Matos Jéssica Carvalho de, Pelloso Sandra Marisa, Carvalho Maria Dalva de Barros
Unidade de Ensino Superior Ingá, Faculdade Ingá, Maringá, Brasil.
Cad Saude Publica. 2011 May;27(5):888-98. doi: 10.1590/s0102-311x2011000500007.
This study analyzed the prevalence of secondary breast cancer prevention and associated factors in women 40 to 69 years of age in Maringá, Paraná State, Brazil. Prevalence was 64.5% for breast self-examination, 71.5% for clinical examination, and 79% for mammography. The data suggest that age, schooling, ethnicity, socioeconomic status, religion, and prior hormone replacement therapy influenced the rates of the three types of examination. Preventive practices were significantly more common among women of higher socioeconomic status. Proper orientation and performance of preventive measures and tests should be at the reach of all women in the highest-risk age bracket, thereby decreasing late diagnosis and avoidable deaths and increasing the odds of curing breast cancer.
本研究分析了巴西巴拉那州马林加市40至69岁女性继发性乳腺癌预防措施的普及率及相关因素。乳房自我检查的普及率为64.5%,临床检查为71.5%,乳房X光检查为79%。数据表明,年龄、受教育程度、种族、社会经济地位、宗教信仰以及既往激素替代疗法会影响这三种检查的普及率。社会经济地位较高的女性更常采取预防措施。在最高风险年龄组的所有女性都应能够获得关于预防措施和检查的正确指导及实施,从而减少晚期诊断和可避免的死亡,并提高治愈乳腺癌的几率。