巴西圣埃斯皮里图州维多利亚市初级卫生保健使用者进行乳房X光检查的相关因素。
Factors associated with having mammography examinations in primary health care users in Vitória, Espírito Santo, Brazil.
作者信息
Silva Ranielle de Paula, Gigante Denise Petrucci, Amorim Maria Helena Costa, Leite Franciele Marabotti Costa
机构信息
Universidade Federal do Espírito Santo, Centro de Ciências da Saúde, Vitória, ES, Brasil.
Universidade Federal de Pelotas, Departamento de Nutrição, Pelotas, RS, Brasil.
出版信息
Epidemiol Serv Saude. 2019 Mar 21;28(1):e2018048. doi: 10.5123/S1679-49742019000100010.
OBJECTIVES
to estimate prevalence and factors associated with having mammography examinations among adult women aged 40 to 59 years old in primary health care services.
METHODS
a cross-sectional study was performed in 26 health centers in Vitória, Espírito Santo, Brazil; data were collected from March to September 2014; the independent variables described sociodemographic, behavioral and reproductive characteristics, having mammography performed every two years as the outcome.
RESULTS
400 users participated, 57.8% of whom undergo mammography every two years; having the examination was more prevalent among women aged 50-59 years (PR=1.48 - 95%CI 1.25;1.75), those belonging to economic class A/B (PR=1.81 - 95%CI 1.22;2.68) and those who no longer menstruate (PR=1.31 - 95%CI 1.08;1.60).
CONCLUSION
although the proportion of mammography examinations performed is in keeping with recommended levels, a higher frequency was found among the 50-59 age group belonging to class A/B, suggesting unequal access to this examination.
目的
评估巴西圣埃斯皮里图州维多利亚市26家初级卫生保健机构中40至59岁成年女性进行乳房X光检查的患病率及相关因素。
方法
在巴西圣埃斯皮里图州维多利亚市的26家卫生中心开展了一项横断面研究；于2014年3月至9月收集数据；将社会人口学、行为和生殖特征作为自变量，每两年进行一次乳房X光检查作为结果变量。
结果
400名使用者参与研究，其中57.8%的人每两年进行一次乳房X光检查；在50 - 59岁的女性中（PR = 1.48 - 95%CI 1.25;1.75）、属于经济阶层A/B的女性中（PR = 1.81 - 95%CI 1.22;2.68）以及绝经女性中（PR = 1.31 - 95%CI 1.08;1.60），进行该项检查更为普遍。
结论
尽管乳房X光检查的执行比例符合推荐水平，但在属于A/B阶层的50 - 59岁年龄组中发现了更高的检查频率，这表明在获取该项检查方面存在不平等现象。
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