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P Goggin

Publications and source records attributed to P Goggin.

4 recordsLinked to original sources

[Tuberculin reactors among refugee status claimants newly arrived in Canada].

A large number of new cases of tuberculosis are reported among immigrants to Canada every year. For public health purposes immigration policy requires that all immigrants undergo chest radiography and that those found to be infectious receive treatment and follow-up. Since 1984 the clinique Santé-Accueil of the département de Santé communautaire, hôpital Saint-Luc, Montreal, has participated in the screening of immigrants arriving in Quebec who claim refugee status. We undertook a descriptive study to determine the prevalence of tuberculous infection in this population. Of 865 tuberculin tests administered and read, 329 (38%) produced reactions 10 mm or more in diameter. The proportion of positive reactions was higher among older immigrants and varied by country of origin, from 30% for people from El Salvador to 61% for those from Haiti. A history of vaccination with bacille Calmette-Guérin or the presence of a scar was not associated with a positive reaction. Three cases of pulmonary tuberculosis were identified, for a rate of 118/100,000. Our findings underline the importance of systematically screening immigrants for tuberculous infection with the tuberculin test.

Adolescent↗

Estimation of breast cancer risk by women aged 40 and over: a population-based study.

OBJECTIVE: Identify factors associated with knowledge of breast cancer and estimation of risk. METHODS: Telephone survey of 412 women aged 40 and over, living in Montreal and selected by random digit dialing. RESULTS: The majority of the respondents had recently been exposed to some information on breast cancer, but only a third quoted the average lifetime probability estimate of about 1 in 10. Older individuals systematically considered themselves at low risk (odds ratio (OR) of perceiving risk as lower than average for women aged 50 or over versus under 50: 2.6, 95% confidence interval: (1.5, 4.6)). In addition, both a first-degree family history of breast cancer (OR: 5.3 (1.7, 17.0)) and a recent mammogram (OR: 3.0 (1.4, 6.2)) were strongly associated with a woman's probability of perceiving herself at high risk. CONCLUSIONS: Information campaigns should emphasize the frequency of breast cancer in different age groups and the strength of the established associations with specific risk factors. Better knowledge of risk could promote sustained participation in breast screening programs.

Adult↗