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

Zeissig, Sylke Ruth; Singer, Susanne; Koch, Lena; Zeeb, Hajo; Merbach, Martin; Bertram, Heike; Eberle, Andrea; Schmid-Höpfner, Sieglinde; Holleczek, Bernd; Waldmann, Annika; Arndt, Volker.
Psychooncology ; 24(8): 919-25, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-25529132


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


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


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.


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.