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@ARTICLE{Becher:309619,
      author       = {H. Becher and N. Obi and T. Brand and H. Brenner$^*$ and L.
                      Buschmann and R. T. Fortner$^*$ and K. H. Greiser$^*$ and V.
                      Harth and W. Hoffmann and A. Karch and T. Keil and A.
                      Kluttig and L. Krist and M. Leitzmann and A. Maun and R.
                      Mikolajczyk and K. Nimptsch and T. Pischon and S. Schipf and
                      B. Schmidt and U. T. Schultheiss and M. Schulze and H. Zeeb
                      and C. Wiessner},
      title        = {{P}articipation behaviour of different migrant groups in
                      breast cancer screening - palpation of the breast and
                      mammography. {R}esults from the {G}erman national cohort
                      ({NAKO}).},
      journal      = {Journal of migration and health},
      volume       = {13},
      issn         = {2666-6235},
      address      = {[Amsterdam]},
      publisher    = {Elsevier Ltd.},
      reportid     = {DKFZ-2026-00269},
      pages        = {100397},
      year         = {2026},
      abstract     = {For early detection of breast cancer, clinical palpation of
                      the breast is offered yearly to all women aged 30 and older,
                      and the German Mammography Screening Programme (MSP) offers
                      biennial mammograms to all women aged 50 to 75 years. We
                      investigated the utilization of both screening methods
                      across various migrant groups in Germany, as well as the
                      effect of German language proficiency.Cross-sectional data
                      on participation frequencies from the baseline examination
                      (2014 to 2019) of more than 100,000 women of the German
                      National Cohort study (NAKO) were analysed by migrant
                      status. Adjusted logistic regression analyses were conducted
                      for palpation and MSP to compare screening uptake among six
                      migrant groups, and non-migrant population.Palpation of the
                      breast was less frequently utilized in all migrant groups
                      with odds ratios ranging from 0.5 $(95\%$ CI 0.4-0.6) for
                      Turkish women to 0.9 for women from western countries
                      $(95\%$ CI 0.7-1.1) compared to autochthone Germans. Lower
                      German language proficiency further decreases its use. In
                      contrast, odds ratios for MSP participation did not differ
                      substantially compared to Germans ranging from 0.8 to 1.2.
                      German language proficiency had little effect on MSP
                      participation.In contrast to earlier studies, our findings
                      suggest that MSP participation and motivation does not
                      significantly differ by migration status or language skills.
                      This may indicate that information on MSP is broadly
                      accessible through established invitation procedures in
                      Germany. However, lower uptake of breast palpation by a
                      physician in some migrant populations highlights potential
                      gaps in broader preventive care engagement.},
      keywords     = {Breast cancer (Other) / Breast palpation (Other) /
                      Mammography screening (Other) / Migrants (Other) /
                      Participation behaviour (Other)},
      cin          = {C070 / C020 / C180},
      ddc          = {610},
      cid          = {I:(DE-He78)C070-20160331 / I:(DE-He78)C020-20160331 /
                      I:(DE-He78)C180-20160331},
      pnm          = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
      pid          = {G:(DE-HGF)POF4-313},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:41625704},
      pmc          = {pmc:PMC12856141},
      doi          = {10.1016/j.jmh.2026.100397},
      url          = {https://inrepo02.dkfz.de/record/309619},
}