Social determinants of health related to adhesion to mammography screening

Abstract

Objective: To identify proximal, intermediary and individual social determinants related to mammography adherence, according to the Social Determinants of Health model proposed by Dahlgren and Whitehead. Method: Correlational cross-sectional study, carried out with a sociodemographic and clinical data questionnaire and the Champion's Health Belief Model Scale, translated and adapted for use in Brazil. Data analyzed by multiple linear regression, from the domains scale, and sociodemographic and clinical variables were used as predictors. Results: The age group of 60-64 years (55.0%) was highlighted, 22 (55.0%) women had a stable partner; and 14 (65.0%) completed higher education. The domain with the greatest infl uence on adhesion to mammography was perceived barriers. Conclusion: The social determinants of health are directly related to the levels of adherence to the exam among women, as well as the perceived benefi ts, susceptibilities and barriers. Descriptors: Mammography; Social Determinants of Health; Health Promotion; Screening Programs; Breast Cancer. RESUMO Objetivo: identifi car determinantes sociais proximais, intermediários e distais relacionados à adesão à mamografi a, segundo o modelo de determinantes sociais de saúde, proposto por Dahlgren e Whitehead. Método: estudo transversal correlacional, realizado com a aplicação de um questionário de dados sociodemográfi cos e clínicos e da Champion's Health Belief Model Scale, traduzida e adaptada para o uso no Brasil. Dados analisados por regressão linear múltipla, a partir dos domínios da escala, e usadas, como preditores, as variáveis sociodemográfi cas e clínicas. Resultados: destacou-se a faixa etária de 60-64 anos (55,0%), 22 (55,0%) mulheres possuíam companheiro fi xo; e 14 (65,0%) concluíram o ensino superior. O domínio com maior infl uência na adesão à mamografi a foi barreiras percebidas. Conclusão: os determinantes sociais de saúde têm relação direta com os níveis de adesão ao exame entre as mulheres, bem como com os benefícios, as suscetibilidades e as barreiras percebidas. Descritores: Mamografi a; Determinantes Sociais da Saúde; Promoção da Saúde; Programas de Rastreamento; Neoplasias da Mama. RESUMEN Objetivo: identifi car determinantes sociales proximales, intermediarios y distales relacionados a la adhesión a la mamografía, según el modelo de determinantes sociales de salud, propuesto por Dahlgren y Whitehead. Método: estudio transversal correlacionado, realizado con la aplicación de un cuestionario de datos socio demográfi cos y clínicos y de Champion's Health BeliefModelScale, traducida y adaptada para el uso en Brasil. Datos analizados por regresión linear múltipla, a partir de los dominios de la escala, y usadas, como predictores, las variables socio demográfi cas y clínicas. Resultados: Se destacó el grupo de edad de 60-64 años (55,0%), 22 (55,0%) mujeres poseían pareja estable; y 14 (65,0%) concluyeron la enseñanza superior. El dominio con mayor infl uencia en la adhesión a la mamografía fue barreras notadas. Conclusión: Los ...

Social determinants of mammography screening among women aged 50 to 59, Peru 2015

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Factors related to mammography adherence among women in Brazil: A scoping review

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