Evidence map›Paper›PMID 19039885›Full record

ArticleCanadian journal of public health = Revue canadienne de sante publique

Immigrant women and cervical cancer screening uptake: a multilevel analysis.

Kelly J Woltman, K Bruce Newbold

Open access · greenAbstract read
In one paragraph

Article in Canadian journal of public health = Revue canadienne de sante publique. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 76 citations in OpenAlex.

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  12. Differences in cervical cancer screening between immigrants and nonimmigrants in Norway: a primary healthcare register-based study.European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation (ECP) · 2017
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Kelly J WoltmanSchool of Geography and Earth Sciences, McMaster University, Hamilton, ON, Canada. woltmak@mcmaster.ca
K Bruce Newbold
McMaster University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundContextual factors may play an influential role in determining individual uptake of preventive health care services, especially among potentially vulnerable subpopulations. Using cervical cancer screening as a case study, this paper examines the multilevel factors associated with Pap testing in native-born and immigrant women.

methodsCross-sectional multilevel logistic regression models were used to identify the individual- and neighbourhood-level characteristics that might explain differences in the lifetime uptake of Pap testing among immigrants and native-born women between the ages of 18 and 69 residing in the Montreal, Toronto and Vancouver Census Metropolitan Areas (CMAs). Individual-level data were drawn from the Canadian Community Health Survey (Cycle 2.1, 2003) and linked with census tract profile data from the Canadian Census (2001).

resultsFindings reveal significant between-neighbourhood variation in uptake. After controlling for age, marital status, access to a regular doctor and socio-economic status, a woman's immigrant status and cultural origin appear to be significantly associated with ever having had a Pap test. In particular, the uptake of cervical cancer screening is less common among recent immigrant women and women of Chinese, South Asian and other Asian backgrounds.

interpretationThere appear to be significant differences between neighbourhoods and CMAs in the uptake of Pap testing. Findings point to the role of cultural origin, which largely accounts for these differences. This indicates the need to promote greater information and awareness of public health services for cervical cancer screening, especially among recent immigrant women with such backgrounds.

Indexed as

Health EducationHealth Knowledge, Attitudes, PracticeVaginal SmearsAdolescentAdultAgedAsiaCanadaCross-Sectional StudiesCultureEmigrants and ImmigrantsFemaleHumansMass ScreeningMiddle AgedPatient Acceptance of Health Care

Identifiers

PMID19039885
PMCPMC6975610
OpenAlexW1592777669

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.