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与乳腺钼靶筛查依从性相关的健康社会决定因素。

Social determinants of health related to adhesion to mammography screening.

作者信息

Moreira Camila Brasil, Fernandes Ana Fátima Carvalho, Castro Régia Christina Moura Barbosa, Oliveira Rosy Denyse Pinheiro de, Pinheiro Ana Karina Bezerra

机构信息

Universidade Federal do Ceará, Health Sciences Center, Postgraduate Program in Nursing. Fortaleza, Ceará, Brazil.

Universidade Federal do Ceará, Health Sciences Center, Department of Nursing. Fortaleza, Ceará, Brazil.

出版信息

Rev Bras Enferm. 2018 Jan-Feb;71(1):97-103. doi: 10.1590/0034-7167-2016-0623.

Abstract

OBJECTIVE

To identify proximal, intermediary and individual social determinants related to mammography adherence, according to the Social Determinants of Health model proposed by Dahlgren and Whitehead. Method: Correlational cross-sectional study, carried out with a sociodemographic and clinical data questionnaire and the Champion's Health Belief Model Scale, translated and adapted for use in Brazil. Data analyzed by multiple linear regression, from the domains scale, and sociodemographic and clinical variables were used as predictors.

RESULTS

The age group of 60-64 years (55.0%) was highlighted, 22 (55.0%) women had a stable partner; and 14 (65.0%) completed higher education. The domain with the greatest influence on adhesion to mammography was perceived barriers.

CONCLUSION

The social determinants of health are directly related to the levels of adherence to the exam among women, as well as the perceived benefits, susceptibilities and barriers.

摘要

目的

根据达尔格伦和怀特黑德提出的健康社会决定因素模型,确定与乳房X光检查依从性相关的近端、中间和个体社会决定因素。方法:采用相关性横断面研究,通过社会人口统计学和临床数据问卷以及经翻译和改编后适用于巴西的冠军健康信念模型量表进行。数据通过多元线性回归分析,来自各领域量表,社会人口统计学和临床变量用作预测因素。

结果

突出显示了60 - 64岁年龄组(55.0%),22名(55.0%)女性有稳定伴侣;14名(65.0%)完成了高等教育。对乳房X光检查依从性影响最大的领域是感知障碍。

结论

健康的社会决定因素与女性的检查依从水平直接相关,也与感知到的益处、易感性和障碍相关。

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