Journal
PSYCHO-ONCOLOGY
Volume 24, Issue 8, Pages 919-925Publisher
WILEY-BLACKWELL
DOI: 10.1002/pon.3742
Keywords
cancer; oncology; healthcare use; immigration; ethnicity
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ObjectiveWe examined psychosocial and informational services used by long-term survivors of breast, colon and prostate cancer in immigrants versus non-immigrants. MethodsPatients were sampled from population-based cancer registries in Germany. They completed a questionnaire assessing immigration biography, service use and socio-demographic characteristics. ResultsData 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. ConclusionThe 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. Copyright (c) 2014 John Wiley & Sons, Ltd.
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