Identifying factors influencing utilization of cervical cancer screening among immigrant women in Canada
Notice bibliographique
Résumé
Cervical cancer screening using the Papanicolaou (Pap) smear test has had a significant effect on early detection of invasive cervical cancer. However, the risk of cervical cancer remains high among immigrant women in Canada. The objective of this study was to explore factors influencing the utilization of cervical cancer screening among immigrant women 15-69 years of age in Canada. Data from the 1996-1997 National Population Health Survey were used to conduct a secondary analysis, with logistic regression analysis, of factors associated with use of Pap testing. The findings indicated that 27% of immigrant women in Canada have either never had Pap testing or have had Pap testing completed more than three years ago. With regression analysis, factors significantly related to ever having had Pap testing among immigrant women between 25-69 years of age included: residing 10 years or more in Canada, having a regular doctor, speaking English or French, completion of some post-secondary education, aged 25-39 years, being widowed/divorced/separated, and having been born in US/Europe/Australia. Several interesting interaction effects were noted between income and education, between length of residence in Canada and having a regular doctor, and between education and language use. Being younger and having a regular physician were significantly related to having Pap testing within the past three years. Of these women, the most frequently reported reason for the use of Pap testing was that it was part of a regular check-up. Only a few women experienced problems obtaining Pap testing. Among women who never had a Pap test or had no Pap testing within the last three years, the most common reason for non-use of Pap testing was thinking that it was not necessary. The findings provide direction for identifying immigrant women at risk for not having regular Pap tests. Nurses can help to increase the uptake of Pap testing by providing information about the importance of this relatively simple, life-saving test to immigrant women and by promoting routine physical checkups with a family doctor. Offering women alternative and convenient ways to obtain Pap testing in settings that employ female health-care providers and provide language services may be among the best strategies for improving uptake and regular participation in cervical cancer screening for Canadian immigrant women.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,002 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,002 |
| Études des sciences et des technologies | 0,002 | 0,000 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».