Association between sociodemographic characteristics and adherence to early detection of breast cancer

Objective: to verify the association between sociodemographic characteristics and the performance of actions for early detection of breast cancer. Methods: a cross-sectional study was carried out in six primary health care units, with 400 women considered a target population for actions for early detection of breast cancer. The Chi-square test of independence (2x2) was used for inferential analysis. Results: most women were between 60 and 64 years old, married, had low education and lacked an occupation or health insurance. A significant association was found between marital status and the interval between requesting and performing a mammogram (X2(1) = 208.185, p<0.001, Phi-coefficient= 0.902; Confidence Interval: 0.0308–0.0928). Women without a partner had a 0.95 times higher prevalence of having a mammogram. Conclusion: there was an association between the sociodemographic variable marital status and the performance of mammography in a shorter period, and not having a partner was a protective factor. Contributions to practice: the elucidation of factors related to the performance of actions for breast cancer screening can signal patients who need greater vigilance regarding the presence of signs and symptoms suggestive of breast cancer.

[1]  Marceli de Oliveira Santos,et al.  Estimativa/2020 – Incidência de Câncer no Brasil , 2020 .

[2]  M. T. Bustamante-Teixeira,et al.  [Mammographic over-screening: evaluation based on probabilistic linkage of records databases from the Breast Cancer Information System (SISMAMA)]. , 2019, Cadernos de saude publica.

[3]  F. Adami,et al.  Association between primary care coverage and breast cancer mortality in Brazil , 2018, PloS one.

[4]  I. Dos-Santos-Silva,et al.  Breast cancer control policies in Brazil: where to go from here? , 2018 .

[5]  F. Fonseca,et al.  The role of health policy in the burden of breast cancer in Brazil , 2017, BMC Women's Health.

[6]  E. N. Figueiredo,et al.  Actions of nurses in early detection of breast cancer. , 2017, Revista brasileira de enfermagem.

[7]  Ana Fátima Carvalho Fernandes,et al.  Effects of an educational technology application in the early detection of breast cancer , 2017 .

[8]  C. Szwarcwald,et al.  Early detection of breast cancer in Brazil: data from the National Health Survey, 2013 , 2017, Revista de saude publica.

[9]  S. Sanjosé,et al.  Interventions to close the divide for women with breast and cervical cancer between low-income and middle-income countries and high-income countries , 2017, The Lancet.

[10]  L. A. Teixeira,et al.  Breast cancer in Brazil: medicine and public health in 20th century , 2020 .

[11]  D. Gigante,et al.  Factors associated with having mammography examinations in primary health care users in Vitória, Espírito Santo, Brazil. , 2019, Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil.

[12]  Arn Migowski,et al.  Guidelines for early detection of breast cancer in Brazil. II - New national recommendations, main evidence, and controversies. , 2018, Cadernos de saude publica.

[13]  Ana Fátima Carvalho Fernandes,et al.  Social determinants of health related to adhesion to mammography screening. , 2018, Revista brasileira de enfermagem.

[14]  E. N. Figueiredo,et al.  Primary care nurses’ role in the control of breast cancer , 2017 .

[15]  J. Tomazelli,et al.  Breast cancer screening in Brazil: an assessment of supply and use of Brazilian National Health System health care network for the period 2010-2012. , 2017, Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil.

[16]  E. Somers International Agency for Research on Cancer. , 1985, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[17]  J. Higginson,et al.  International Agency for Research on Cancer. , 1968, WHO chronicle.