Details

Autor(en) / Beteiligte

• Turrin, Anna
• Zorzi, Manuel
• Giorgi Rossi, Paolo
• Senore, Carlo
• Campari, Cinzia
• Fedato, Chiara
• Naldoni, Carlo
• Anghinoni, Emanuela
• Carrozzi, Giuliano
• Sassoli de' Bianchi, Priscilla
• Zappa, Marco

Titel

Colorectal cancer screening of immigrants to Italy. Figures from the 2013 National Survey

Ist Teil von

• Preventive medicine, 2015-12, Vol.81, p.132-137

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2015

Quelle

MEDLINE

Beschreibungen/Notizen

• Abstract Background Colorectal cancer screening programmes in Italy invite 50–69-year-old residents for a faecal immunochemical test every two years, regardless of their citizenship. Methods The 2013 National Survey on Italian colorectal cancer screening programmes compared immigrants born in low- or middle-income countries with subjects who were born in Italy, by collecting aggregated data on compliance, faecal immunochemical test results, compliance with colonoscopy, detected lesions and stage at diagnosis separately for Italians and immigrants. Results Overall, 85 screening programmes invited 3,292,451 subjects, of whom 192,629 had been born abroad (5.9%). Compliance with invitation was lower in immigrants (34.3% vs. 51.3% in Italians), with p < 0.001. Compliance was higher in females, regardless of the country of birth, in the youngest age group of immigrants but in the oldest of Italians. Immigrants showed a borderline excess of standardised faecal immunochemical test positivity rate at first screening (5.4% vs. 5.1% in Italians, p = 0.05) and a significant excess at repeat screenings (4.8% vs. 4.4%, p = 0.002). The detection rates for carcinoma and advanced adenomas were lower in immigrants than in Italians at first screening (respectively 1.34‰ vs. 1.62‰ and 8.41‰ vs. 9.25‰) — although the differences were not statistically significant — but not at repeat screening (respectively 1.06‰ vs. 0.98‰ and 6.90‰ vs. 6.79‰). Conclusions Migrants showed a lower compliance with screening than Italians. The prevalence of neoplasia was lower at first screening and similar to the Italians' at repeat screenings.