Estudio de la no participación en el programa de prevención de cáncer de mama en la ciudad de Valencia
Study of non-participation in the breast cancer screening program in the city of Valencia [Spain]
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"apellidos" => "Alcaraz" "email" => array:1 [ 0 => "manuela.alcaraz@sanidad.m400.gva.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "A." "apellidos" => "Lluch" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "J." "apellidos" => "Miranda" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "I." "apellidos" => "Pereiro" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 4 => array:3 [ "nombre" => "M.D." "apellidos" => "Salas" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Centro de Salud Pública de Valencia. Conselleria de Sanitat" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Dirección General de Salud Pública. Consellería de Sanitat" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Instituto Social de la Marina. Conselleria de Sanitat. Valencia" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "<span class="elsevierStyleItalic">Correspondencia:</span> Dra. Manuela Alcaraz Quevedo. Centro de Salud Pública de Valencia. San Vicente, 83. 46007 Valencia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Study of non-participation in the breast cancer screening program in the city of Valencia [Spain]" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2000-05-30" "fechaAceptado" => "2002-02-14" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec268867" "palabras" => array:5 [ 0 => "Cribado de cáncer de mama" 1 => "No participación" 2 => "Clase social" 3 => "Nivel cultural" 4 => "Tratamiento hormonal sustitutivo" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "key words" "identificador" => "xpalclavsec268866" "palabras" => array:5 [ 0 => "Breast cancer screening" 1 => "Non-participation" 2 => "Social class" 3 => "Educational level" 4 => "Hormone replacement therapy" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Conocer los motivos de no participación de las mujeres en el Programa poblacional de Prevención de Cáncer de Mama.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Es un estudio observacional transversal, en mujeres que fueron invitadas para participar en el Programa de Prevención de Cáncer de Mama en la ciudad de Valencia y no acudieron. Se realizó una entrevista con cuestionario en el domicilio con 25 preguntas, agrupadas en: conocimiento sobre el programa, motivos de la no participación, actitudes o creencias y características de las encuestadas (variables socioeconómicas, culturales y edad). Se analizaron las diferencias en las características de las mujeres con un análisis bivariante y multivariante mediante regresión logística.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se utilizaron 783 direcciones, se obtuvieron 411 cuestionarios, y analizaron 361, y se excluyeron del análisis los 50 cuestionarios utilizados en la prueba piloto, ya que ésta produjo una modificación del cuestionario. El 93,4% (intervalo de confianza [IC] del 95%: 3-95,7) recordaba haber recibido una citación. El motivo principal de no participación fue estar estudiada por otros servicios sanitarios en el 48,8% (IC del 95%: 43,6-53,9), seguido de diversos motivos personales en el 16,1% (IC del 95%: 12,3-19,9) y del horario de citación que no les resultó adecuado en el 15,5% (IC del 95%:11,8-19,2). Analizando la clase social media y alta frente a la clase baja, se observan importantes diferencias: las mujeres de clase media o alta tenían mayor probabilidad de conocer el programa y llevar tratamiento hormonal sustitutivo (THS) y el motivo principal de no asistencia era el estar estudiada por otros servicios sanitarios y para las mujeres de la clase baja el temor, no considerarlo importante para su salud y problemas de accesibilidad horaria. En el análisis multivariante las variables que entraron en el modelo fueron: THS, la clase social y el nivel cultural; de tal forma que aquellas mujeres de clase social media o alta, que llevan THS y de nivel cultural medio o alto tienen mayor probabilidad de estar estudiadas.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El perfil de las mujeres que no participan, pertenece, por un lado, a la clase social media o alta, que toman THS y que están siendo revisadas por otros servicios sanitarios, y por otro, a un grupo de mujeres con nivel socioeconómico bajo y cuyo motivo de no participación es por temor o dificultades de horario.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Aim</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To determine the reasons for non-participation of women in a breast cancer screening program.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We performed an observational, cross-sectional study in women who were invited to participate in the breast cancer screening program in the city of Valencia and who failed to attend. The women were interviewed in their homes through a questionnaire consisting of 25 questions grouped as follows: knowledge of the program, reasons for nonparcitipation, attitudes or beliefs and characteristics of the interviewees (socioeconomic and educational variables and age). A descriptive analysis was performed. Differences in the characteristics of women were evaluated thorugh bivariate analysis. Multivariate analysis was performed through logistic regression.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A total of 783 addreses were used, 411 questionnaires were completed and 361 were analyzed. The 50 questionnaires used in the pilot study were excluded because, as a consequence of this study, the questionnaire had been modified. Most of the women (93,4%) (CI: 90.3-95.7) remembered having an appointment. The main reason for not attending was being screened in another health service in 48.8% (CI: 43.6-53.9), followed by various personal reasons in 16.1% (CI: 12.3-19.9) and inability to keep the appointment at the specified time in 15.5% (CI: 11.8-19.2). Comparison of women in the middle and upper social classes with those in the lower classes revealed important differences. Middle and upper class women had a higher probability of knowing about the program and of being on hormone replacement therapy (HRT) and the most frequent reason for non-attendance was attendance at another program run by another health service. In lower class women the reasons for non-attendance were fear, not believing the program to be important to health and inability to keep the appointment at the specified time. In the multivariate analysis, the variables that entered the model were HRT, social class and education. Thus, middle or upper class women undergoing HRT and with secondary or higher education had a higher probability of being screened.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The profile of non-participating women belongs on the one hand to those in the middle or upper social classes, undergoing HRT and being screened by other health services and, on the other, to a group of women of low social class, whose reason for non-participation is fear and timetable difficulties.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:18 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "International Agency for Research on Cancer World Health Organization. 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"etal" => false ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:2 [ "tituloSerie" => "Documento Técnico de Salud Pública n.° 41, Comunidad Autónoma de Madrid" "fecha" => "2001" ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib0085" "etiqueta" => "17." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "General practitioner and mamographic screening uptake: influence of different modalities of general practitioner participation. Working Group" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "D. Giorgi" 1 => "L. Giordano" 2 => "C. Senore" 3 => "G. Merlino" 4 => "R. Negri" 5 => "M. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 0 | 1 | 1 |
| 2024 October | 61 | 30 | 91 |
| 2024 September | 44 | 22 | 66 |
| 2024 August | 56 | 28 | 84 |
| 2024 July | 36 | 21 | 57 |
| 2024 June | 37 | 15 | 52 |
| 2024 May | 46 | 48 | 94 |
| 2024 April | 34 | 18 | 52 |
| 2024 March | 34 | 19 | 53 |
| 2024 February | 34 | 51 | 85 |
| 2024 January | 30 | 16 | 46 |
| 2023 December | 23 | 10 | 33 |
| 2023 November | 28 | 16 | 44 |
| 2023 October | 32 | 22 | 54 |
| 2023 September | 36 | 20 | 56 |
| 2023 August | 34 | 12 | 46 |
| 2023 July | 37 | 20 | 57 |
| 2023 June | 41 | 13 | 54 |
| 2023 May | 43 | 11 | 54 |
| 2023 April | 26 | 18 | 44 |
| 2023 March | 43 | 31 | 74 |
| 2023 February | 20 | 14 | 34 |
| 2023 January | 20 | 17 | 37 |
| 2022 December | 36 | 33 | 69 |
| 2022 November | 39 | 32 | 71 |
| 2022 October | 28 | 34 | 62 |
| 2022 September | 31 | 43 | 74 |
| 2022 August | 31 | 49 | 80 |
| 2022 July | 31 | 45 | 76 |
| 2022 June | 23 | 32 | 55 |
| 2022 May | 28 | 31 | 59 |
| 2022 April | 26 | 26 | 52 |
| 2022 March | 24 | 43 | 67 |
| 2022 February | 24 | 32 | 56 |
| 2022 January | 23 | 37 | 60 |
| 2021 December | 21 | 34 | 55 |
| 2021 November | 20 | 41 | 61 |
| 2021 October | 27 | 42 | 69 |
| 2021 September | 23 | 37 | 60 |
| 2021 August | 22 | 16 | 38 |
| 2021 July | 18 | 24 | 42 |
| 2021 June | 19 | 29 | 48 |
| 2021 May | 24 | 25 | 49 |
| 2021 April | 52 | 23 | 75 |
| 2021 March | 34 | 21 | 55 |
| 2021 February | 18 | 8 | 26 |
| 2021 January | 14 | 16 | 30 |
| 2020 December | 18 | 12 | 30 |
| 2020 November | 16 | 10 | 26 |
| 2020 October | 12 | 8 | 20 |
| 2020 September | 14 | 5 | 19 |
| 2020 August | 7 | 10 | 17 |
| 2020 July | 13 | 13 | 26 |
| 2020 June | 14 | 4 | 18 |
| 2020 May | 12 | 4 | 16 |
| 2020 April | 11 | 16 | 27 |
| 2020 March | 14 | 7 | 21 |
| 2020 February | 8 | 14 | 22 |
| 2020 January | 12 | 7 | 19 |
| 2019 December | 9 | 11 | 20 |
| 2019 November | 13 | 3 | 16 |
| 2019 October | 10 | 6 | 16 |
| 2019 September | 5 | 4 | 9 |
| 2019 August | 10 | 10 | 20 |
| 2019 July | 5 | 4 | 9 |
| 2019 June | 5 | 5 | 10 |
| 2019 May | 23 | 12 | 35 |
| 2019 April | 6 | 17 | 23 |
| 2019 March | 4 | 4 | 8 |
| 2019 February | 14 | 8 | 22 |
| 2019 January | 9 | 12 | 21 |
| 2018 December | 4 | 27 | 31 |
| 2018 November | 22 | 7 | 29 |
| 2018 October | 59 | 28 | 87 |
| 2018 September | 23 | 12 | 35 |
| 2018 August | 23 | 29 | 52 |
| 2018 July | 27 | 6 | 33 |
| 2018 June | 34 | 15 | 49 |
| 2018 May | 47 | 10 | 57 |
| 2018 April | 33 | 15 | 48 |
| 2018 March | 20 | 10 | 30 |
| 2018 February | 39 | 11 | 50 |
| 2018 January | 25 | 11 | 36 |
| 2017 December | 15 | 18 | 33 |
| 2017 November | 21 | 18 | 39 |
| 2017 October | 16 | 11 | 27 |
| 2017 September | 14 | 15 | 29 |
| 2017 August | 9 | 7 | 16 |
| 2017 July | 19 | 15 | 34 |
| 2017 June | 25 | 14 | 39 |
| 2017 May | 21 | 5 | 26 |
| 2017 April | 41 | 13 | 54 |
| 2017 March | 17 | 9 | 26 |
| 2017 February | 10 | 6 | 16 |
| 2017 January | 12 | 3 | 15 |
| 2016 December | 33 | 6 | 39 |
| 2016 November | 30 | 15 | 45 |
| 2016 October | 29 | 15 | 44 |
| 2016 September | 21 | 2 | 23 |
| 2016 August | 22 | 4 | 26 |
| 2016 July | 19 | 7 | 26 |
| 2015 December | 1 | 0 | 1 |
| 2015 September | 2 | 0 | 2 |
| 2015 July | 1 | 0 | 1 |
| 2015 May | 1 | 0 | 1 |
| 2015 April | 1 | 0 | 1 |
| 2015 March | 1 | 0 | 1 |
| 2015 February | 1 | 0 | 1 |
| 2015 January | 1 | 0 | 1 |
| 2014 December | 4 | 0 | 4 |
| 2014 November | 4 | 0 | 4 |
| 2014 October | 3 | 0 | 3 |
| 2014 September | 4 | 0 | 4 |
| 2014 August | 8 | 0 | 8 |
| 2014 July | 7 | 0 | 7 |
| 2014 June | 8 | 0 | 8 |
| 2014 May | 5 | 0 | 5 |
| 2014 April | 4 | 1 | 5 |
| 2014 March | 3 | 1 | 4 |
| 2014 February | 10 | 0 | 10 |
| 2014 January | 7 | 1 | 8 |
| 2013 December | 8 | 2 | 10 |
| 2013 November | 18 | 2 | 20 |
| 2013 October | 18 | 1 | 19 |
| 2013 September | 14 | 4 | 18 |
| 2013 August | 27 | 1 | 28 |
| 2013 July | 21 | 3 | 24 |
| 2002 May | 1075 | 0 | 1075 |
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