkey ,Epidemiology ,Turkish ,Cross-sectional study ,Population ,Emigrants and Immigrants ,Uterine Cervical Neoplasms ,Breast Neoplasms ,Logistic regression ,03 medical and health sciences ,0302 clinical medicine ,Breast cancer ,Germany ,Cancer screening ,medicine ,Humans ,030212 general & internal medicine ,education ,Early Detection of Cancer ,Aged ,Breast self-examination ,education.field_of_study ,030505 public health ,medicine.diagnostic_test ,business.industry ,Public health ,Public Health, Environmental and Occupational Health ,Breast Self-Examination ,Middle Aged ,medicine.disease ,language.human_language ,Cross-Sectional Studies ,Socioeconomic Factors ,language ,population characteristics ,Female ,0305 other medical science ,business ,geographic locations ,Demography - Abstract
Our aim was to provide data regarding uptake of gynecological early detection measures and performance of breast self-examinations among migrant women in Germany. Cross-sectional self-reported data were collected using paper-and-pencil questionnaires. Descriptive analyses, Chi square-tests, and logistic regression were applied. Results were adjusted for educational level. Of 5387 women, 89.9% were autochthonous, 4.1% German resettlers, 2.8% Turkish, 3.1% other migrants. Participation rates regarding cancer screening differed significantly, with the lowest proportion in Turkish migrants (65.0%), resettlers (67.8%), other migrants (68.2%) and autochthonous population (78.2%). No differences in performance of breast self-examinations were detected. When adjusted for education, results indicated only slight changes in the odds to participate in screening irregularly or not at all. Results support existing evidence by showing lower participation rates in cancer screening among migrant women, but there were no differences regarding breast self-examinations. Migrant women form a potential high-risk group for late-stage diagnosis of cervical or breast cancer.
- Published
- 2019