Amorim Vivian Mae Schmidt Lima, Barros Marilisa Berti de Azevedo, César Chester Luiz Galvão, Carandina Luana, Goldbaum Moisés
Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, Brasil.
Cad Saude Publica. 2008 Nov;24(11):2623-32. doi: 10.1590/s0102-311x2008001100017.
This study analyzes the prevalence of mammograms and clinical breast examination according to socioeconomic, demographic, and health-related behavioral variables in women 40 years or older in Campinas, São Paulo State, Brazil. This was a cross-sectional population-based study (N = 290). Based on multivariate analysis, factors associated with not having a mammogram in the previous two years were: age (> or = 70 years), race/ethnicity (black or mixed-race), and low per capita family income. Lack of clinical breast examination in the previous year was associated with: marital status (single/widow/without partner) and low income. The Unified National Health System (SUS) performed 28.8% of reported mammograms and 38.2% of clinical breast examinations. According to the findings, lack of breast cancer screening is associated with social and racial inequity, and reduction in breast cancer mortality requires early detection of the disease, which in turn demands that health care facilities implement strategies to expand coverage of preventive practices, especially for more vulnerable social groups.
本研究根据社会经济、人口统计学和健康相关行为变量，分析了巴西圣保罗州坎皮纳斯市40岁及以上女性乳房X光检查和临床乳房检查的普及率。这是一项基于人群的横断面研究（N = 290）。基于多变量分析，与过去两年未进行乳房X光检查相关的因素有：年龄（≥70岁）、种族/民族（黑人或混血）以及家庭人均收入低。过去一年未进行临床乳房检查与以下因素相关：婚姻状况（单身/丧偶/无伴侣）和低收入。统一的国家卫生系统（SUS）进行了报告的乳房X光检查的28.8%和临床乳房检查的38.2%。根据研究结果，缺乏乳腺癌筛查与社会和种族不平等相关，降低乳腺癌死亡率需要早期发现该疾病，这反过来要求医疗保健机构实施战略以扩大预防措施的覆盖范围，特别是针对更脆弱的社会群体。
