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Early detection of breast cancer in Brazil: data from the National Health Survey, 2013

OBJECTIVE: To analyze whether the actions of early detection of breast cancer, initiated with the medical request for mammography, differ between users of the Brazilian Unified Health System (SUS) and those who have private health insurance. METHODS: From the data collected in the National Health Su...

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Autores principales: Silva, Gulnar Azevedo e, de Souza-Júnior, Paulo Roberto Borges, Damacena, Giseli Nogueira, Szwarcwald, Célia Landmann
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Faculdade de Saúde Pública da Universidade de São Paulo 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5676402/
https://www.ncbi.nlm.nih.gov/pubmed/28591356
http://dx.doi.org/10.1590/S1518-8787.2017051000191
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author Silva, Gulnar Azevedo e
de Souza-Júnior, Paulo Roberto Borges
Damacena, Giseli Nogueira
Szwarcwald, Célia Landmann
author_facet Silva, Gulnar Azevedo e
de Souza-Júnior, Paulo Roberto Borges
Damacena, Giseli Nogueira
Szwarcwald, Célia Landmann
author_sort Silva, Gulnar Azevedo e
collection PubMed
description OBJECTIVE: To analyze whether the actions of early detection of breast cancer, initiated with the medical request for mammography, differ between users of the Brazilian Unified Health System (SUS) and those who have private health insurance. METHODS: From the data collected in the National Health Survey, we estimated the proportions of women who had medical request for mammography according to presence or absence of private health insurance. For assessing the factors related to having mammography medical request, we estimated crude and adjusted odds ratios and respective 95%CI by logistic regression. We also analyzed the main reasons reported for not having performed mammography after medical request, as well as the time between examination and result. RESULTS: Of the women interviewed, 66.7% had a medical request for mammography (59.4% among SUS users and 83.9% among those with private health insurance). Having private health insurance, higher education level, and being white were positively associated with having the medical request. Only 5.4% (95%CI 4.8–6.0) of women who received medical request failed to perform mammography – 7.6% were SUS users and 1.7% had health insurance. The most reported reasons for not being able to perform the examination were: not thinking it was necessary; having the test scheduled, but not yet performed; and not being able to schedule it. More than 70% of women received the result with less than one month from its execution. CONCLUSIONS: The barriers to access a medical request for mammographic screening for breast cancer are higher among women who depend exclusively on SUS.
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spelling pubmed-56764022017-12-06 Early detection of breast cancer in Brazil: data from the National Health Survey, 2013 Silva, Gulnar Azevedo e de Souza-Júnior, Paulo Roberto Borges Damacena, Giseli Nogueira Szwarcwald, Célia Landmann Rev Saude Publica Original Articles OBJECTIVE: To analyze whether the actions of early detection of breast cancer, initiated with the medical request for mammography, differ between users of the Brazilian Unified Health System (SUS) and those who have private health insurance. METHODS: From the data collected in the National Health Survey, we estimated the proportions of women who had medical request for mammography according to presence or absence of private health insurance. For assessing the factors related to having mammography medical request, we estimated crude and adjusted odds ratios and respective 95%CI by logistic regression. We also analyzed the main reasons reported for not having performed mammography after medical request, as well as the time between examination and result. RESULTS: Of the women interviewed, 66.7% had a medical request for mammography (59.4% among SUS users and 83.9% among those with private health insurance). Having private health insurance, higher education level, and being white were positively associated with having the medical request. Only 5.4% (95%CI 4.8–6.0) of women who received medical request failed to perform mammography – 7.6% were SUS users and 1.7% had health insurance. The most reported reasons for not being able to perform the examination were: not thinking it was necessary; having the test scheduled, but not yet performed; and not being able to schedule it. More than 70% of women received the result with less than one month from its execution. CONCLUSIONS: The barriers to access a medical request for mammographic screening for breast cancer are higher among women who depend exclusively on SUS. Faculdade de Saúde Pública da Universidade de São Paulo 2017-06-01 /pmc/articles/PMC5676402/ /pubmed/28591356 http://dx.doi.org/10.1590/S1518-8787.2017051000191 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Silva, Gulnar Azevedo e
de Souza-Júnior, Paulo Roberto Borges
Damacena, Giseli Nogueira
Szwarcwald, Célia Landmann
Early detection of breast cancer in Brazil: data from the National Health Survey, 2013
title Early detection of breast cancer in Brazil: data from the National Health Survey, 2013
title_full Early detection of breast cancer in Brazil: data from the National Health Survey, 2013
title_fullStr Early detection of breast cancer in Brazil: data from the National Health Survey, 2013
title_full_unstemmed Early detection of breast cancer in Brazil: data from the National Health Survey, 2013
title_short Early detection of breast cancer in Brazil: data from the National Health Survey, 2013
title_sort early detection of breast cancer in brazil: data from the national health survey, 2013
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5676402/
https://www.ncbi.nlm.nih.gov/pubmed/28591356
http://dx.doi.org/10.1590/S1518-8787.2017051000191
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