Skip to main content
Log in

Recent Immigrants and the Use of Cervical Cancer Screening Test in Canada

  • Original Paper
  • Published:
Journal of Immigrant and Minority Health Aims and scope Submit manuscript

Abstract

Using data from Canadian National Population Health Survey (1998–1999), this paper examined the factors that cause gap in Pap test utilization rate between recent immigrants and other Canadians. The Fairlie non linear decomposition analysis suggests that group differences in the mean values of the variables representing race, language, having regular physician, insurance ownership, and income level are the major factors behind the gap between other Canadians and recent immigrants. The results of the study also show that the Pap test utilization gap between other Canadians and recent immigrants narrows down over time though the process is quite slow.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Notes

  1. ‘Other’ category includes deferred removal order class, post-determination refugee claimant class, temporary resident permit holders and humanitarian and compassionate/public policy cases.

  2. According to data from 2006 census, more than two-thirds of Canada’s population growth over the past five years was fuelled by immigrant newcomers.

  3. National Cancer Institute: US National Institute of Health. www.cancer.gov

  4. The initial sample size for 20–69 age bracket was 6125. However, 236 observations were dropped because of missing values in personal income, race and length of immigration variables.

  5. As shown in Appendix Tables 7 and 8, these two groups are almost identical with respect to countries of origin.

References

  • Blinder AS. Wage discrimination: reduced form and structural variables. J Hum Resour. 1973;8:436–55. doi:10.2307/144855.

    Article  Google Scholar 

  • Chan TB. From perceived surplus to perceived shortage: what happened to Canada’s physician workforce in the 1990s? Ottawa: Canadian Institute of Health Information; 2002. 978-897463-16-SBN 978-1-897463-16-1.

  • Fairlie RW. An extension of the blinder-Oaxaca decomposition technique to logit and probit models. J Econ Soc Meas. 2005;30:305–16.

    Google Scholar 

  • Gandjour A, Lauterbach KW. Preventive care and the prospect of cost savings. Eur J Health Econ. 2006;3(1):1–2.

    Google Scholar 

  • Goel V. Factors associated with cervical cancer screening: results from the ontario health survey. Can J Public Health. 1994;85:125–7.

    CAS  PubMed  Google Scholar 

  • Harlan L, Bernstein A, Kessler L. Cervical cancer screening: who is not screened and why? Am J Public Health. 1991;81:885–91. doi:10.2105/AJPH.81.7.885. II SSBNSBN.

    Article  CAS  PubMed  Google Scholar 

  • Health Council of Canada. Why health care renewal matters: learning from canadians with chronic conditions. Toronto: Health Council. I; 2007.

  • Katz SJ, Hoper TP. Socioeconomic disparities in preventive care persist despite universal coverage. Breast and cervical cancer screening in Ontario and the United States. J Am Med Assoc. 1994;272(7):530–4. doi:10.1001/jama.272.7.530.

    Article  CAS  Google Scholar 

  • Kenkel D. The demand for preventive care. Appl Econ. 1994;26(4):313–25. doi:10.1080/00036849400000078.

    Article  Google Scholar 

  • Luke K. Cervical cancer screening; meeting the needs of minority ethnic women. Br J Cancer. 1996;74(supp):47–50.

    Google Scholar 

  • Maxwell C, Kozak J, Desjardins-Denault S, Parboosingh J. Factors important in promoting mammography screening among Canadian women. Can J Public Health. 1997;88(5):346–50.

    CAS  PubMed  Google Scholar 

  • Mercer S, Goel V. Factors associated with mammography utilization: Results from the Ontario health survey, ICES Working Paper #22. Toronto: Institute for Clinical Evaluative Sciences; 1994.

  • Nordin M, Hiebert R, Pietrek M, Alexander M, Crane M, Lewis S. Association of comorbidity and outcome in episodes of nonspecific low back pain in occupational populations. J Occup Environ Med. 2002;44(7):677–84. doi:10.1097/00043764-200207000-00015.

    Article  PubMed  Google Scholar 

  • Oaxaca R. Male-female wage differentials in urban labor markets. Intern Econ Rev. 1973;14:693–709. doi:10.2307/2525981.

    Article  Google Scholar 

  • Picone G, Sloan F, Taylor D Jr. Effects of risk and time preferences and expected longevity on demand for medical tests. J Risk Uncertain. 2004;28(1):39–53. doi:10.1023/B:RISK.0000009435.11390.23.

    Article  Google Scholar 

  • Statistics Canada. The Canadian immigrant labour market in 2007: Analysis by region of postsecondary education. The immigrant labour force analysis Series (71-606-XWE2008004); 2008.

  • Savage C. Provincial screening programs. Cancer Advocacy Coalition Canada Rep Card. 2005;8:17–20.

    Google Scholar 

  • Statistics Canada. Census of Canada; 2006.

  • Statistics Canada. Census of Canada; 2001.

  • Statistics Canada. National Population Health Survey; 1998–1999.

  • Statistics Canada. How healthy are Canadians? Annual report; 2002.

  • Statistics Canada. Canadian demographics at a glance. Catalogue No. 91-003-XWE; 2008.

  • Vikky Q, Phillips SP, Hopman WM. Determinants of healthy lifestyle and use of preventive screening. BMC Public Health. 2006;6:275. doi:10.1186/1471-2458-6-275.

    Article  Google Scholar 

  • Witt J. The effect of information in the utilization of preventive health- care strategies: an application to breast cancer. Health Econ. 2007;17(6):721–31. doi:10.1002/hec.1294.

    Article  Google Scholar 

  • Wu S. Sickness and preventive medical behavior. J Health Econ. 2003;22(4):675–89. doi:10.1016/S0167-6296(03)00042-0.

    Article  PubMed  Google Scholar 

  • Zuberik R, Eisen G, Zuberik J, Teal C, Benjamin S, Glaser M, et al. Education improves colorectal cancer screening by flexible sigmoidoscopy in an inner city population. Am J Gastroenterol. 2002;95(2):509–12. doi:10.1111/j.1572-0241.2000.t01-1-01776.x.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ehsan Latif.

Appendix

Appendix

See Tables 7, 8, 9, 10, 11, 12.

Table 7 Characteristics of immigrants (living upto 4 years) by place of birth
Table 8 Characteristics of immigrants (living 5–9 years) by place of birth
Table 9 Immigrants to Canada by Class (2004–2007)
Table 10 Place of birth for the immigrant population of Canada
Table 11 Immigrants to Canada according to the 5 main countries of birth
Table 12 Logit regression for probability of having Pap test (country of birth included)

Rights and permissions

Reprints and permissions

About this article

Cite this article

Latif, E. Recent Immigrants and the Use of Cervical Cancer Screening Test in Canada. J Immigrant Minority Health 12, 1–17 (2010). https://doi.org/10.1007/s10903-009-9237-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10903-009-9237-8

Keywords

Navigation