Cancer Causes and Control
Volume 28, Issue 6, 2017, Pages 589-598

Citizenship, length of stay, and screening for breast, cervical, and colorectal cancer in women, 2000–2010 (Article)

Miranda P.Y.* , Yao N. , Snipes S.A. , BeLue R. , Lengerich E. , Hillemeier M.M.
  • a Department of Health Policy and Administration, College of Health and Human Development, Pennsylvania State University, 601-D Ford Building, University Park, PA 16802, United States
  • b Department of Public Health Sciences, University of Virginia, Charlottesville, VA, United States
  • c Department of Biobehavioral Health, College of Health and Human Development, Pennsylvania State University, University Park, PA, United States
  • d Department of Health Policy and Administration, College of Health and Human Development, Pennsylvania State University, 601-D Ford Building, University Park, PA 16802, United States
  • e Department of Public Health Sciences, Penn State Cancer Institute, College of Medicine, Pennsylvania State University, University Park, PA, United States
  • f Department of Health Policy and Administration, College of Health and Human Development, Pennsylvania State University, 601-D Ford Building, University Park, PA 16802, United States

Abstract

Background: Two factors jointly account for significant gaps in access to health care among immigrants who are present in the U.S.—legal status, and length of residence. The objective of this study is to examine the association between citizenship and length of residence in the U.S. and cancer screening (breast, cervical, and colorectal) among women. Methods: We analyzed 11 years (2000–2010) of consolidated data from the Medical Expenditure Panel Survey linked with the National Health Interview Survey. Multivariate analyses compared cancer screening among U.S.-born citizens (n = 58,484), immigrant citizens (n = 8,404), and immigrant non-citizens (n = 6,564). Results: Immigrant non-citizens living in the U.S. for less than 5 years were less likely to receive guideline-concordant breast (OR = 0.68 [0.53–0.88]), cervical (OR = 0.65 [0.54–0.78]), and colorectal (OR = 0.31 [0.19–0.50]) cancer screening compared to U.S.-born citizens. Immigrant citizens and non-citizens living in the U.S. for 5 years or more had higher odds of being screened for breast and cervical cancer compared to U.S.-born citizens; (OR = 1.26 [1.13–1.41] and OR = 1.17 [1.06–1.29]) for immigrant citizens, (OR = 1.28 [1.13–1.45] and OR = 1.23 [1.09–1.38]) for non-citizens. Immigrant non-citizens living in the U.S. for 5 years or more had lower odds of being screened for colorectal cancer compared to U.S.-born citizens (OR = 0.76 [0.65–0.90]). Conclusions: Based on these findings, duration mandates in immigration policy may indirectly influence future pathways to preventive health care and cancer disparities disproportionately affecting immigrant women. We suggest that limits of duration mandates be reevaluated, as they may offer pathways to preventive health care for this vulnerable population, and prevent future cancer disparities. © 2017, Springer International Publishing Switzerland.

Author Keywords

immigrants Cancer screening Women’s health

Index Keywords

immigrant breast cancer health care policy human middle aged colorectal cancer controlled study comparative study early cancer diagnosis cancer prevention Colorectal Neoplasms housing cancer screening Health Surveys Aged length of stay Early Detection of Cancer United States Humans Breast Neoplasms migrant American Emigrants and Immigrants female Aged, 80 and over very elderly Article adult uterine cervix cancer migration Uterine Cervical Neoplasms preventive medicine Emigration and Immigration Healthcare Disparities practice guideline citizenship health care disparity health survey
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85016492909&doi=10.1007%2fs10552-017-0887-x&partnerID=40&md5=134a00f82ee2597f14f6699e831240a6
DOI: 10.1007/s10552-017-0887-x
ISSN: 09575243
Cited by: 6
Original Language: English