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

Detalhes bibliográficos
Autor(a) principal: Silva,Gulnar Azevedo e
Data de Publicação: 2017
Outros Autores: Souza-Júnior,Paulo Roberto Borges de, Damacena,Giseli Nogueira, Szwarcwald,Célia Landmann
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista de Saúde Pública
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000200303
Resumo: 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.
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spelling Early detection of breast cancer in Brazil: data from the National Health Survey, 2013Breast Neoplasms, diagnosis. Mammography, utilizationEarly Detection of CancerMass ScreeningHealth SurveysABSTRACT 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 Paulo2017-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000200303Revista de Saúde Pública v.51 suppl.1 2017reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.1590/s1518-8787.2017051000191info:eu-repo/semantics/openAccessSilva,Gulnar Azevedo eSouza-Júnior,Paulo Roberto Borges deDamacena,Giseli NogueiraSzwarcwald,Célia Landmanneng2017-05-30T00:00:00Zoai:scielo:S0034-89102017000200303Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=0034-8910&lng=pt&nrm=isoONGhttps://old.scielo.br/oai/scielo-oai.phprevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2017-05-30T00:00Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv 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
spellingShingle Early detection of breast cancer in Brazil: data from the National Health Survey, 2013
Silva,Gulnar Azevedo e
Breast Neoplasms, diagnosis. Mammography, utilization
Early Detection of Cancer
Mass Screening
Health Surveys
title_short 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_sort Early detection of breast cancer in Brazil: data from the National Health Survey, 2013
author Silva,Gulnar Azevedo e
author_facet Silva,Gulnar Azevedo e
Souza-Júnior,Paulo Roberto Borges de
Damacena,Giseli Nogueira
Szwarcwald,Célia Landmann
author_role author
author2 Souza-Júnior,Paulo Roberto Borges de
Damacena,Giseli Nogueira
Szwarcwald,Célia Landmann
author2_role author
author
author
dc.contributor.author.fl_str_mv Silva,Gulnar Azevedo e
Souza-Júnior,Paulo Roberto Borges de
Damacena,Giseli Nogueira
Szwarcwald,Célia Landmann
dc.subject.por.fl_str_mv Breast Neoplasms, diagnosis. Mammography, utilization
Early Detection of Cancer
Mass Screening
Health Surveys
topic Breast Neoplasms, diagnosis. Mammography, utilization
Early Detection of Cancer
Mass Screening
Health Surveys
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.
publishDate 2017
dc.date.none.fl_str_mv 2017-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1590/s1518-8787.2017051000191
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dc.publisher.none.fl_str_mv Faculdade de Saúde Pública da Universidade de São Paulo
publisher.none.fl_str_mv Faculdade de Saúde Pública da Universidade de São Paulo
dc.source.none.fl_str_mv Revista de Saúde Pública v.51 suppl.1 2017
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
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reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
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