دورية أكاديمية
Determinants of non attendance to mammography program in a region with high voluntary health insurance coverage
| العنوان: | Determinants of non attendance to mammography program in a region with high voluntary health insurance coverage |
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| المؤلفون: | Sánchez-Contador Carmen, Leiva Alfonso, Ripoll Joana, Esteva Magdalena, Collado Francisca |
| المصدر: | BMC Public Health, Vol 8, Iss 1, p 387 (2008) |
| بيانات النشر: | BMC |
| سنة النشر: | 2008 |
| المجموعة: | Directory of Open Access Journals: DOAJ Articles |
| مصطلحات موضوعية: | Public aspects of medicine, RA1-1270 |
| الوصف: | Background High participation rates are needed to ensure that breast cancer screening programs effectively reduce mortality. We identified the determinants of non-participation in a public breast cancer screening program. Methods In this case-control study, 274 women aged 50 to 64 years included in a population-based mammography screening program were personally interviewed. Socio-demographic characteristics, health beliefs, health service utilization, insurance coverage, prior mammography and other preventive activities were examined. Results Of the 192 cases and 194 controls contacted, 101 and 173, respectively, were subsequently interviewed. Factors related to non-participation in the breast cancer screening program included higher education (odds ratio [OR] = 5.28; 95% confidence interval [CI95%] = 1.57–17.68), annual dental checks-ups (OR = 1.81; CI95%1.08–3.03), prior mammography at a private health center (OR = 7.27; CI95% 3.97–13.32), gynecologist recommendation of mammography (OR = 2.2; CI95%1.3–3.8), number of visits to a gynecologist (median visits by cases = 1.2, versus controls = 0.92, P = 0.001), and supplemental private insurance (OR = 5.62; CI95% = 3.28–9.6). Among women who had not received a prior mammogram or who had done so at a public center, perceived barriers were the main factors related to non-participation. Among women who had previously received mammograms at a private center, supplemental private health insurance also influenced non-participation. Benign breast symptoms increased the likelihood of participation. Conclusion Our data indicate that factors related to the type of insurance coverage (such as prior mammography at a private health center and supplemental private insurance) influenced non-participation in the screening program. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 1471-2458 |
| العلاقة: | http://www.biomedcentral.com/1471-2458/8/387Test; https://doaj.org/toc/1471-2458Test; https://doaj.org/article/f1708144f1314a449aef953d89e54d38Test |
| DOI: | 10.1186/1471-2458-8-387 |
| الإتاحة: | https://doi.org/10.1186/1471-2458-8-387Test https://doaj.org/article/f1708144f1314a449aef953d89e54d38Test |
| رقم الانضمام: | edsbas.BE65823B |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 14712458 |
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| DOI: | 10.1186/1471-2458-8-387 |