Use of cervical cancer screening among patients of primary healthcare services: Northeast Portugal
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10198/25545 |
Resumo: | Understanding the overuse and underuse of cervical cancer (CC) screening plays a role in preventing such behaviours, allowing to maximize the CC screening uptake. Aim: To assess the predictors of being over-screened and never/under-screened in CC screening in Northeast Portugal. Methods: This is a part of a larger cross-sectional survey carried out in two public health centres in Northeast Portugal (October 2017 to June 2018). Data collection was based on a face-to-face interview. This analysis included 764 women (aged 25–60 years) classified according to the use of CC screening into guideline-consistent screened, overscreened and unscreened/under-screened. Multivariate logistic regression models were conducted to assess predictors of being over-screened and never/under-screened. Adjusted odds ratio (OR) and respective 95% confidence interval (95% CI) were obtained. Results: One-fourth (n = 197) of participants were unscreened/under-screened and 50.0% (n = 382) of them were classified as over-screened. Regular visits with primary care physicians (OR = 0.44; 95% CI: 0.26–0.76) and higher age (OR = 0.98; 95% CI: 0.96–1.00) reduced the odds of being unscreened/under-screened. Women who received prescription/recommendation for CC screening from primary care physician (OR = 1.89; 95% CI: 1.09–3.29) or both primary care physician and nurse (OR = 2.62; 95% CI: 1.10–6.22) were more likely to be over-screened. Higher level of CC health literacy decreases the odds of being over-screened (OR = 0.95; 95% CI: 0.90–1.00) and unscreened/ under-screened (OR = 0.87; 95% CI: 0.82–0.92). The majority of over-screened (52.2%) and of underscreened (44.2%) women reported that their screening frequency was based on healthcare provider prescription. Among never-screened women, 60.2% reported that no one prescribed screening. Conclusion: The increase in CC health literacy can maximize CC screening uptake. Primary healthcare providers could play a role in preventing the overuse and underuse of CC screening. |
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Use of cervical cancer screening among patients of primary healthcare services: Northeast PortugalCervical cancerMass screeningSecondary preventionEarly diagnosis of diseaseWomen’s healthHealth literacyUnderstanding the overuse and underuse of cervical cancer (CC) screening plays a role in preventing such behaviours, allowing to maximize the CC screening uptake. Aim: To assess the predictors of being over-screened and never/under-screened in CC screening in Northeast Portugal. Methods: This is a part of a larger cross-sectional survey carried out in two public health centres in Northeast Portugal (October 2017 to June 2018). Data collection was based on a face-to-face interview. This analysis included 764 women (aged 25–60 years) classified according to the use of CC screening into guideline-consistent screened, overscreened and unscreened/under-screened. Multivariate logistic regression models were conducted to assess predictors of being over-screened and never/under-screened. Adjusted odds ratio (OR) and respective 95% confidence interval (95% CI) were obtained. Results: One-fourth (n = 197) of participants were unscreened/under-screened and 50.0% (n = 382) of them were classified as over-screened. Regular visits with primary care physicians (OR = 0.44; 95% CI: 0.26–0.76) and higher age (OR = 0.98; 95% CI: 0.96–1.00) reduced the odds of being unscreened/under-screened. Women who received prescription/recommendation for CC screening from primary care physician (OR = 1.89; 95% CI: 1.09–3.29) or both primary care physician and nurse (OR = 2.62; 95% CI: 1.10–6.22) were more likely to be over-screened. Higher level of CC health literacy decreases the odds of being over-screened (OR = 0.95; 95% CI: 0.90–1.00) and unscreened/ under-screened (OR = 0.87; 95% CI: 0.82–0.92). The majority of over-screened (52.2%) and of underscreened (44.2%) women reported that their screening frequency was based on healthcare provider prescription. Among never-screened women, 60.2% reported that no one prescribed screening. Conclusion: The increase in CC health literacy can maximize CC screening uptake. Primary healthcare providers could play a role in preventing the overuse and underuse of CC screening.S. Karger AGBiblioteca Digital do IPBTeixeira, CristinaAntão, CelesteAnes, EugéniaGomes, Maria JoséVersos, AnaTomé, Conceição2022-05-26T14:19:26Z20222022-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10198/25545engTeixeira, Cristina; Antão, Celeste; Anes, Eugénia; Gomes, Maria José; Versos, Ana; Tomé, Conceição (2022). Use of cervical cancer screening among patients of primary healthcare services: Northeast Portugal. Portuguese Journal of Public Health. ISSN 2504-3145. p. 1-82504-314510.1159/0005226662504-3137info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-21T10:57:08Zoai:bibliotecadigital.ipb.pt:10198/25545Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T23:16:12.262849Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Use of cervical cancer screening among patients of primary healthcare services: Northeast Portugal |
title |
Use of cervical cancer screening among patients of primary healthcare services: Northeast Portugal |
spellingShingle |
Use of cervical cancer screening among patients of primary healthcare services: Northeast Portugal Teixeira, Cristina Cervical cancer Mass screening Secondary prevention Early diagnosis of disease Women’s health Health literacy |
title_short |
Use of cervical cancer screening among patients of primary healthcare services: Northeast Portugal |
title_full |
Use of cervical cancer screening among patients of primary healthcare services: Northeast Portugal |
title_fullStr |
Use of cervical cancer screening among patients of primary healthcare services: Northeast Portugal |
title_full_unstemmed |
Use of cervical cancer screening among patients of primary healthcare services: Northeast Portugal |
title_sort |
Use of cervical cancer screening among patients of primary healthcare services: Northeast Portugal |
author |
Teixeira, Cristina |
author_facet |
Teixeira, Cristina Antão, Celeste Anes, Eugénia Gomes, Maria José Versos, Ana Tomé, Conceição |
author_role |
author |
author2 |
Antão, Celeste Anes, Eugénia Gomes, Maria José Versos, Ana Tomé, Conceição |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Biblioteca Digital do IPB |
dc.contributor.author.fl_str_mv |
Teixeira, Cristina Antão, Celeste Anes, Eugénia Gomes, Maria José Versos, Ana Tomé, Conceição |
dc.subject.por.fl_str_mv |
Cervical cancer Mass screening Secondary prevention Early diagnosis of disease Women’s health Health literacy |
topic |
Cervical cancer Mass screening Secondary prevention Early diagnosis of disease Women’s health Health literacy |
description |
Understanding the overuse and underuse of cervical cancer (CC) screening plays a role in preventing such behaviours, allowing to maximize the CC screening uptake. Aim: To assess the predictors of being over-screened and never/under-screened in CC screening in Northeast Portugal. Methods: This is a part of a larger cross-sectional survey carried out in two public health centres in Northeast Portugal (October 2017 to June 2018). Data collection was based on a face-to-face interview. This analysis included 764 women (aged 25–60 years) classified according to the use of CC screening into guideline-consistent screened, overscreened and unscreened/under-screened. Multivariate logistic regression models were conducted to assess predictors of being over-screened and never/under-screened. Adjusted odds ratio (OR) and respective 95% confidence interval (95% CI) were obtained. Results: One-fourth (n = 197) of participants were unscreened/under-screened and 50.0% (n = 382) of them were classified as over-screened. Regular visits with primary care physicians (OR = 0.44; 95% CI: 0.26–0.76) and higher age (OR = 0.98; 95% CI: 0.96–1.00) reduced the odds of being unscreened/under-screened. Women who received prescription/recommendation for CC screening from primary care physician (OR = 1.89; 95% CI: 1.09–3.29) or both primary care physician and nurse (OR = 2.62; 95% CI: 1.10–6.22) were more likely to be over-screened. Higher level of CC health literacy decreases the odds of being over-screened (OR = 0.95; 95% CI: 0.90–1.00) and unscreened/ under-screened (OR = 0.87; 95% CI: 0.82–0.92). The majority of over-screened (52.2%) and of underscreened (44.2%) women reported that their screening frequency was based on healthcare provider prescription. Among never-screened women, 60.2% reported that no one prescribed screening. Conclusion: The increase in CC health literacy can maximize CC screening uptake. Primary healthcare providers could play a role in preventing the overuse and underuse of CC screening. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-05-26T14:19:26Z 2022 2022-01-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10198/25545 |
url |
http://hdl.handle.net/10198/25545 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Teixeira, Cristina; Antão, Celeste; Anes, Eugénia; Gomes, Maria José; Versos, Ana; Tomé, Conceição (2022). Use of cervical cancer screening among patients of primary healthcare services: Northeast Portugal. Portuguese Journal of Public Health. ISSN 2504-3145. p. 1-8 2504-3145 10.1159/000522666 2504-3137 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
S. Karger AG |
publisher.none.fl_str_mv |
S. Karger AG |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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