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. 2013 Apr;9(1):79-90.
doi: 10.18294/sc.2013.202.

Sociodemographic determinants of access to breast cancer screening in Mexico: a review of national surveys

[Article in English, Spanish]
Marcela Agudelo Botero  1
Affiliations
Free article

Sociodemographic determinants of access to breast cancer screening in Mexico: a review of national surveys

[Article in English, Spanish]
Marcela Agudelo Botero. Salud Colect. 2013 Apr.
Free article

Abstract
in English, Spanish

The aim of this article is to identify factors affecting access to breast cancer screening in Mexico according to the sociodemographic characteristics of the women, using three nationally-representative surveys. Descriptive statistics were performed and multiple classification analysis techniques were used. The dependent variables were that the women had realized: 1) breast self-examination, 2) clinical breast examination, or 3) mammography; the covariates were: age group, education level, type of locality (urban/rural), marital status, number of children, enrollment in social security and socioeconomic status. A low level of screening use was detected and gaps were observed between different groups of women according to sociodemographic characteristics. In general women of lower economic strata, without enrollment in social security and with lower educational levels, showed fewer detection practices than the national average.

El objetivo de este artículo es identificar los factores que explican el acceso a la detección del cáncer de mama en México en función de las características sociodemográficas de las mujeres, de acuerdo con tres encuestas representativas en el ámbito nacional. Se realizaron estadísticas descriptivas y se emplearon técnicas de análisis de clasificación múltiple. Las variables dependientes fueron que las mujeres se hubieran realizado: 1) la autoexploración, 2) el examen clínico de mamas, o 3) la mamografía; las covariables fueron: grupos de edad, escolaridad, tipo de localidad (urbana/rural), estado conyugal, número de hijos, derechohabiencia y estrato socioeconómico. Se encontró una cobertura de detección baja y se observaron brechas entre distintos grupos femeninos según las características sociodemográficas. Por lo general, las mujeres de estratos económicos más bajos, sin derechohabiencia y con menores niveles educativos, registraron prácticas de detección inferiores a la media nacional.

Keywords: Breast Cancer; Health Inequalities; Early Detection of Cancer; Demography; Mexico.

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