Adherence to the opportunistic mammography screening in public and private health systems

Revista brasileira de ginecologia e obstetrícia : revista da Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
Ailton Augustinho Marchi, Maria Salete Costa Gurgel

Abstract

to assess compliance with the recommendations for opportunistic breast cancer screening by mammography. 460 women from the town of Taubaté, São Paulo, Brazil, were followed-up prospectively after the index mammography, 327 of them attended by the public health system and 133 by the private system. We evaluated the prevalence of mammography repetition, the adherence rates and predictive factors associated with the current recommendations of mammographic screening. The association of the outcomes with the independent variables was studied by obtaining the risk rates (RR) and the respective 95% confidence intervals (95%CI). The adjusted prevalence rates were calculated by the COX regression model. although more than 90% of the studied women repeated the mammography at least once, the rate of correct compliance with the recommendations of mammographic screening, with repetition of the procedure every 24 months, was low (about 30% of the study sample). The preditive factors associated with compliance with mammographic screening were related to the unequal access to public or private healthcare services (RR=1.77; 95%CI=1.26-2.48) and to previous screening (RR=3.07; 95%CI=1.86-5.08). we concluded that compliance with the recommendatio...Continue Reading

Citations

Oct 16, 2014·Cadernos de saúde pública·Ione Jayce Ceola SchneiderEleonora d'Orsi
Dec 22, 2017·Ciência & saúde coletiva·Carla Vitola GonçalvesRaul Andres Mendoza-Sassi
Aug 30, 2018·Journal of Global Oncology·Aubrey L DoedeMônica Oliveira Batista Oriá

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