Social determinants of breast cancer-preventive practices: family environment and implementation of mammograms

Breast cancer is the leading cause of death from malignant tumors in Argentine women. Although social inequalities are recognized in the mammography practice, aspects related to the family environment have been scarcely studied. Objective: To identify social determinants of the mammography...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Pereyra , SA, Sarmiento , D, Scruzzi, GF, Pou, SA
Formato: Artículo revista
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2022
Materias:
MAMMOGRAPHY SCREENING
SOCIAL DETERMINANTS OF HEALTH
WOMEN'S HEALTH
SOCIAL ENVIRONMENT
BREAST NEOPLASMS
SCREENING MAMOGRÁFICO
DETERMINANTES SOCIALES DE LA SALUD
salud de la mujer
ENTORNO SOCIAL
NEOPLASIAS MAMARIAS
.
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/38974
Aporte de:
Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
id I10-R327-article-38974
record_format 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 MAMMOGRAPHY SCREENING
SOCIAL DETERMINANTS OF HEALTH
WOMEN'S HEALTH
SOCIAL ENVIRONMENT
BREAST NEOPLASMS
SCREENING MAMOGRÁFICO
DETERMINANTES SOCIALES DE LA SALUD
salud de la mujer
ENTORNO SOCIAL
NEOPLASIAS MAMARIAS
.
spellingShingle MAMMOGRAPHY SCREENING
SOCIAL DETERMINANTS OF HEALTH
WOMEN'S HEALTH
SOCIAL ENVIRONMENT
BREAST NEOPLASMS
SCREENING MAMOGRÁFICO
DETERMINANTES SOCIALES DE LA SALUD
salud de la mujer
ENTORNO SOCIAL
NEOPLASIAS MAMARIAS
.
Pereyra , SA
Sarmiento , D
Scruzzi, GF
Pou, SA
Social determinants of breast cancer-preventive practices: family environment and implementation of mammograms
topic_facet MAMMOGRAPHY SCREENING
SOCIAL DETERMINANTS OF HEALTH
WOMEN'S HEALTH
SOCIAL ENVIRONMENT
BREAST NEOPLASMS
SCREENING MAMOGRÁFICO
DETERMINANTES SOCIALES DE LA SALUD
salud de la mujer
ENTORNO SOCIAL
NEOPLASIAS MAMARIAS
.
author Pereyra , SA
Sarmiento , D
Scruzzi, GF
Pou, SA
author_facet Pereyra , SA
Sarmiento , D
Scruzzi, GF
Pou, SA
author_sort Pereyra , SA
title Social determinants of breast cancer-preventive practices: family environment and implementation of mammograms
title_short Social determinants of breast cancer-preventive practices: family environment and implementation of mammograms
title_full Social determinants of breast cancer-preventive practices: family environment and implementation of mammograms
title_fullStr Social determinants of breast cancer-preventive practices: family environment and implementation of mammograms
title_full_unstemmed Social determinants of breast cancer-preventive practices: family environment and implementation of mammograms
title_sort social determinants of breast cancer-preventive practices: family environment and implementation of mammograms
description Breast cancer is the leading cause of death from malignant tumors in Argentine women. Although social inequalities are recognized in the mammography practice, aspects related to the family environment have been scarcely studied. Objective: To identify social determinants of the mammography practice in women in Argentina (2018), focussing on the family environment. Population-based analytical-observational study on n=4,924 women aged 50-70 years (target population for mammography practice) who participated in the 2018 National Survey of Risk Factors in Argentina (multistage probabilistic sampling). Indicators of the family environment were considered: a) type of household: single-person, coupled with/without children, single-parent, non-marital multi-person; b) female head of household (yes/no); c) family size (number of members). Significant differences (α=0.05) in the proportion of mammography practice between subgroups were evaluated. By using logistic regression models, association measures (ORs) were estimated between timely mammography (in the last 2 years, yes/no) and the aforementioned variables, controlling for age, income quintiles, and educational level. In the group studied, 63% underwent timely mammography, 64% reported a female head of household, and an average family size of 2.3 (±1.4) members. Although the most frequent type of household was the couple one, the percentage of women in single-parent households with children was double in those who did not undergo mammograms. The percentage of women with timely mammography was significantly higher (p<0.001) in those in coupled households (vs. non-marital), without a large family (vs. families with 4 or more members), and with a male head of household (vs. feminine). Women in coupled households have a greater chance of timely mammography practice (OR 1.58, p<0.001), contrary to what was observed regarding belonging to large families (OR 0.61, p<0.001). In addition, women with the highest educational level and income would be more than twice the chances of performing mammography, compared to lower levels (OR 2.56 and 2.32, respectively, p<0.001). Concluding, the type of household and family size are recognized as social determinants of the practice of mammography in women aged 50-70 in Argentina, with a social gradient by the level of education and income.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2022
url https://revistas.unc.edu.ar/index.php/med/article/view/38974
work_keys_str_mv AT pereyrasa socialdeterminantsofbreastcancerpreventivepracticesfamilyenvironmentandimplementationofmammograms
AT sarmientod socialdeterminantsofbreastcancerpreventivepracticesfamilyenvironmentandimplementationofmammograms
AT scruzzigf socialdeterminantsofbreastcancerpreventivepracticesfamilyenvironmentandimplementationofmammograms
AT pousa socialdeterminantsofbreastcancerpreventivepracticesfamilyenvironmentandimplementationofmammograms
AT pereyrasa determinantessocialesdepracticaspreventivasdelcancerdemamaentornofamiliaryrealizaciondemamografiasenargentina
AT sarmientod determinantessocialesdepracticaspreventivasdelcancerdemamaentornofamiliaryrealizaciondemamografiasenargentina
AT scruzzigf determinantessocialesdepracticaspreventivasdelcancerdemamaentornofamiliaryrealizaciondemamografiasenargentina
AT pousa determinantessocialesdepracticaspreventivasdelcancerdemamaentornofamiliaryrealizaciondemamografiasenargentina
first_indexed 2024-09-03T21:03:50Z
last_indexed 2024-09-03T21:03:50Z
_version_ 1809210336455163904
spelling I10-R327-article-389742024-04-15T16:14:45Z Social determinants of breast cancer-preventive practices: family environment and implementation of mammograms Determinantes sociales de prácticas preventivas del cáncer de mama: entorno familiar y realización de mamografías en Argentina . Pereyra , SA Sarmiento , D Scruzzi, GF Pou, SA MAMMOGRAPHY SCREENING SOCIAL DETERMINANTS OF HEALTH WOMEN'S HEALTH SOCIAL ENVIRONMENT BREAST NEOPLASMS SCREENING MAMOGRÁFICO DETERMINANTES SOCIALES DE LA SALUD salud de la mujer ENTORNO SOCIAL NEOPLASIAS MAMARIAS . Breast cancer is the leading cause of death from malignant tumors in Argentine women. Although social inequalities are recognized in the mammography practice, aspects related to the family environment have been scarcely studied. Objective: To identify social determinants of the mammography practice in women in Argentina (2018), focussing on the family environment. Population-based analytical-observational study on n=4,924 women aged 50-70 years (target population for mammography practice) who participated in the 2018 National Survey of Risk Factors in Argentina (multistage probabilistic sampling). Indicators of the family environment were considered: a) type of household: single-person, coupled with/without children, single-parent, non-marital multi-person; b) female head of household (yes/no); c) family size (number of members). Significant differences (α=0.05) in the proportion of mammography practice between subgroups were evaluated. By using logistic regression models, association measures (ORs) were estimated between timely mammography (in the last 2 years, yes/no) and the aforementioned variables, controlling for age, income quintiles, and educational level. In the group studied, 63% underwent timely mammography, 64% reported a female head of household, and an average family size of 2.3 (±1.4) members. Although the most frequent type of household was the couple one, the percentage of women in single-parent households with children was double in those who did not undergo mammograms. The percentage of women with timely mammography was significantly higher (p<0.001) in those in coupled households (vs. non-marital), without a large family (vs. families with 4 or more members), and with a male head of household (vs. feminine). Women in coupled households have a greater chance of timely mammography practice (OR 1.58, p<0.001), contrary to what was observed regarding belonging to large families (OR 0.61, p<0.001). In addition, women with the highest educational level and income would be more than twice the chances of performing mammography, compared to lower levels (OR 2.56 and 2.32, respectively, p<0.001). Concluding, the type of household and family size are recognized as social determinants of the practice of mammography in women aged 50-70 in Argentina, with a social gradient by the level of education and income. El cáncer de mama es la primera causa de muerte por tumores malignos en mujeres argentinas. Si bien se reconocen desigualdades sociales en la realización de mamografías, aspectos relacionados al entorno familiar han sido escasamente estudiados. Objetivo: Identificar determinantes sociales de la realización de mamografías en mujeres de Argentina (2018), con foco en el entorno familiar. Estudio de base poblacional, analítico-observacional, sobre n=4.924 mujeres de 50-70 años (población objetivo para práctica mamográfica) que participaron de la Encuesta Nacional de Factores de Riesgo 2018 de Argentina (muestreo probabilístico multietápico). Se consideraron indicadores del entorno familiar: a) tipo de hogar: unipersonal, conyugal con/sin hijos/as, monoparental, multipersonal no conyugal; b) jefatura de hogar femenina (si/no); c) tamaño familiar (cantidad de miembros). Se evaluaron diferencias significativas (α=0,05) en la proporción de realización de mamografías entre subgrupos. Se estimaron medidas de asociación (ORs) entre la realización de mamografía oportuna (en los últimos 2 años, si/no) y las variables mencionadas, ajustando por edad, quintiles de ingresos y nivel educativo, usando modelos de regresión logística. En el grupo estudiado, 63% realizaron mamografía oportuna, 64% reportó jefatura de hogar femenina y tamaño familiar promedio de 2,3 (±1,4) miembros. Aunque el tipo de hogar más frecuente fue el conyugal, el porcentaje de mujeres en hogares monoparentales con hijos/as fue el doble en quienes no realizaron mamografías. El porcentaje de mujeres con mamografía oportuna fue significativamente mayor (p<0,001) en aquellas en hogares conyugales (vs. no conyugales), sin familia numerosa (vs. familias de 4 o más miembros), y con jefatura de hogar masculina (vs. femenina). Las mujeres en hogares conyugales tendrían más chance de realización de mamografías oportunas (OR 1.58, p<0,001), contrariamente a lo observado respecto a pertenecer a familias numerosas (OR 0.61, p<0,001). Además, mujeres con el nivel educativo y de ingresos más altos tendrían más del doble de posibilidad de realizarse mamografías, comparados con el nivel inferior (OR 2.56 y 2.32, respectivamente, p<0,001). Concluyendo, se reconoce el tipo de hogar y tamaño familiar como determinantes sociales de la práctica de mamografía en mujeres de 50-70 años de Argentina, existiendo un gradiente social por nivel de instrucción e ingresos. . Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2022-10-26 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion texto texto . https://revistas.unc.edu.ar/index.php/med/article/view/38974 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 79 No. Suplemento JIC XXIII (2022): Suplemento JIC XXIII Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 79 Núm. Suplemento JIC XXIII (2022): Suplemento JIC XXIII Revista da Faculdade de Ciências Médicas de Córdoba; v. 79 n. Suplemento JIC XXIII (2022): Suplemento JIC XXIII 1853-0605 0014-6722 http://creativecommons.org/licenses/by-nc/4.0

Ejemplares similares