Performance of physical activity as a predictor of women’s mammography screening attendance in a population of Northeast Brazil
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Abstract
Introduction: Despite the increasing incidence of breast cancer among women in Northeast Brazil, there have been no studies on the association between physical activity and attendance to mammography screening. Objective: This study of Brazilian women addressed socio-economic variables, physical activity, and knowledge about breast cancer and their impact on attendance to mammography screening. Methods: A cross-sectional quantitative study was conducted as an epidemiological evaluation. Data were obtained by interviewing 307 women in a public health center. Logistic regression analysis was applied to determine the odds ratio (ORs) and confidence intervals (CI) of variables. Results: Mean age of women was 49.79 (SD=8.63) years and 172 (56.0%) were between 40 and 49 years old. Women aged from 40 to 49 and ≥50 years who performed physical activity, had a 2.4-fold (95% CI: 1.13-5.04) and 10.6-fold (95% CI: 2.66-41.95) increased chance to attend MS every year (p=0.040; p<0.001). Women aged between 40 and 49 years with a low and middle income, had a 10.3-fold (OR=0.097; 95% CI: 0.02-0.53) and 13.2-fold (OR=0.076; 95% CI: 0.11-0.53) decreased chance to attend MS every second year (p=0.007). The MS attendance of women aged ≥50 years with basic education level was 13.3 (OR=0.075; 95% CI: 0.09-0.66) times decreased (p=0.010). Conclusion: Physical activity represented an important predictor of MS attendance of all women. The impact of income and education level, in contrast, depended strongly on the age group.
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World Health Organization (WHO). WHO report on cancer: setting priorities, investing wisely and providing care for all. Geneva: World Health Organization, 2020.
Fitzmaurice C, Allen C, Barber RM, Barregard L, Bhutta ZA, Brenner H, et al. Global, Regional, and National Cancer Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and Disability-Adjusted Life-years for 32 Cancer Groups, 1990 to 2015: a systematic analysis for the Global Burden of Disease Study. JAMA Oncol. 2017;3(4):524-48. https://doi.org/10.1001/jamaoncol.2016.5688
Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Secretaria de Atenção à Saúde. Instituto Nacional de Câncer (INCA). Estimativa 2005: Incidência de câncer no Brasil. Rio de Janeiro: INCA, 2004.
Brasil. Ministério da Saúde. Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA). Estimativa 2020: incidência de câncer no Brasil. Rio de Janeiro: INCA, 2019.
Urban LABD, Schaefer MB, Duarte DL, Santos RP, Maranhão NMA, Kefalas AL, et al. Recomendações do Colégio Brasileiro de Radiologia e Diagnóstico por Imagem, da Sociedade Brasileira de Mastologia e da Federação Brasileira das Associações de Ginecologia e Obstetrícia para rastreamento do câncer de mama por métodos de imagem. Radiol Bras. 2012;45(6):334-9. https://doi.org/10.1590/S0100-39842012000600009
Silva TB, Mauad EC, Carvalho AL, Jacobs LA, Shulman LN. Difficulties in implementing an organized screening program for breast cancer in Brazil with emphasis on diagnostic methods. Rural Remote Health. 2013;13(2):2321.
Schneider IJC, Corseuil MW, Boing AF, D’Orsi E. Knowledge about mammography and associated factors: population surveys with female adults and elderly. Rev Bras Epidemiol. 2013;16(4):930-42. https://doi.org/10.1590/S1415-790X2013000400013
Andrade ACM, Ferreira Júnior CA, Guimarães BD, Barros AWP, Almeida GS, Weller M. Molecular breast cancer subtypes and therapies in a public hospital of Northeastern Brazil. BMC Women’s Health. 2014;14:110. https://doi.org/10.1186/1472-6874-14-110
Theme Filha MM, Leal MC, Oliveira EFV, Esteves-Pereira AP, Gama SGN. Regional and social inequalities in the performance of Pap test and screening mammography and their correlation with lifestyle: Brazilian national health survey, 2013. Int J Equity Health. 2016;15:136. https://doi.org/10.1186/s12939-016-0430-9
Barbosa YC, Oliveira AGC, Rabêlo PPC, Silva FS, Santos AM. Factors associated with lack of mammography: National Health Survey, 2013. Rev Bras Epidemiol. 2019;22:e190069. https://doi.org/10.1590/1980-549720190069
Phaswana- Mafuya N, Peltzer K. Breast and Cervical Cancer Screening Prevalence and Associated Factors among Women in the South African General Population. Asian Pac J Cancer Prev. 2018;19(6):1465-70. https://doi.org/10.22034/APJCP.2018.19.6.1465
Kriaucioniene V, Petkeviciene J. Predictors and Trend in Attendance for Breast Cancer Screening in Lithuania, 2006-2014. Int J Environ Res Public Health. 2019;16(22):4535. https://doi.org/10.3390/ijerph16224535
Progovac AM, Pettinger M, Donohue JM, Chang CCHJ, Matthews KA, Habermann EB, et al. Optimism may moderate screening mammogram frequency in Medicare. Medicine (Baltimore). 2019;98(24):e15869. https://doi.org/10.1097/MD.0000000000015869
Alves SAV, Batiston AP, Weller M. Impact of Education and Health Treatment Options on Performance of Clinical Breast Examination. Acta Sci Women's Health. 2019;1(6):2-9.
Freitas ÂGQ, Weller M. Women’s knowledge about risk factors of breast cancer in a Brazilian community. Women Health. 2019;59(5):558-68. https://doi.org/10.1080/03630242.2018.1516266
Runowicz CD, Leach CR, Henry NL, Henry KS, Mackey HT, Cowens-Alvarado, et al. American Cancer Society/American Society of Clinical Oncology Breast Cancer Survivorship Care Guideline. CA Cancer J Clin. 2016;66(1):43-73. https://doi.org/10.3322/caac.21319
Freitas ÂGQ, Weller M. Knowledge about Risk Factors of Breast Cancer and Its Effect on Women’s Screening Behaviour in a Community of Rio Grande do Norte, North-eastern Brazil. Breast J. 2017;23(3):365-6. https://doi.org/10.1111/tbj.12746
Grimley CE, Kato PM, Grunfeld EA. Health and health belief factors associated with screening and help-seeking behaviours for breast cancer: A systematic review and meta-analysis of the European evidence. Br J Health Psychol. 2020;25(1):107-28. https://doi.org/10.1111/bjhp.12397
Nuche- Berenguer B, Sakellariou D. Socioeconomic determinants of cancer screening utilisation in Latin America: A systematic review. PLoS One. 2019;14(11):e0225667. https://doi.org/10.1371/journal.pone.0225667
Vieira RAC, Lourenço TS, Mauad EC, Filho VGM, Peres SV, Silva TB et al. Barriers related to non-adherence in a mammography breast-screening program during the implementation period in the interior of São Paulo State, Brazil. J Epidemiol Glob Health. 2015;5(3):211-9. https://doi.org/10.1016/j.jegh.2014.09.007