Preventive Medicine
Volume 105, 2017, Pages 176-183

Breast cancer screening utilization among women from Muslim majority countries in Ontario, Canada (Article)

Vahabi M.* , Lofters A. , Kim E. , Wong J.P.-H. , Ellison L. , Graves E. , Glazier R.H.
  • a Faculty of Community Services, Daphne Cockwell School of Nursing, Ryerson University, Canada, Graduate Program in Immigration and Settlement Studies, Ryerson University, Canada, Ryerson Centre for Global Health and Health Equity, Canada
  • b Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Canada, Department of Family and Community Medicine, University of Toronto, Canada, Department of Family and Community Medicine, St. Michael Hospital, Canada, Institute for Clinical Evaluative Sciences, Canada, Dalla Lana School of Public Health, University of Toronto, Canada
  • c Institute for Clinical Evaluative Sciences, Canada
  • d Faculty of Community Services, Daphne Cockwell School of Nursing, Ryerson University, Canada
  • e Institute for Clinical Evaluative Sciences, Canada
  • f Institute for Clinical Evaluative Sciences, Canada
  • g Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Canada, Department of Family and Community Medicine, University of Toronto, Canada, Department of Family and Community Medicine, St. Michael Hospital, Canada, Institute for Clinical Evaluative Sciences, Canada, Dalla Lana School of Public Health, University of Toronto, Canada

Abstract

Breast cancer screening disparities continue to prevail with immigrant women being at the forefront of the under screened population. There is a paucity of knowledge about the role of religious affiliation or cultural orientation on immigrant women's cancer screening uptake. This study examined differences in uptake of breast cancer screening among women from Muslim and non- Muslim majority countries in Ontario, Canada. A cohort of 1,851,834 screening-eligible women living in Ontario during April 1, 2013 to March 31, 2015 was created using linked health and social administrative databases. The study found that being born in a Muslim majority country was associated with lower breast cancer screening uptake after adjusting for region of origin, neighbourhood income, and primary care-related factors. However, screening uptake in Muslim majority countries varied by world region with the greatest differences found in Sub-Saharan Africa and South Asia. Screening uptake was lower for women who had no primary care provider, were in a traditional fee-for service model of primary care, had a male physician, had an internationally trained physician, resided in a low income neighbourhood, and entered Canada under the family class of immigration. Religion may play a role in screening uptake, however, the variation in rates by regions of origin, immigration class, and access to primary care providers alludes to confluence of socio-demographic, cultural beliefs and practices, immigration trajectories and system level factors. Facilitating access for immigrant women to regular primary care providers, particularly female providers and enrollment in primary care models could enhance screening uptake. © 2017 Elsevier Inc.

Author Keywords

Primary care immigrant women Breast cancer Income Region of origin Immigration status Screening mammography Primary care patient enrollment models Muslim

Index Keywords

cultural anthropology breast cancer primary medical care Africa south of the Sahara lowest income group mass screening Islam medical fee human immigration middle aged priority journal early cancer diagnosis Aged cancer screening Early Detection of Cancer ethnology procedures neighborhood Muslim South Asia Breast Neoplasms migrant psychology Humans Canada Emigrants and Immigrants breast tumor Socioeconomic Factors female socioeconomics medical education Article health care utilization Ontario major clinical study adult physician cohort analysis Culture
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85030150234&doi=10.1016%2fj.ypmed.2017.09.008&partnerID=40&md5=84e014bb054f4a0499292eca65a02860
DOI: 10.1016/j.ypmed.2017.09.008
ISSN: 00917435
Cited by: 8
Original Language: English