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Factors that Affect Performance of Clinical Breast Examination and Mammography Screening among Brazilian Women. | LitMetric

AI Article Synopsis

  • The study compares socio-economic factors and the performance of mammography screening (MS) and clinical breast exams (CBE) among women using community health facilities versus traditional health centers in Brazil.
  • It involved 180 women aged 40 and older, with results showing those using community facilities had significantly higher rates of annual MS and CBE due to multiple influencing factors including gynecological service use.
  • Key findings indicated that fear of MS negatively impacted screening rates, whereas consistent gynecological service usage enhanced the likelihood of regular screenings, highlighting disparities between the two types of health services.

Article Abstract

Background: In the Brazilian health system, community health facilities consist of multidisciplinary teams that focus on family health, whereas health centers treat mainly illnesses of registered patients. In the present study we compared socio-economic factors and performance of mammography screening (MS) and clinical breast exam (CBE),  respectively, among women who used both types of public health service centers.

Methods: The present study included 180 women aged ≥40 years, who used different health service centers within the same municipal district. Of all 180 women, 110 (41.1%) and 70 (38.9%) used a health center and a community health facility. Logistic regression analysis was performed to calculate odds ratios (ORs) and confidence intervals (CIs) of variables.

Results: Regression modeling indicated that women who used the community health facility, performed annual MS 9.52 (OR= 0.105; 95%CI: 0.03- 0.36) times more often (p <0.001). In this model retirement and gynecological service use ≤ each second year, increased annual MS performance 8.16 (95%CI: 1.55- 54.32) and 7.78 (95%CI: 2.54- 23.79) times (p <0.001; p <0.001). Among 113 (62.8%) women who reported strong fear of MS, the chance of its performance was 35.71 (OR= 0.028; 95%CI: 0.02- 0.32) times decreased (p= 0.05). In a second model use of gynecological service ≤ each second year, increased chance of annual CBE performance 7.92 (95%CI: 3.25- 19.29) times (p <0.001). Women who used the community health facility performed annual and bi-annual CBE 2.90 (OR= 0.345; 95%CI: 0.14- 0.86) and 2.97 (OR= 0.337; 95%CI: 0.12- 0.92) times more often, compared to women who used the health center (p =0.030).

Conclusions: Performance of MS and CBE varied both considerable among women who used different types of health service centers. Gynecological service use, fear and socioeconomic variables, additionally influenced regular performance of MS and CBE.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10770697PMC
http://dx.doi.org/10.31557/APJCP.2023.24.10.3477DOI Listing

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