巴西的健康不平等、不健康行为与乳房X光检查覆盖率
Health Iniquity, Unhealthy Behavior, and Coverage of Mammography in Brazil.
作者信息
Tiensoli Sabrina Daros, Felisbino-Mendes Mariana Santos, Velasquez-Melendez Gustavo
机构信息
Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil.
出版信息
Rev Bras Enferm. 2020 Dec 21;73(suppl 5):e20200011. doi: 10.1590/0034-7167-2020-0011. eCollection 2020.
OBJECTIVE
To investigate the prevalence of mammography screening and the association among socio-demographic, behavior factors and non-adherence to mammography screening among women between 50 and 69 years old, using data from Vigitel 2016.
METHOD
Cross-sectional, population-based study with data from Vigitel including 12,740 women in the 50-69 age group. The variables were analyzed using logistic regression.
RESULTS
Among the women studied, 21.8% had not had a mammography in the past 2 years. The characteristics associated with non-adherence to the test were having less than 12 years of education (p<0.001), having no partner (p=0.001), being underweight (p=0.002), having a negative self-perceived health status (p<0.001) and having at least one negative health behavior (p<0.001).
CONCLUSION
There is a subgroup of women with markers of social vulnerability, which reflect the inequality in mammography screening.
目的
利用2016年巴西成人健康调查（Vigitel）的数据，调查50至69岁女性乳房X光筛查的普及率，以及社会人口学、行为因素与未坚持进行乳房X光筛查之间的关联。
方法
基于人群的横断面研究，数据来自Vigitel，包括12740名年龄在50至69岁之间的女性。使用逻辑回归分析变量。
结果
在研究的女性中，21.8%在过去两年内未进行过乳房X光检查。与未坚持检查相关的特征包括受教育年限少于12年（p<0.001）、没有伴侣（p=0.001）、体重过轻（p=0.002）、自我感觉健康状况不佳（p<0.001）以及至少有一种不良健康行为（p<0.001）。
结论
存在一个具有社会脆弱性标志的女性亚群体，这反映了乳房X光筛查中的不平等现象。
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