Mammography use for breast cancer screening in Portugal: results from the 2005/2006 National Health Survey

Detalhes bibliográficos
Autor(a) principal: Dourado, F
Data de Publicação: 2013
Outros Autores: Carreira, H, Lunet, N
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10216/114820
Resumo: Background: Understanding the patterns of mammography use is essential to promote the participation in breast cancer screening. Objectives: To describe the patterns of screening mammography use in Portugal. Methods: As part of the fourth National Health Survey (2005/2006), 3045 women were evaluated in face-to-face interviews. The previous use of mammography for screening was classified as never or ever, and the latter was further grouped according to the time elapsed since the latest mammography. Having undergone the latest mammography >2 years before was considered underuse. We assessed the determinants of never having been screened by mammography and, among those who had been tested, the determinants of mammography underuse, through age- and education-adjusted odds ratios (ORs), with 95% confidence intervals (95% CIs). Results: Among women aged 45–49 and 50–69 years, 86.3% and 88.0%, respectively, underwent a screening mammography before, and most of them were tested in the previous 2 years. The lowest risk of never having been screened was in Norte (OR = 0.41, 95% CI: 0.21–0.80) and the highest in Açores (OR = 4.04, 95% CI: 2.37–6.92), in comparison with Centro (the region with organized screening for a longer time). Participants with <4 years of formal education were more likely to have never been screened than the more educated (OR = 4.27, 95% CI: 1.67–10.89). Women with private health insurance (OR = 0.16, 95% CI: 0.04–0.65), as well as those who had undergone cervical cytology screening before (OR = 0.50, 95% CI: 0.30–0.85), had a lower risk of underuse. Conclusions: This study provides useful information to improve the allocation of resources to breast cancer screening.
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spelling Mammography use for breast cancer screening in Portugal: results from the 2005/2006 National Health SurveyHealth surveysMammographyCervical cytologyBreast neoplasm screeningBackground: Understanding the patterns of mammography use is essential to promote the participation in breast cancer screening. Objectives: To describe the patterns of screening mammography use in Portugal. Methods: As part of the fourth National Health Survey (2005/2006), 3045 women were evaluated in face-to-face interviews. The previous use of mammography for screening was classified as never or ever, and the latter was further grouped according to the time elapsed since the latest mammography. Having undergone the latest mammography >2 years before was considered underuse. We assessed the determinants of never having been screened by mammography and, among those who had been tested, the determinants of mammography underuse, through age- and education-adjusted odds ratios (ORs), with 95% confidence intervals (95% CIs). Results: Among women aged 45–49 and 50–69 years, 86.3% and 88.0%, respectively, underwent a screening mammography before, and most of them were tested in the previous 2 years. The lowest risk of never having been screened was in Norte (OR = 0.41, 95% CI: 0.21–0.80) and the highest in Açores (OR = 4.04, 95% CI: 2.37–6.92), in comparison with Centro (the region with organized screening for a longer time). Participants with <4 years of formal education were more likely to have never been screened than the more educated (OR = 4.27, 95% CI: 1.67–10.89). Women with private health insurance (OR = 0.16, 95% CI: 0.04–0.65), as well as those who had undergone cervical cytology screening before (OR = 0.50, 95% CI: 0.30–0.85), had a lower risk of underuse. Conclusions: This study provides useful information to improve the allocation of resources to breast cancer screening.20132013-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10216/114820eng1101-126210.1093/eurpub/cks103Dourado, FCarreira, HLunet, Ninfo: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:RCAAP2023-11-29T13:28:51Zoai:repositorio-aberto.up.pt:10216/114820Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T23:41:25.287604Repositório 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 Mammography use for breast cancer screening in Portugal: results from the 2005/2006 National Health Survey
title Mammography use for breast cancer screening in Portugal: results from the 2005/2006 National Health Survey
spellingShingle Mammography use for breast cancer screening in Portugal: results from the 2005/2006 National Health Survey
Dourado, F
Health surveys
Mammography
Cervical cytology
Breast neoplasm screening
title_short Mammography use for breast cancer screening in Portugal: results from the 2005/2006 National Health Survey
title_full Mammography use for breast cancer screening in Portugal: results from the 2005/2006 National Health Survey
title_fullStr Mammography use for breast cancer screening in Portugal: results from the 2005/2006 National Health Survey
title_full_unstemmed Mammography use for breast cancer screening in Portugal: results from the 2005/2006 National Health Survey
title_sort Mammography use for breast cancer screening in Portugal: results from the 2005/2006 National Health Survey
author Dourado, F
author_facet Dourado, F
Carreira, H
Lunet, N
author_role author
author2 Carreira, H
Lunet, N
author2_role author
author
dc.contributor.author.fl_str_mv Dourado, F
Carreira, H
Lunet, N
dc.subject.por.fl_str_mv Health surveys
Mammography
Cervical cytology
Breast neoplasm screening
topic Health surveys
Mammography
Cervical cytology
Breast neoplasm screening
description Background: Understanding the patterns of mammography use is essential to promote the participation in breast cancer screening. Objectives: To describe the patterns of screening mammography use in Portugal. Methods: As part of the fourth National Health Survey (2005/2006), 3045 women were evaluated in face-to-face interviews. The previous use of mammography for screening was classified as never or ever, and the latter was further grouped according to the time elapsed since the latest mammography. Having undergone the latest mammography >2 years before was considered underuse. We assessed the determinants of never having been screened by mammography and, among those who had been tested, the determinants of mammography underuse, through age- and education-adjusted odds ratios (ORs), with 95% confidence intervals (95% CIs). Results: Among women aged 45–49 and 50–69 years, 86.3% and 88.0%, respectively, underwent a screening mammography before, and most of them were tested in the previous 2 years. The lowest risk of never having been screened was in Norte (OR = 0.41, 95% CI: 0.21–0.80) and the highest in Açores (OR = 4.04, 95% CI: 2.37–6.92), in comparison with Centro (the region with organized screening for a longer time). Participants with <4 years of formal education were more likely to have never been screened than the more educated (OR = 4.27, 95% CI: 1.67–10.89). Women with private health insurance (OR = 0.16, 95% CI: 0.04–0.65), as well as those who had undergone cervical cytology screening before (OR = 0.50, 95% CI: 0.30–0.85), had a lower risk of underuse. Conclusions: This study provides useful information to improve the allocation of resources to breast cancer screening.
publishDate 2013
dc.date.none.fl_str_mv 2013
2013-01-01T00:00:00Z
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url http://hdl.handle.net/10216/114820
dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 1101-1262
10.1093/eurpub/cks103
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dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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