Trends and social inequalities in cervical cancer and breast cancer screening in Madrid: Non-Commumicable Disease Risk FactorSurveillance System (SIVFRENT-A) from 1995 to 2010

Latasa, Pello; Gandarillas, Ana; Ordobás, María

doi:10.23938/assn.0050

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…Economic status showed the greatest contribution to inequality in gynecological, cervical smear, and breast examination rates. The elevation in economic status increased the pro-rich inequality in health examination service utilization and was consistent with the findings of other recent international studies [ 20 , 22 , 23 ]. Enhanced economic status increases health needs and health examination service utilization, and women with higher economic levels are more likely to take the initiative to access women's health examination services [ 40 ].…”

Section: Discussionsupporting

confidence: 91%

“…Several studies have reported inequity in the utilization of health examination services via regression analysis [ 21 , 22 ], relative index [ 23 ], or slope index [ 24 ], but few studies have measured inequity via the concentration index and decomposition of the concentration index. Therefore, selected key indicators were used in this study to examine equity in health examination service utilization by women from underdeveloped areas in the western region of China.…”

Section: Introductionmentioning

confidence: 99%

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An equity analysis of health examination service utilization by women from underdeveloped areas in western China

et al. 2017

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ObjectiveThis study sought to examine the sources of inequity in health examination service utilization by women from underdeveloped areas in western China.MethodsBased on data from the 5th National Health Service Survey in Shaanxi province, women’s utilization of health examination services was examined according to gynecological, cervical smear, and breast examination rates. The equity of health examination service utilization by 15- to 64-year-old women and the factors contributing to inequity were determined using the health concentration index, decomposition of the concentration index, and the horizontal inequity index.ResultsThe examination rates for gynecological, cervical smear, and breast exams for 15- to 64-year-old women in Shaanxi province were 40.61%, 27.08%, and 24.59%, respectively. The horizontal inequity indices of gynecological, cervical smear, and breast examination rates were 0.0480, 0.0423, and 0.0764, respectively, and each examination rate was higher for wealthy individuals. The contribution rates of economic status to the inequalities in gynecological, cervical smear, and breast examination rates were 65.80%, 74.31%, and 56.49%, respectively. The contribution rates of educational status to the inequalities in gynecological, cervical smear, and breast examination rates were 21.01%, 14.83% and 30.00%, respectively. The contribution rates of age to the inequalities in gynecological, cervical smear, and breast examination rates were 25.77%, 26.55%, and 18.40%, respectively.ConclusionsWomen’s health examination rates differed between populations with different socio-demographic characteristics. There is pro-wealth inequality in each examination rate. This study found that financial status, age, and education level were the main reasons for the unequal utilization of health examination services.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

An equity analysis of health examination service utilization by women from underdeveloped areas in western China

et al. 2017

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“…However, there are few publications that discuss issues of inequality in relation to the implementation of preventive practices based on regional characteristics [26]. …”

Section: Discussionmentioning

confidence: 99%

The Rise in Mortality from Breast Cancer in Young Women: Trend Analysis in Brazil

et al. 2017

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IntroductionBreast cancer is the most common cause of cancer death among women.ObjectiveThe objective of this study was to analyze time trends in overall mortality from breast cancer in Brazil, Brazilian regions and States.MethodsThis is an exploratory study, of the time series of deaths from breast cancer contained in the Mortality Information System (SIM), of women living in Brazil, Brazilian regions and States, from 1996 to 2013. For the trend analysis, the polynomial regression model was used, and a significant trend was considered when the estimated model obtained a p value <0.05.ResultsThere was a tendency of increased mortality from breast cancer in Brazilian women (average increase of 0.18 per year; p <0.001), with regional differences, particularly in the age group 20–49 years (0.07 per year; p <0.001). The age group 50–69 years remained constant but had high average rates (37.14).ConclusionMore effective planning is needed to focus on the different scenarios of the Brazilian regions. Screening strategies for the incidence and mortality from breast cancer must also be rethought according to age group in the country.

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Changes in income-related inequalities in cervical cancer screening during the Spanish economic crisis: a decomposition analysis

Merino

Urbanos-Garrido

2018

Int J Equity Health

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Background: Cervical cancer is one of the most prevalent cancers, but it may be prevented by early detection. Social inequalities in the use of cytology testing have been identified in the literature. However, the degree of income-related inequality has not been quantified and determinants of inequality changes during the economic crisis remain unknown. Methods: Using the Spanish National Health Surveys (2006-07 / 2011-12), we analyzed how income-related inequalities in the use of cervical cancer screening for women aged 25-64 changed across the economic crisis. We used corrected concentration indices (CCI) which were further decomposed in order to compute the contribution of the explanatory variables. An Oaxaca-type approach was employed to investigate the origin of changes over time. Results: Our final sample consisted of 10,743 observations in 2006-07 and 6587 in 2011-12. Despite the higher prevalence of screening over time (from 73.9 to 77.9%), pro-rich inequality significantly increased (from CCI = 0.1726 to CCI = 0.1880, p < 0.001). Income was the main determinant of inequality in cervical screening, although its contribution decreased over time, as well as the contribution of the type of health insurance, mainly due to changes in elasticity. Other factors, such as nationality or the educational level, seem to have played an important role in the increase of pro-rich inequality of cytology testing. Conclusions: Reducing cervical screening inequalities would require actions focused on most vulnerable groups such as migrants, low income and low educated population. The implementation of population-based screening programs would also help to cope with income-related inequalities in cytology testing.

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Trends and social inequalities in cervical cancer and breast cancer screening in Madrid: Non-Commumicable Disease Risk FactorSurveillance System (SIVFRENT-A) from 1995 to 2010

Cited by 3 publications

References 8 publications

An equity analysis of health examination service utilization by women from underdeveloped areas in western China

An equity analysis of health examination service utilization by women from underdeveloped areas in western China

The Rise in Mortality from Breast Cancer in Young Women: Trend Analysis in Brazil

Changes in income-related inequalities in cervical cancer screening during the Spanish economic crisis: a decomposition analysis

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