Couture Marie-Claude, Nguyen Cat Tuong, Alvarado Beatriz Eugenia, Velasquez Luz Delia, Zunzunegui Maria-Victoria
Département de médecine sociale et préventive, Faculté de médecine, Université de Montréal, CP 6128, Succursale Centre Ville, Montréal, Québec, Canada H3C3J7.
Prev Med. 2008 Nov;47(5):471-6. doi: 10.1016/j.ypmed.2008.07.005. Epub 2008 Jul 15.
To examine the equity of screening for breast and cervical cancer among women aged 50 and over living in Mexico City according to the Andersen behavioural model.
Logistic regressions were used to analyze the associations of predisposing factors, enabling resources and health needs with mammography and Pap testing among 1323 women aged 50 and over living in Mexico City. The data were taken from SABE, a survey conducted in Latin American and Caribbean cities in 1999-2000.
Referring to the previous two years, use of mammography was less frequent (14.8%) than Pap testing (53.7%). Higher education and having private health insurance were associated with receiving both procedures. Being married was associated with receipt of Pap testing, while being unmarried was associated with mammography. Younger women were more likely to receive a Pap test. Other cancer prevention behaviours were strong predictors of mammography and Pap test use.
There are inequities in access to cancer screening services among women aged 50 and over in Mexico. Cancer prevention programs need to implement strategies that guarantee free and accessible services independently of social conditions or type of health insurance. The observed clustering of screening services suggests that packaging screening programs for gynaecological cancer could be used to increase coverage.
根据安德森行为模型，研究墨西哥城50岁及以上女性乳腺癌和宫颈癌筛查的公平性。
采用逻辑回归分析1323名居住在墨西哥城的50岁及以上女性的易患因素、促成资源和健康需求与乳房X光检查和巴氏试验之间的关联。数据取自1999 - 2000年在拉丁美洲和加勒比城市进行的一项名为SABE的调查。
在前两年中，乳房X光检查的使用率（14.8%）低于巴氏试验（53.7%）。高等教育和拥有私人医疗保险与接受这两种检查相关。已婚与接受巴氏试验相关，而未婚与乳房X光检查相关。年轻女性更有可能接受巴氏试验。其他癌症预防行为是乳房X光检查和巴氏试验使用的有力预测因素。
墨西哥50岁及以上女性在获得癌症筛查服务方面存在不公平现象。癌症预防项目需要实施策略，以确保无论社会状况或医疗保险类型如何，都能提供免费且可及的服务。观察到的筛查服务聚集现象表明，打包妇科癌症筛查项目可用于提高覆盖率。
