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...
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| Autores principales: | , , , |
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| Formato: | Artículo revista |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2022
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/38974 |
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| Sumario: | 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. |
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