Self-Exam of Health and Breast Cancer in Women from a City in Southern Brazil
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Data de Publicação: | 2012 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista Brasileira de Cancerologia (Online) |
Texto Completo: | https://rbc.inca.gov.br/index.php/revista/article/view/621 |
Resumo: | Introduction: Self-exam of health represents important predictor of morbidity and mortality. Objective: To assess the frequency of negative self-exam of health and associated factors in women with breast cancer treated by a reference service in Southern Brazil, controls of the neighborhood and Health Unit. Method: Analysis performed from a casecontrol study, in which women with breast cancer, who discovered the disease between the years 2000 to 2007, were selected. For each case, a control of the neighborhood and a control of the health unit were selected. The association between the outcome and other variables was investigated by means of the odds ratios (OR) and confidence intervals of 95% (95% CI), by means of a multivariate analysis of non-conditional logistic regression, stratified for each one of the three groups investigated. Results: 170 women with breast cancer were evaluated, and the same number for each type of control. The frequency of negative self-exam of health among the cases (38.8%) was lower than that observed among the controls of the Health Unit (61.2%) and, similar to controls in the neighborhood (41.2%). We observed marked differences in direction and magnitude of the association of variables with outcome for both groups. For the cases, socioeconomic (older age, income and education) and psychosocial (social support) variables were more important. Among the controls, we can highlight behaviors related to health, adoption of preventive measures and variables related to health status. Conclusion: Disease and socioeconomic status influenced factors associated with self-exam of health. |
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Self-Exam of Health and Breast Cancer in Women from a City in Southern BrazilAutoevaluación de la Salud y el Cáncer de Mama en Mujeres de una Ciudad del Sur de BrasilAutoavaliação de Saúde e Câncer de Mama em Mulheres de Cidade do Sul do BrasilAtenção Primária à SaúdeNeoplasias da MamaAuto-Avaliação DiagnósticaFatores SocioeconômicosEstudos de Casos e ControlesMulheresPrimary Health CareBreast NeoplasmsDiagnostic Self EvaluationSocioeconomic FactorsCase-Control StudiesWomenAtención Primaria de SaludNeoplasias de la MamaAutoevaluación DiagnósticaFactores SocioeconómicosEstudios de Casos y ControlesMujeresIntroduction: Self-exam of health represents important predictor of morbidity and mortality. Objective: To assess the frequency of negative self-exam of health and associated factors in women with breast cancer treated by a reference service in Southern Brazil, controls of the neighborhood and Health Unit. Method: Analysis performed from a casecontrol study, in which women with breast cancer, who discovered the disease between the years 2000 to 2007, were selected. For each case, a control of the neighborhood and a control of the health unit were selected. The association between the outcome and other variables was investigated by means of the odds ratios (OR) and confidence intervals of 95% (95% CI), by means of a multivariate analysis of non-conditional logistic regression, stratified for each one of the three groups investigated. Results: 170 women with breast cancer were evaluated, and the same number for each type of control. The frequency of negative self-exam of health among the cases (38.8%) was lower than that observed among the controls of the Health Unit (61.2%) and, similar to controls in the neighborhood (41.2%). We observed marked differences in direction and magnitude of the association of variables with outcome for both groups. For the cases, socioeconomic (older age, income and education) and psychosocial (social support) variables were more important. Among the controls, we can highlight behaviors related to health, adoption of preventive measures and variables related to health status. Conclusion: Disease and socioeconomic status influenced factors associated with self-exam of health. Introducción: La autoevaluación de la salud representa un importante predictor de morbilidad y mortalidad. Objetivos: Evaluar la frecuencia de la autoevaluación de la salud negativa y factores asociados en las mujeres con cáncer de mama atendidas por un servicio calificado en el sur de Brasil, control del vecindario y la Unidad de Salud. Método: Análisis desarroladas a partir de los datos de un estudio caso-control en mujeres con cáncer de mama, en cada caso, un control del barrio y un control de la unidad de salud fueron seleccionados. La asociación entre la enfermedad y otras variables se investigo por medio de la odds ratio (OR) e intervalos de confianza del 95% (IC 95%), por el análisis multivariado de regresión logística no-condicional, estratificados para cada uno de los tres grupos investigados. Resultados: Se evaluaron 170 mujeres con cáncer de mama, y el mismo número para cada tipo de control. La frecuencia de la autoevaluación de la salud negativa entre los casos (38,8%) fue inferior aquella observada observado entre los controles de la Unidad de Salud (61,2%) y similar a la observada en los controles en el barrio (41,2%). Se observaron diferencias marcadas en la dirección y la magnitud de la asociación de variables el cierre para los grupos estudiados. la enfermedad de los grupos estudiados. Para los casos, las variables socioeconómicas (edad, ingresos y educación) y psicosociales (apoyo social) son más importantes. Entre los controles los aspectos más destacados fueron relacionados con la salud, adoptar medidas preventivas y las variables relacionadas con el estado de salud. Conclusión: La enfermedad y el nivel socioeconómico influyen en los factores asociados con la autoevaluación de la salud. Introdução: A autoavaliação da saude representa importante preditor de morbidade e mortalidade. Objetivos: Avaliar frequencia de autoavaliação de saúde negativa e fatores associados em mulheres com câncer de mama atendidas por um serviço de referência no Sul do Brasil, controles da vizinhança e da unidade de saúde. Método: Análises desenvolvidas a partir dos dados de um estudo caso-controle em mulheres com câncer de mama. Para cada caso, um controle da vizinhança e um controle da unidade de saúde foram selecionados. A associação entre o desfecho e as demais variáveis foi investigada por meio das razões de chances (RC ) e intervalos de confiança de 95% (IC 95%), pela análise multivariável de regressão logística não condicional, estratificada para cada um dos três grupos investigados. Resultados: Avaliadas 170 mulheres com câncer de mama, e o mesmo número para cada tipo de controle. A frequência de autoavaliação de saúde negativa entre os casos (38,8%) foi inferior aquela observada entre os controles da unidade de saúde (61,2%), e similar aquela verificada entre os controles da vizinhança (41,2%). Observaram-se diferenças marcantes na direção e magnitude da associação das variáveis com o desfecho para os grupos estudados. Para os casos, variáveis socioeconômicas (maior idade, renda e escolaridade) e psicossociais (apoio social) apresentaram maior relevância. Entre os controles, destacaram-se comportamentos relacionados a saúde, adoção de condutas preventivas e variáveis ligadas a situação de saúde. Conclusão: Doença e condição socioeconômica influenciaram os fatores associados a autoavaliação de saúde. INCA2012-06-29info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/62110.32635/2176-9745.RBC.2012v58n2.621Revista Brasileira de Cancerologia; Vol. 58 No. 2 (2012): Apr./May/June; 209-222Revista Brasileira de Cancerologia; Vol. 58 Núm. 2 (2012): abr./mayo/jun.; 209-222Revista Brasileira de Cancerologia; v. 58 n. 2 (2012): abr./maio/jun. ; 209-2222176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/621/390Höfelmann, Doroteia Aparecida Anjos, Juliana Cristine dos info:eu-repo/semantics/openAccess2021-11-29T20:14:37Zoai:rbc.inca.gov.br:article/621Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:14:37Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false |
dc.title.none.fl_str_mv |
Self-Exam of Health and Breast Cancer in Women from a City in Southern Brazil Autoevaluación de la Salud y el Cáncer de Mama en Mujeres de una Ciudad del Sur de Brasil Autoavaliação de Saúde e Câncer de Mama em Mulheres de Cidade do Sul do Brasil |
title |
Self-Exam of Health and Breast Cancer in Women from a City in Southern Brazil |
spellingShingle |
Self-Exam of Health and Breast Cancer in Women from a City in Southern Brazil Höfelmann, Doroteia Aparecida Atenção Primária à Saúde Neoplasias da Mama Auto-Avaliação Diagnóstica Fatores Socioeconômicos Estudos de Casos e Controles Mulheres Primary Health Care Breast Neoplasms Diagnostic Self Evaluation Socioeconomic Factors Case-Control Studies Women Atención Primaria de Salud Neoplasias de la Mama Autoevaluación Diagnóstica Factores Socioeconómicos Estudios de Casos y Controles Mujeres |
title_short |
Self-Exam of Health and Breast Cancer in Women from a City in Southern Brazil |
title_full |
Self-Exam of Health and Breast Cancer in Women from a City in Southern Brazil |
title_fullStr |
Self-Exam of Health and Breast Cancer in Women from a City in Southern Brazil |
title_full_unstemmed |
Self-Exam of Health and Breast Cancer in Women from a City in Southern Brazil |
title_sort |
Self-Exam of Health and Breast Cancer in Women from a City in Southern Brazil |
author |
Höfelmann, Doroteia Aparecida |
author_facet |
Höfelmann, Doroteia Aparecida Anjos, Juliana Cristine dos |
author_role |
author |
author2 |
Anjos, Juliana Cristine dos |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Höfelmann, Doroteia Aparecida Anjos, Juliana Cristine dos |
dc.subject.por.fl_str_mv |
Atenção Primária à Saúde Neoplasias da Mama Auto-Avaliação Diagnóstica Fatores Socioeconômicos Estudos de Casos e Controles Mulheres Primary Health Care Breast Neoplasms Diagnostic Self Evaluation Socioeconomic Factors Case-Control Studies Women Atención Primaria de Salud Neoplasias de la Mama Autoevaluación Diagnóstica Factores Socioeconómicos Estudios de Casos y Controles Mujeres |
topic |
Atenção Primária à Saúde Neoplasias da Mama Auto-Avaliação Diagnóstica Fatores Socioeconômicos Estudos de Casos e Controles Mulheres Primary Health Care Breast Neoplasms Diagnostic Self Evaluation Socioeconomic Factors Case-Control Studies Women Atención Primaria de Salud Neoplasias de la Mama Autoevaluación Diagnóstica Factores Socioeconómicos Estudios de Casos y Controles Mujeres |
description |
Introduction: Self-exam of health represents important predictor of morbidity and mortality. Objective: To assess the frequency of negative self-exam of health and associated factors in women with breast cancer treated by a reference service in Southern Brazil, controls of the neighborhood and Health Unit. Method: Analysis performed from a casecontrol study, in which women with breast cancer, who discovered the disease between the years 2000 to 2007, were selected. For each case, a control of the neighborhood and a control of the health unit were selected. The association between the outcome and other variables was investigated by means of the odds ratios (OR) and confidence intervals of 95% (95% CI), by means of a multivariate analysis of non-conditional logistic regression, stratified for each one of the three groups investigated. Results: 170 women with breast cancer were evaluated, and the same number for each type of control. The frequency of negative self-exam of health among the cases (38.8%) was lower than that observed among the controls of the Health Unit (61.2%) and, similar to controls in the neighborhood (41.2%). We observed marked differences in direction and magnitude of the association of variables with outcome for both groups. For the cases, socioeconomic (older age, income and education) and psychosocial (social support) variables were more important. Among the controls, we can highlight behaviors related to health, adoption of preventive measures and variables related to health status. Conclusion: Disease and socioeconomic status influenced factors associated with self-exam of health. |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012-06-29 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artigos, Avaliado pelos pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/621 10.32635/2176-9745.RBC.2012v58n2.621 |
url |
https://rbc.inca.gov.br/index.php/revista/article/view/621 |
identifier_str_mv |
10.32635/2176-9745.RBC.2012v58n2.621 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/621/390 |
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info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
INCA |
publisher.none.fl_str_mv |
INCA |
dc.source.none.fl_str_mv |
Revista Brasileira de Cancerologia; Vol. 58 No. 2 (2012): Apr./May/June; 209-222 Revista Brasileira de Cancerologia; Vol. 58 Núm. 2 (2012): abr./mayo/jun.; 209-222 Revista Brasileira de Cancerologia; v. 58 n. 2 (2012): abr./maio/jun. ; 209-222 2176-9745 reponame:Revista Brasileira de Cancerologia (Online) instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) instacron:INCA |
instname_str |
Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
instacron_str |
INCA |
institution |
INCA |
reponame_str |
Revista Brasileira de Cancerologia (Online) |
collection |
Revista Brasileira de Cancerologia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
repository.mail.fl_str_mv |
rbc@inca.gov.br |
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1797042244677533696 |