移民身份和收入对宫癌查的综合影响
Jeanne Sassenou1, Virginie Ringa1, Marie Zins2
1Centre for Research in Epidemiology and Population Health (CESP), Inserm U1018, Université Paris-Saclay, Villejuif, France.
Preventive medicine reports
|September 21, 2023
概括
通过帕普检测进行宫癌查在移民妇女中较少见,特别是那些收入较低的妇女. 这种综合的缺点显著增加了他们被查为宫癌的风险.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会学 社会学 社会学
背景情况:
- 定期的帕普检测对于减少宫癌发病率和死亡率至关重要.
- 移民人口中与收入相关的不平等和较低的帕普测试吸收率被记录在案.
- 移民身份和低收入对宫癌查的综合影响需要进一步研究.
研究的目的:
- 分析移民身份和低收入对子宫癌查的综合影响.
- 量化法国不同移民世代在帕普检测查中的与收入相关的不平等.
主要方法:
- 使用了来自法国CONSTANCES队列的数据,包括问卷和医疗保险退款数据.
- 包括70,614名女性,按移民一代 (非移民,第一代,第二代) 分类.
- 使用线性回归计算不平等斜率指数 (SII) 来评估与收入相关的选差异.
主要成果:
- 低选率随着移民身份的增加而增加:19.5% (非移民) 到26.5% (第一代).
- 低收入也随着收入水平的下降而增加,移民女性的收入梯度更为 (第二代女性占21%,第一代女性占19%).
- 较短的居住时间与第一代移民中较高的收入相关不平等相关.
结论:
- 第一代和第二代移民妇女的子宫癌的发病率更高.
- 与本地出生的女性相比,这些群体在查中面临着更明显的与收入相关的经济梯度.
- 移民身份和社会经济因素的累积影响显著阻碍了宫癌查的普及.
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