移民对癌症查测试的了解比本地人少吗? - 荷兰的情况是荷兰
Dr Jelena Arsenijevic1, Dr Verena Seibel2
1Faculty of Law, Economics and Governance, Utrecht University, Utrecht, the Netherlands.
Journal of migration and health
|September 2, 2024
概括
荷兰的移民对癌症查计划的了解较低. 这种差距在几代人之间持续存在,并不能通过教育或收入来解释,这凸显了有针对性的卫生政策干预的必要性.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 卫生社会学 卫生社会学
背景情况:
- 荷兰提供免费的乳腺,结肠直肠和宫癌查.
- 移民人口在这些重要预防性卫生服务中的参与率较低.
- 定性研究表明,缺乏医疗保健系统知识有助于移民使用不足.
研究的目的:
- 为了确定荷兰的移民与本地人口相比,对癌症查计划的知识是否更少.
- 识别导致医疗保健系统对癌症查知识的种族差异的因素.
主要方法:
- 利用了长度互联网社会科学研究 (LISS) 数据集,将系统知识和健康数据联系起来.
- 雇员倾向分数匹配,将第一代和第二代非西方移民与非移民进行比较.
- 应用Blinder-Oaxaca分解来分析影响知识差距的因素.
主要成果:
- 第一代移民在所有三种查类型 (乳腺,结肠直肠,宫) 中都表现出较低的系统知识.
- 与非移民相比,第二代移民对乳腺癌和结肠直肠癌查的知识有所减少.
- 系统知识中的种族差异不能归因于个人或社会因素,如教育或收入.
结论:
- 荷兰的医疗保健政策应该优先加强移民社区内的癌症查系统知识.
- 建议采取旨在增加移民参与癌症查计划的干预措施.
- 解决知识差距对于公平获得预防性医疗保健服务至关重要.
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