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

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Title: Early detection of breast cancer in Brazil: data from the National Health Survey, 2013
Authors: Gulnar Azevedo e Silva, Paulo Roberto Borges de Souza Júnior, Célia Landmann Szwarcwald
Source: Rev Saude Publica
Revista de Saúde Pública, Vol 51, Iss suppl 1
Revista de Saúde Pública; Vol. 51 (2017): Suplement 1; 14s
Revista de Saúde Pública; Vol. 51 (2017): Suplemento 1; 14s
Revista de Saúde Pública; v. 51 (2017): Suplemento 1; 14s
Revista de Saúde Pública
Universidade de São Paulo (USP)
instacron:USP
Revista de Saúde Pública, Volume: 51 Supplement 1, Article number: 14s, Published: 01 JUN 2017
Publisher Information: FapUNIFESP (SciELO), 2017.
Publication Year: 2017
Subject Terms: National Health Programs, Economics, Breast Neoplasms, diagnosis. Mammography, utilization, Logistic regression, Global Trends in Colorectal Cancer Research, Breast Cancer Screening, Breast cancer, Health insurance, 0302 clinical medicine, Global Cancer Incidence and Mortality Patterns, Mass Screening, Internal medicine, Early Detection of Cancer, Cancer, Health Equity, 4. Education, Odds ratio, Middle Aged, 3. Good health, Oncology, Medicine, Female, Odds, Public aspects of medicine, RA1-1270, 0305 other medical science, Brazil, Mammography, Adult, Family medicine, Population-Based Study, utilization, Neoplasias da Mama, diagnóstico. Mamografia, utilização, Breast Neoplasms, utilização, 03 medical and health sciences, diagnosis. Mammography, Detecção Precoce de Câncer, Health Sciences, Humans, Breast cancer screening, Economic growth, Aged, Programas de Rastreamento, Inquéritos Epidemiológicos, Medical record, diagnóstico. Mamografia, Health care, Original Articles, Health Surveys, Impact of Obesity on Cancer Risk and Prognosis, Early Diagnosis, Socioeconomic Factors, Gynecology, Neoplasias da Mama
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.
Document Type: Article
Other literature type
File Description: application/pdf; text/html
ISSN: 0034-8910
DOI: 10.1590/s1518-8787.2017051000191
DOI: 10.60692/ne5w5-mg633
DOI: 10.60692/5pfht-y6p76
Access URL: http://www.scielo.br/pdf/rsp/v51s1/0034-8910-rsp-S1518-87872017051000191.pdf
https://pubmed.ncbi.nlm.nih.gov/28591356
https://doaj.org/article/73a987528fc9409cb9fc0bfe0a11c1f9
https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000200303&lng=en&tlng=pt
https://www.fsp.usp.br/rsp/wp-content/uploads/articles_xml/0034-8910-rsp-S1518-87872017051000191/0034-8910-rsp-S1518-87872017051000191-pt.pdf
https://pesquisa.bvsalud.org/portal/resource/pt/biblio-845909
https://www.scielosp.org/pdf/rsp/2017.v51suppl1/14s/pt
https://pubmed.ncbi.nlm.nih.gov/28591356/
https://www.ncbi.nlm.nih.gov/pubmed/28591356
https://www.revistas.usp.br/rsp/article/view/138303
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000200303&lng=en&tlng=en
Rights: CC BY
Accession Number: edsair.doi.dedup.....ee11c49a268e984fbebfcc3a3303ca75
Database: OpenAIRE
Description
Abstract: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.
ISSN:00348910
DOI:10.1590/s1518-8787.2017051000191