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Knowledge, attitude and perceptions of breast cancer screening among native and immigrant women in Barcelona, Spain
Author(s) -
PonsVigués Mariona,
PuigpinósRiera Rosa,
Serral Gemma,
Pasarín M. Isabel,
Rodríguez Dolors,
Pérez Glòria,
Benet Josep,
Casamitjana Montserrat,
Borrell Carme
Publication year - 2012
Publication title -
psycho‐oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.41
H-Index - 137
eISSN - 1099-1611
pISSN - 1057-9249
DOI - 10.1002/pon.1940
Subject(s) - residence , mammography , immigration , inequality , social class , breast cancer screening , scale (ratio) , breast cancer , medicine , likert scale , demography , population , vulnerability (computing) , psychology , gerontology , geography , environmental health , cancer , sociology , political science , developmental psychology , cartography , computer security , law , mathematical analysis , archaeology , computer science , mathematics
Objective Inequalities between immigrant and native populations in terms of access and use of health services have been described. The objective is to compare knowledge, attitudes, vulnerabilities, benefits and barriers related to breast cancer (BC) and screening mammography among women from different countries resident in Barcelona. Methods A cross‐sectional survey carried out in Barcelona in 2009. The study population consisted of female residents in Barcelona between 45 and 69 years of age; participants were Spanish nationals or immigrants from low‐income countries. 960 participants were asked 72 questions, mainly with Likert responses. The dependent variables were five quantitative scales: (1) knowledge of BC and early detection, (2) attitude towards health and BC, (3) vulnerability to BC, (4) barriers to mammography, (5) benefits of mammography. The independent variables were country of origin, social class, setting, cohabitation, age, mammography use, length of residence and fluency of the language. Analyses compared scale scores stratified by the independent variables. Multivariable linear regression models were fitted to determine the relationship between the scales and the independent variables. Results We observed inequalities according to country of origin on all scales after adjustment for independent variables. Chinese women presented the greatest differences with respect to native women, followed by Maghrebi and Filipino women. Inequalities exist on the vulnerability and barriers scales according to social class and urban/rural setting, and on the attitude scale according to social class. Conclusions Country of origin, social class and urban/rural setting are key contributors to inequality in these scales. Copyright © 2011 John Wiley & Sons, Ltd.