Individual and contextual socio-sanitary factors associated with preventive practices of breast and cervical cancer in women in Argentina, 2018
In Argentina, breast and cervical cancers are the most common cancers in women. At the national level, geographic disparities were described related to the use of preventive practices for these cancers, particularly mammography and Papanicolaou (PAP). Objective: To analyze the association of individ...
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| Formato: | Artículo revista |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2021
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/36682 |
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I10-R327-article-36682 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
| institution_str |
I-10 |
| repository_str |
R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| format |
Artículo revista |
| topic |
women's health disease prevention breast neoplasia cervical neoplasms social determinants of health salud de la mujer prevención de enfermedades neoplasia de la mama neoplasias del cuello uterino determinantes sociales de la salud . |
| spellingShingle |
women's health disease prevention breast neoplasia cervical neoplasms social determinants of health salud de la mujer prevención de enfermedades neoplasia de la mama neoplasias del cuello uterino determinantes sociales de la salud . Pereyra , S Sarmiento , D Aisama, M Tumas, N Caro, P Scruzzi, GF Pou, SA Individual and contextual socio-sanitary factors associated with preventive practices of breast and cervical cancer in women in Argentina, 2018 |
| topic_facet |
women's health disease prevention breast neoplasia cervical neoplasms social determinants of health salud de la mujer prevención de enfermedades neoplasia de la mama neoplasias del cuello uterino determinantes sociales de la salud . |
| author |
Pereyra , S Sarmiento , D Aisama, M Tumas, N Caro, P Scruzzi, GF Pou, SA |
| author_facet |
Pereyra , S Sarmiento , D Aisama, M Tumas, N Caro, P Scruzzi, GF Pou, SA |
| author_sort |
Pereyra , S |
| title |
Individual and contextual socio-sanitary factors associated with preventive practices of breast and cervical cancer in women in Argentina, 2018 |
| title_short |
Individual and contextual socio-sanitary factors associated with preventive practices of breast and cervical cancer in women in Argentina, 2018 |
| title_full |
Individual and contextual socio-sanitary factors associated with preventive practices of breast and cervical cancer in women in Argentina, 2018 |
| title_fullStr |
Individual and contextual socio-sanitary factors associated with preventive practices of breast and cervical cancer in women in Argentina, 2018 |
| title_full_unstemmed |
Individual and contextual socio-sanitary factors associated with preventive practices of breast and cervical cancer in women in Argentina, 2018 |
| title_sort |
individual and contextual socio-sanitary factors associated with preventive practices of breast and cervical cancer in women in argentina, 2018 |
| description |
In Argentina, breast and cervical cancers are the most common cancers in women. At the national level, geographic disparities were described related to the use of preventive practices for these cancers, particularly mammography and Papanicolaou (PAP). Objective: To analyze the association of individual socio-demographic characteristics and socio-sanitary contextual factors with the use of these practices in women in Argentina (2018).
An observational-analytical cross-sectional study was carried out using the 2018 National Survey of Risk Factors (Ministry of Health) as a secondary data source (multi-stage probabilistic sample). A sub-sample was extracted, including women whose ages were in the target groups for mammograms (50-70 years; n=4,924) and PAP (25-65 years; n=11,576). Data on these preventive practices (done in the last 2 years, yes/no) and on sociodemographic characteristics (age, income quintile, level of education, health coverage, type of household, place of residence according to population size) were included. At the contextual level, three-year averages (2016-2018) were calculated for the maternal mortality ratio (MMR) and for the total number of doctors (per 1000 inhabitants), by province. Measures of association (OR) of these individual and contextual variables were estimated for each preventive practice (dichotomous response) using multilevel logistic models, with a random intercept (provinces) and a random coefficient (for context variables).
Both preventive practices were significantly associated with higher levels of education and income and showed an inverse association with age (OR 0.95 and 0.98 for mammograms and PAP, respectively; p <0.001). A higher chance of having PAP/mammograms was estimated in those that reside in cities with 150,000 or more inhabitants (vs. <150,000), and in those with medical insurance (vs. only public medical coverage; OR 2.24 for mammography and 1.66 for PAP; p<0.001). The chance was significantly lower in women from single-parent households with children or other members vs. single-person households (OR 0.64 for mammograms; p=0.001). The total number of physicians and MMR showed a direct and inverse association, respectively, with both practices (p<0.05).
Concluding, the cervical and breast cancer preventive practices studied were associated with underlying socio-demographic and contextual factors related to women's health care in Argentina, showing noticeable social inequities. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2021 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/36682 |
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I10-R327-article-366822024-04-15T16:19:09Z Individual and contextual socio-sanitary factors associated with preventive practices of breast and cervical cancer in women in Argentina, 2018 Factores individuales y contextuales socio-sanitarios asociados a prácticas preventivas de cáncer de mama y cérvix en mujeres en Argentina, 2018 . Pereyra , S Sarmiento , D Aisama, M Tumas, N Caro, P Scruzzi, GF Pou, SA women's health disease prevention breast neoplasia cervical neoplasms social determinants of health salud de la mujer prevención de enfermedades neoplasia de la mama neoplasias del cuello uterino determinantes sociales de la salud . In Argentina, breast and cervical cancers are the most common cancers in women. At the national level, geographic disparities were described related to the use of preventive practices for these cancers, particularly mammography and Papanicolaou (PAP). Objective: To analyze the association of individual socio-demographic characteristics and socio-sanitary contextual factors with the use of these practices in women in Argentina (2018). An observational-analytical cross-sectional study was carried out using the 2018 National Survey of Risk Factors (Ministry of Health) as a secondary data source (multi-stage probabilistic sample). A sub-sample was extracted, including women whose ages were in the target groups for mammograms (50-70 years; n=4,924) and PAP (25-65 years; n=11,576). Data on these preventive practices (done in the last 2 years, yes/no) and on sociodemographic characteristics (age, income quintile, level of education, health coverage, type of household, place of residence according to population size) were included. At the contextual level, three-year averages (2016-2018) were calculated for the maternal mortality ratio (MMR) and for the total number of doctors (per 1000 inhabitants), by province. Measures of association (OR) of these individual and contextual variables were estimated for each preventive practice (dichotomous response) using multilevel logistic models, with a random intercept (provinces) and a random coefficient (for context variables). Both preventive practices were significantly associated with higher levels of education and income and showed an inverse association with age (OR 0.95 and 0.98 for mammograms and PAP, respectively; p <0.001). A higher chance of having PAP/mammograms was estimated in those that reside in cities with 150,000 or more inhabitants (vs. <150,000), and in those with medical insurance (vs. only public medical coverage; OR 2.24 for mammography and 1.66 for PAP; p<0.001). The chance was significantly lower in women from single-parent households with children or other members vs. single-person households (OR 0.64 for mammograms; p=0.001). The total number of physicians and MMR showed a direct and inverse association, respectively, with both practices (p<0.05). Concluding, the cervical and breast cancer preventive practices studied were associated with underlying socio-demographic and contextual factors related to women's health care in Argentina, showing noticeable social inequities. En Argentina el cáncer de mama y cérvix son los más incidentes en mujeres. A nivel nacional, se describieron disparidades geográficas en la realización de prácticas preventivas de estos cánceres, particularmente mamografía y Papanicolaou (PAP). Objetivo: Analizar la asociación de características socio-demográficas individuales y factores contextuales socio-sanitarios con la realización de estas prácticas en mujeres de Argentina (2018). Se realizó un estudio observacional-analítico transversal empleando la Encuesta Nacional de Factores de Riesgos 2018 (Ministerio de Salud) como fuente de datos secundaria (muestra probabilística multietápica). Se extrajo una submuestra con las mujeres participantes que representan la población objetivo para mamografías (50-70 años; n= 4.924) y PAP (25-65 años; n=11.576). Se empleó la información sobre dichas prácticas preventivas (realización en los últimos 2 años, si/no) y características sociodemográficas (edad, quintil de ingresos, nivel de instrucción, cobertura de salud, tipo de hogar, localidad de residencia según tamaño). A nivel contextual, se calcularon promedios trianuales (2016-2018) de la razón de mortalidad materna (RMM) y total de médicos/as (cada 1000 habitantes), por provincias. Se estimaron medidas de asociación (OR) de esas variables individuales y contextuales con cada práctica preventiva (respuesta dicotómica) usando modelos logísticos multinivel, con intercepto aleatorio (provincias) y coeficiente aleatorio (para las variables de contexto). Ambas prácticas preventivas se asociaron significativamente con mayores niveles de instrucción e ingresos, y mostraron relación inversa con la edad (OR 0,95 y 0,98 para la realización de mamografías y PAP, respectivamente; p<0,001). Se estimó mayor chance de realización de PAP/mamografías en quienes residen en localidades con 150.000 o más habitantes (vs. <150.000), y en aquellas con obra social/prepaga (vs. sólo cobertura pública; OR 2,24 para mamografía y 1,66 para PAP; p<0,001). La chance fue significativamente menor en mujeres de hogares monoparentales con hijos/otros miembros vs. hogares unipersonales (OR 0,64 para la realización de mamografías; p=0,001). El total de médicos/as y la RMM mostraron asociación directa e inversa, respectivamente, con ambas prácticas (p<0,05). Concluyendo, las prácticas preventivas de cáncer de cérvix y mama estudiadas se asocian a factores socio-demográficos subyacentes y contextuales relacionados a la atención de salud de la mujer en Argentina, evidenciando fuertes inequidades sociales. . Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-10-05 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion texto texto https://revistas.unc.edu.ar/index.php/med/article/view/36682 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 78 No. Suplemento (2021): Suplemento JIC XXII Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 78 Núm. Suplemento (2021): Suplemento JIC XXII Revista da Faculdade de Ciências Médicas de Córdoba; v. 78 n. Suplemento (2021): Suplemento JIC XXII 1853-0605 0014-6722 http://creativecommons.org/licenses/by-nc/4.0 |