ABSTRACT
OBJETIVOS: determinar la prevalencia de cobertura de rastreo de cáncer mamario con mamografía y de cuello uterino con Papanicolau en la población accesible de la zona de influencia del Centro de Salud San Pantaleón (San Isidro, Buenos Aires, Argentina) e identificar factores socioeconómicos y culturales asociados a su realización MÉTODOS: estudio de corte transversal con datos recolectados a través de una encuesta autoadministrada a una muestra de conveniencia de mujeres seleccionadas consecutivamente a medida que concurrían al centro entre 06/2009 y 06/2010. RESULTADOS: fueron entrevistadas 474 mujeres. La tasa de autoreporte de haber realizado Papanicolau entre los 19 y los 70 años fue 61,1%(IC95%56,4 a65,6) y la de haber realizado mamografía luego de los 50 años, 51,1% (43,7 a 58,4). En el análisis multivariable, la del primero se asoció independientemente a un mayor nivel educativo (OR 3,4; IC95%1,7 a 6,5), a haber tenido hijos (OR 2,6;1,4 a 4,9), a reconocer un médico de referencia (OR 2,12;1,35 a 3,3) y a ser menor de 50 años (OR 1,7;1,1 a 2,7); y la de la segunda, a un mayor nivel educativo (OR 1,2;0,4 a 3,1), a no estar empleada (OR 1,84;0,94 a 3,6) y a reconocer un médico de referencia (OR 2,63;1,22 a 5,88). CONCLUSIONES: las frecuencias de auto-reporte de rastreo de ambas patologías fueron coincidentes con las reportadas a nivel nacional y menores que las recomendadas como estándares internacionales.
OBJECTIVES: To determine the prevalence of coverage of breast cancer screening with mammography and cervical cancer with Papanicolau in the accessible population of the area of influence of the San Pantaleón Health Center (San Isidro, Buenos Aires, Argentina) and to identify socioeconomic and cultural factors. associated with its performance METHODS: cross-sectional study with data collected through a self-administered survey of a convenience sample of consecutively selected women as they attended the center between 06/2009 and 06/2010. RESULTS: 474 women were interviewed. The rate of self-report of having performed a Pap test between the ages of 19 and 70 was 61.1% (95% CI 56.4 to 65.6) and that of mammography after 50 years, 51.1% (43.7%). to 58.4). In the multivariate analysis, the former was independently associated with a higher educational level (OR 3.4, 95% CI 1.7 to 6.5), having had children (OR 2.6, 1.4 to 4.9). ), to recognize a reference physician (OR 2.12, 1.35 to 3.3) and to be younger than 50 years (OR 1.7, 1.1 to 2.7); and the second, to a higher educational level (OR 1.2, 0.4 to 3.1), not to be employed (OR 1.84, 0.94 to 3.6) and to recognize a reference doctor (OR 2.63, 1.22 to 5.88). CONCLUSIONS: the frequencies of self-reported tracking of both pathologies were coincident with those reported at the national level and lower than those recommended as international standards.