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Hospitalizations for cancer in international migrants versus local population in Chile

OBJECTIVE: To compare cancer hospital morbidity among the local population and the immigrant population in Chile. METHODS: This is a prevalence study based on the analysis of hospital discharges of all the health centers of Chile. Cancer hospital discharges were characterized in 2012 according to th...

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Autores principales: Oyarte, Marcela, Delgado, Iris, Pedrero, Víctor, Agar, Lorenzo, Cabieses, Báltica
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Faculdade de Saúde Pública da Universidade de São Paulo 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5893269/
https://www.ncbi.nlm.nih.gov/pubmed/29641660
http://dx.doi.org/10.11606/S1518-8787.2018052000222
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author Oyarte, Marcela
Delgado, Iris
Pedrero, Víctor
Agar, Lorenzo
Cabieses, Báltica
author_facet Oyarte, Marcela
Delgado, Iris
Pedrero, Víctor
Agar, Lorenzo
Cabieses, Báltica
author_sort Oyarte, Marcela
collection PubMed
description OBJECTIVE: To compare cancer hospital morbidity among the local population and the immigrant population in Chile. METHODS: This is a prevalence study based on the analysis of hospital discharges of all the health centers of Chile. Cancer hospital discharges were characterized in 2012 according to the migratory status. The crude and specific rates of hospital morbidity for this cause were estimated for the analysis of their association with migratory status using zero-inflated negative binomial regression, adjusted for sociodemographic variables. RESULTS: The neoplasms were the third cause of hospital discharges for immigrants and the seventh one for Chileans. The adjusted rate of cancer hospital discharges was higher for Chileans than immigrants, and the latter had fewer days of hospitalization and greater proportion of surgical interventions. In the group of immigrants, cancer hospital discharges mainly corresponded to patients belonging to the private system (46%), and in the group of Chileans they mainly corresponded to patients in the public system (71.1%). We observed a large difference in the proportion of cancer hospital discharges for patients with no health insurance between the two populations (22.6%: immigrants, 1.0%: Chileans). In both populations, the three most frequent types of cancer were: (i) lymphoid tissue, hematopoietic organs, and related tissues, (ii) digestive organs, and (iii) breast cancer. CONCLUSIONS: Models of differentiated care should be considered for immigrants, with the creation of specific programs of information, coverage, and protection against cancer. More information on this problem must be generated at the local and international level.
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spelling pubmed-58932692018-04-11 Hospitalizations for cancer in international migrants versus local population in Chile Oyarte, Marcela Delgado, Iris Pedrero, Víctor Agar, Lorenzo Cabieses, Báltica Rev Saude Publica Original Article OBJECTIVE: To compare cancer hospital morbidity among the local population and the immigrant population in Chile. METHODS: This is a prevalence study based on the analysis of hospital discharges of all the health centers of Chile. Cancer hospital discharges were characterized in 2012 according to the migratory status. The crude and specific rates of hospital morbidity for this cause were estimated for the analysis of their association with migratory status using zero-inflated negative binomial regression, adjusted for sociodemographic variables. RESULTS: The neoplasms were the third cause of hospital discharges for immigrants and the seventh one for Chileans. The adjusted rate of cancer hospital discharges was higher for Chileans than immigrants, and the latter had fewer days of hospitalization and greater proportion of surgical interventions. In the group of immigrants, cancer hospital discharges mainly corresponded to patients belonging to the private system (46%), and in the group of Chileans they mainly corresponded to patients in the public system (71.1%). We observed a large difference in the proportion of cancer hospital discharges for patients with no health insurance between the two populations (22.6%: immigrants, 1.0%: Chileans). In both populations, the three most frequent types of cancer were: (i) lymphoid tissue, hematopoietic organs, and related tissues, (ii) digestive organs, and (iii) breast cancer. CONCLUSIONS: Models of differentiated care should be considered for immigrants, with the creation of specific programs of information, coverage, and protection against cancer. More information on this problem must be generated at the local and international level. Faculdade de Saúde Pública da Universidade de São Paulo 2018-03-14 /pmc/articles/PMC5893269/ /pubmed/29641660 http://dx.doi.org/10.11606/S1518-8787.2018052000222 Text en https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Oyarte, Marcela
Delgado, Iris
Pedrero, Víctor
Agar, Lorenzo
Cabieses, Báltica
Hospitalizations for cancer in international migrants versus local population in Chile
title Hospitalizations for cancer in international migrants versus local population in Chile
title_full Hospitalizations for cancer in international migrants versus local population in Chile
title_fullStr Hospitalizations for cancer in international migrants versus local population in Chile
title_full_unstemmed Hospitalizations for cancer in international migrants versus local population in Chile
title_short Hospitalizations for cancer in international migrants versus local population in Chile
title_sort hospitalizations for cancer in international migrants versus local population in chile
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5893269/
https://www.ncbi.nlm.nih.gov/pubmed/29641660
http://dx.doi.org/10.11606/S1518-8787.2018052000222
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