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Epidemiologia e Serviços de Saúde

Print version ISSN 1679-4974On-line version ISSN 2237-9622

Abstract

SILVA, Ranielle de Paula; GIGANTE, Denise Petrucci; AMORIM, Maria Helena Costa  and  LEITE, Franciele Marabotti Costa. Factors associated with having mammography examinations in primary health care users in Vitória, Espírito Santo, Brazil. Epidemiol. Serv. Saúde [online]. 2019, vol.28, n.1, e2018048.  Epub Mar 21, 2019. ISSN 1679-4974.  http://dx.doi.org/10.5123/s1679-49742019000100010.

Objectives:

to estimate prevalence and factors associated with having mammography examinations among adult women aged 40 to 59 years old in primary health care services.

Methods:

a cross-sectional study was performed in 26 health centers in Vitória, Espírito Santo, Brazil; data were collected from March to September 2014; the independent variables described sociodemographic, behavioral and reproductive characteristics, having mammography performed every two years as the outcome.

Results:

400 users participated, 57.8% of whom undergo mammography every two years; having the examination was more prevalent among women aged 50-59 years (PR=1.48 - 95%CI 1.25;1.75), those belonging to economic class A/B (PR=1.81 - 95%CI 1.22;2.68) and those who no longer menstruate (PR=1.31 - 95%CI 1.08;1.60).

Conclusion:

although the proportion of mammography examinations performed is in keeping with recommended levels, a higher frequency was found among the 50-59 age group belonging to class A/B, suggesting unequal access to this examination.

Keywords : Mammography; Breast Neoplasms; Primary Health Care; Mass Screening; Health Services Accessibility.

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