Journal of Epidemiology and Global Health

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Volume 5, Issue 3, September 2015, Pages 211 - 219

Barriers related to non-adherence in a mammography breast-screening program during the implementation period in the interior of São Paulo State, Brazil

Authors
René Aloisio da Costa Vieiraa, b, *, posgrad@hcancerbarretos.com.br, Tânia Silveira Lourençob, c, Edmundo Carvalho Mauada, c, Valter Gonçalves Moreira Filhoc, Stela Verzinhasse Peresd, Thiago Buosi Silvac, Maria do Rosário Dias de Oliveira Lattored, e
aBarretos Cancer Hospital, Brazil
bBotucatu School of Medicine, UNESP, Brazil
cPrevention Department, Barretos Cancer Hospital, Brazil
dNucleus for Researcher Support, Barretos Cancer Hospital, Brazil
eDepartment of Epidemiology, Faculty of Public Health, University of São Paulo, Brazil
*Corresponding author at: Hospital de Câncer de Barretos – Fundação Pio XII, Rua Antenor Duarte Villela, No. 1.331, Bairro Dr. Paulo Prata, CEP 14.784-400 Barretos, SP, Brazil.
Corresponding Author
René Aloisio da Costa Vieiraposgrad@hcancerbarretos.com.br
Received 2 March 2014, Revised 14 September 2014, Accepted 15 September 2014, Available Online 7 February 2015.
DOI
10.1016/j.jegh.2014.09.007How to use a DOI?
Keywords
Breast neoplasms; Cancer early detection; Mass screening; Community health planning; Developing countries
Abstract

Mammography is the best exam for early diagnosis of breast cancer. Developing countries frequently have a low income of mammography and absence of organized screening. The knowledge of vulnerable population and strategies to increase adherence are important to improve the implementation of an organized breast-screening program. A mammography regional-screening program was implemented in a place around 54.238 women, aged 40–69 years old. It was proposed to perform biannual mammography free of cost for the women. We analyze the first 2 years of the implementation of the project. Mammography was realized in 17.964 women. 42.1% of the women hadn’t done de mammography in their lives and these women were principally from low socio-economic status (OR = 2.99), low education (OR = 3.00). The best strategies to include these women were mobile unit (OR = 1.43) and Family Health Program (OR = 1.79). The incidence of early breast tumors before the project was 14.5%, a fact that changed to 43.2% in this phase. Multivariate analysis showed that the association of illiterate and the mobile unit achieve more women who had not performed mammography in their lives. The strategies to increase adherence to mammography must be multiple and a large organization is necessary to overpass the barriers related to system health and education.

Copyright
© 2015 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd.
Open Access
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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Next Article In Issue>
Journal
Journal of Epidemiology and Global Health
Volume-Issue
5 - 3
Pages
211 - 219
Publication Date
2015/02/07
ISSN (Online)
2210-6014
ISSN (Print)
2210-6006
DOI
10.1016/j.jegh.2014.09.007How to use a DOI?
Copyright
© 2015 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd.
Open Access
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Cite this article

risenwbib
TY  - JOUR
AU  - René Aloisio da Costa Vieira
AU  - Tânia Silveira Lourenço
AU  - Edmundo Carvalho Mauad
AU  - Valter Gonçalves Moreira Filho
AU  - Stela Verzinhasse Peres
AU  - Thiago Buosi Silva
AU  - Maria do Rosário Dias de Oliveira Lattore
PY  - 2015
DA  - 2015/02/07
TI  - Barriers related to non-adherence in a mammography breast-screening program during the implementation period in the interior of São Paulo State, Brazil
JO  - Journal of Epidemiology and Global Health
SP  - 211
EP  - 219
VL  - 5
IS  - 3
SN  - 2210-6014
UR  - https://doi.org/10.1016/j.jegh.2014.09.007
DO  - 10.1016/j.jegh.2014.09.007
ID  - daCostaVieira2015
ER  -