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Social inequalities in access to cancer screening and early detection: A population-based study in the city of São Paulo, Brazil
Santos, Edige Felipe de Sousa; Monteiro, Camila Nascimento; Vale, Diama Bhadra; Louvison, Marília; Goldbaum, Moisés; Cesar, Chester Luiz Galvão; Barros, Marilisa Berti de Azevedo.
Affiliation
  • Santos, Edige Felipe de Sousa; Universidade de São Paulo (USP). Faculdade de Saúde Pública. São Paulo. BR
  • Monteiro, Camila Nascimento; Hospital Sírio-Libanês. São Paulo. BR
  • Vale, Diama Bhadra; Universidade Estadual de Campinas (UNICAMP). Campinas. BR
  • Louvison, Marília; Universidade de São Paulo (USP). Faculdade de Saúde Pública. São Paulo. BR
  • Goldbaum, Moisés; Universidade de São Paulo (USP). Faculdade de Medicina. São Paulo. BR
  • Cesar, Chester Luiz Galvão; Universidade de São Paulo (USP). Faculdade de Saúde Pública. São Paulo. BR
  • Barros, Marilisa Berti de Azevedo; Universidade Estadual de Campinas (UNICAMP). Campinas. BR
Clinics ; Clinics;78: 100160, 2023. tab, graf
Article de En | LILACS-Express | LILACS | ID: biblio-1421244
Bibliothèque responsable: BR1.1
ABSTRACT
Abstract

Objective:

This study monitors trends in access to cancer screening, focusing on mammography, Papanicolaou (Pap smear), and Prostate-Specific Antigen (PSA), assessing the magnitude of inequality in the city of São Paulo from 2003 to 2015 according to education level.

Method:

This is a cross-sectional population-based study conducted with data from the 2003, 2008, and 2015 editions of the Health Survey of the City of São Paulo (ISA-Capital). Outcome variables were the proportion of mammography, Papanicolaou (Pap smear), and Prostate-Specific Antigen (PSA) tests according to the protocols. Inequality was measured by education level according to years of study. For static analysis, Poisson regression was used to estimate proportion ratios.

Results:

The proportion of Pap smears remained stationary at a high level (>89%) throughout the study period, while access to mammography and PSA tests significantly increased in the 2003-2015 period. The present results indicate inequalities in access to cancer screening due to education, and being more expressive for mammography and PSA tests. However, this inequality significantly decreased over the period analyzed comparing the most educated individuals with those with the lowest educational level. In addition, an increase in the proportion of tests performed in the Brazilian Unified Health System was identified, especially for mammography and PSA tests, in the period 2003-2015.

Conclusions:

The inequalities observed in the access to preventive exams were influenced by the level of education. The offer of exams was expanded, more significantly for mammography and PSA, especially among the less educated group.
Mots clés

Texte intégral: 1 Indice: LILACS Type d'étude: Diagnostic_studies / Prognostic_studies / Screening_studies Pays comme sujet: America do sul / Brasil langue: En Texte intégral: Clinics Thème du journal: MEDICINA Année: 2023 Type: Article

Texte intégral: 1 Indice: LILACS Type d'étude: Diagnostic_studies / Prognostic_studies / Screening_studies Pays comme sujet: America do sul / Brasil langue: En Texte intégral: Clinics Thème du journal: MEDICINA Année: 2023 Type: Article