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Psychooncology. 2015 Aug;24(8):919-25. doi: 10.1002/pon.3742. Epub 2014 Dec 19.

Utilisation of psychosocial and informational services in immigrant and non-immigrant German cancer survivors.

Author information

1
Cancer Registry of Rhineland-Palatinate, Mainz, Germany.
2
Institute of Medical Biostatistics, Epidemiology and Informatics, University Medical Centre, Mainz, Germany.
3
Division of Clinical Epidemiology and Aging Research, German Cancer Research Center, Heidelberg, Germany.
4
Leibniz Institute of Prevention Research and Epidemiology, Bremen, Germany.
5
Health Sciences Bremen, University of Bremen, Bremen, Germany.
6
Association of Bi-national Families and Relationships, Berlin, Germany.
7
Cancer Registry North Rhine-Westphalia, Münster, Germany.
8
Bremen Cancer Registry, Bremen, Germany.
9
Cancer Registry Hamburg, Hamburg, Germany.
10
Saarland Cancer Registry, Saarbrücken, Germany.
11
University Medical Center Schleswig-Holstein, Campus Lübeck, Institute of Social Medicine and Epidemiology, Lübeck, Germany.

Abstract

OBJECTIVE:

We examined psychosocial and informational services used by long-term survivors of breast, colon and prostate cancer in immigrants versus non-immigrants.

METHODS:

Patients were sampled from population-based cancer registries in Germany. They completed a questionnaire assessing immigration biography, service use and socio-demographic characteristics.

RESULTS:

Data of 6143 cancer survivors were collected of whom 383 (6%) were immigrants. There was no evidence of an association between immigration status and service use. However, immigration biography played a role when patients' and their parents' birthplace were taken into account. When parents were born outside Europe, survivors less frequently used information from the Internet (ORadj 0.4, 95% CI 0.2; 0.8). Web-based information (ORadj 0.7, 95% CI 0.5; 0.9) was less frequently used when the participant was born outside Germany.

CONCLUSION:

The differences in the use of psychosocial and informational services between immigrants and non-immigrants seem to be generally small. Acculturation may play a role in service uptake. In survey-based health services research, investigators should not stratify by census-defined immigration status, but rather by cultural background.

KEYWORDS:

cancer; ethnicity; healthcare use; immigration; oncology

PMID:
25529132
DOI:
10.1002/pon.3742
[Indexed for MEDLINE]

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