Prevalência e fatores associados a não utilização de mamografia em mulheres idosas

Abstract

This study analyzes the prevalence of non-utilization of mammography among older women, according to socio-demographic variables, health status, and use of preventive health services. This was a cross-sectional study including women 60 years or older. We interviewed 4,621 women 60 to 106 years of age; the majority were widows (51.8%) and had little or no schooling (53.8%). Most (89%) reported health problems, and 66.4% used private medical care. Prevalence of self-reported mammography was 72.1%. Gynecological visits (PR = 2.39; 95%CI: 2.04-2.80), Pap smear (PR = 3.24; 95%CI: 2.89-3.63), years of schooling (PR = 1.07; 95%CI: 1.02-1.12), health care insurance (PR = 1.16; 95%CI: 1.11-1.20), physician visits (PR = 1.23; 95%CI: 1.11-1.37), age (PR = 1.12; 95%CI: 1.08-1.17), marital status (PR = 1.05; 95%CI: 1.00-1.09), and barriers to health services (PR = 0.94; 95%CI: 0.89-0.98) were also associated with non-utilization of mammography. These associations may be partially explained by lack of knowledge, poor access to public health services, and cultural factors related to the aging process and reproductive incapacity.

Índice de Desenvolvimento Humano e prevenção secundária de câncer de mama e colo do útero: um estudo ecológico

“…Da mesma forma, estudos realizados em cidades brasileiras especí-ficas vêm apresentando resultados consistentes: Juiz de Fora (72,1%) 20 , Pelotas (70%) 6 e Maringá (79%) 7 . Entre os países de renda alta e de maior IDH que o Brasil, a cobertura de mamografia varia amplamente indo desde 89% para a Holanda, 86% para a Finlândia e 72% para os Estados Unidos até 47% na França e 24% no Japão 27 .…”

“…Entre os determinantes para a realização da mamografia e do exame de Papanicolaou evidenciados em estudos tendo os indivíduos como unidade de análise, citam-se a idade 4,29 , escolaridade 4,5,7,8,20,23,28,32,33 , renda 4,28 , cor da pele 32 , situação conjugal 4,20 , tipo de sistema de saúde utilizado 4 e distância a percorrer para a sua realização 4,21 . Nas análises realizadas no âmbito populacional, embora não tenha sido avaliado o efeito específico de todas esses determinantes na realização dos exames, evidenciou-se que fatores mais comumente descritos não interferiram na associação entre a proporção de exames realizados e o IDH (Tabela 3).…”

Rastreamento mamográfico do câncer de mama no Sul do Brasil e fatores associados: estudo de base populacional

“…Mulheres de 50 a 69 anos 16,17 , de cor/raça branca 17 , com maior nível de escolaridade 16,18,19 , maior renda 16,17,20,21,22 , que residem com companheiro 16,19 , com plano de saúde privado 16,19,23,24 , que tenham realizado exame clínico das mamas 22 e frequentado consulta ginecológica 19,22 25 . Estudo realizado na região de Barretos, São Paulo, mostrou que a chance de diagnóstico de câncer de mama, em mulheres de 45 a 49 anos, é equivalente àque-las de 60 a 69 anos 26 .…”

Factors related to non-adherence to mammography in a city of the Brazilian Amazonian area: A population-based study

“…7,9,10 Adherence to mammography-based screening, in turn, suffers multifactorial influences, such as cultural, social and economic issues, public knowledge about the disease and the examination, and the provision of mammography exams in the public and private sectors. [11][12][13][14] Despite the control of breast cancer having been included among the priorities of the Brazilian Health Pact, 15 the estimated mammography coverage obtained via household surveys shows insufficient and unequal screening in Brazilian regions. 12,16,17 In a country as heterogenous as Brazil, regional studies can demonstrate variations in the determinant factors of mammography adherence, propitiating adjustments to preventive strategies in accordance with local characteristics.…”

“…[11][12][13][14] Despite the control of breast cancer having been included among the priorities of the Brazilian Health Pact, 15 the estimated mammography coverage obtained via household surveys shows insufficient and unequal screening in Brazilian regions. 12,16,17 In a country as heterogenous as Brazil, regional studies can demonstrate variations in the determinant factors of mammography adherence, propitiating adjustments to preventive strategies in accordance with local characteristics. The aim of this study is to assess the prevalence of the use of mammographic screening and the factors related to non--adherence in Boa Vista, the capital of the state of Roraima, in the Brazilian Amazon area.…”