Social determinants of mammography screening among women aged 50 to 59, Peru 2015

Bibliographic Data

ID15218650
AuthorsSergio Chang‐Cabanillas (0000-0002-5698-8447, School of Medicine, Universidad Peruana de Ciencias Aplicadas, Lima, Perú, corresponding author), Joshua Peñafiel‐Sam (0000-0003-4667-7351, School of Medicine, Universidad Peruana de Ciencias Aplicadas, Lima, Perú), Samuel Alarcón‐Guevara (0000-0003-1276-8431, School of Medicine, Universidad Peruana de Ciencias Aplicadas, Lima, Perú), Reneé Pereyra‐Elías (0000-0001-6398-4287, School of Medicine, Universidad Peruana de Ciencias Aplicadas, Lima, Perú)
Year2020
Volume42
Issue1
Pages92-106
Publication date2020-07-06
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueHealth Care For Women International (JOURNAL)
Journal identifiersISSN: 0739-9332 • E-ISSN: 1096-4665
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/07399332.2020.1786093
PMID32628571
OpenAlexW3039713620
LanguageEN
Citations received1
References cited42

Breast cancer (BC) screening could reduce its mortality; however, its access is influenced by societal forces. Our objective is to identify the social determinants associated with mammography screening (MS) in women aged 50 to 59 in Peru. In this cross-sectional analysis of the Peruvian Demographic Health Survey, 2015, MS within the past two years was evaluated through self-report. Prevalence for MS was 21.9% [95% CI: 18.9 to 25.1]. The average age was 54 years (s.d.: 2.5). The higher the socioeconomic status, the higher the prevalence of screening (3.2% vs 41.4% in extreme quintiles, p < .001). In the adjusted models, higher socioeconomic status (PR: 5.81, 95% CI: 2.28 to 14.79), higher education level (PR: 2.03, 95% CI: 1.30 a 3,15) and having health insurance from the Ministry of Health (PR: 2.21, 95% CI: 1.28 to 3.82) and EsSalud (PR: 4.37, 95% CI: 2.67 to 7.15), were positively associated with MS. Social inequalities in screening access exist and might translate into inequalities in cancer morbidity and mortality. The Peruvian government urgently needs to improve screening rates in these vulnerable populations

Breast cancer · Breast cancer screening · Cancer · Christian ministry · Cross-sectional study · Environmental health · Inequality · Mammography · Population · Public health · Social determinants of health · Social inequality · Socioeconomic status · Demography · Global Cancer Incidence and Screening · Health Literacy and Information Accessibility · Medicine · Public Health Policies and Education · Gerontology · Internal Medicine

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