The role of access to a regular primary care physician in mediating immigration-based disparities in colorectal screening: Application of multiple mediation methods
Cancer Epidemiology, Biomarkers & Prevention Apr 02, 2019
Blair A, et al. - Given that recent immigrants vs Canadian-born individuals participate in colorectal cancer screening less frequently, researchers investigated if access to primary care physicians (PCP) could be a mediating factor for this difference. They used the Canadian Community Health Survey (2003-2014) and compared 1,067 respondents aged 50 to 75 years of age who immigrated in the previous 10 years to 102,366 Canadian-born respondents in terms of lifetime screening. They carried out analyses that were stratified by visible minority status and adjusted for income, rurality, age, sex, marital status, education, and exposure to a provincially organized colorectal screening program. Visible minority and white recent immigrants had 71% and 57% prevalence of never having been screened, respectively, while, it was 46% in white Canadian-born respondents. They concluded that greater screening gains among Canadian-born vs recent immigrants may be seen if it was ensured all have regular PCPs.
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