Adherence to cervical and breast cancer programs is crucial to improving screening performance

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dc.contributor.author Mauad, Edmond C.
dc.contributor.author Nicolau, Sergio M. [UNIFESP]
dc.contributor.author Moreira, Luiz F.
dc.contributor.author Haikel, Rafael L.
dc.contributor.author Longatto-Filho, Adhemar
dc.contributor.author Baracat, Edmund Chada [UNIFESP]
dc.date.accessioned 2018-06-18T11:54:42Z
dc.date.available 2018-06-18T11:54:42Z
dc.date.issued 2009-07-01
dc.identifier http://www.rrh.org.au/articles/subviewnew.asp?ArticleID=1241
dc.identifier.citation Rural And Remote Health. Deakin West: Australian Rural Health Educ Network, v. 9, n. 3, 10 p., 2009.
dc.identifier.issn 1445-6354
dc.identifier.uri http://repositorio.unifesp.br/11600/45529
dc.description.abstract Introduction: Cervical and breast cancer are the most common malignancies among women worldwide. Effective screening can facilitate early detection and dramatically reduce mortality rates. The interface between those screening patients and patients most needing screening is complex, and women in remote areas of rural counties face additional barriers that limit the effectiveness of cancer prevention programs. This study compared various methods to improve compliance with mass screening for breast and cervical cancer among women in a remote, rural region of Brazil.Methods: In 2003, a mobile unit was used to perform 10 156 mammograms and Papanicolaou smear tests for women living in the Barretos County region of Sao Paulo state, Brazil (consisting of 19 neighbouring cities). To reach the women, the following community outreach strategies were used: distribution of flyers and pamphlets; media broadcasts (via radio and car loudspeakers); and community healthcare agents (CHCAs) making home visits.Results: The most useful intervention appeared to be the home visits by healthcare agents or CHCAs. These agents of the Family Health Programme of the Brazilian Ministry of Health reached an average of 45.6% of those screened, with radio advertisements reaching a further 11.9%. The great majority of the screened women were illiterate or had elementary level schooling (80.9%) and were of 'poor' or 'very poor' socioeconomic class (67.2%).Conclusions: Use of a mobile screening unit is a useful strategy in developing countries where local health systems have inadequate facilities for cancer screening in underserved populations. A multimodal approach to community outreach strategies, especially using CHCAs and radio advertisements, can improve the uptake of mass screening in low-income, low-educational background female populations. en
dc.format.extent 10
dc.language.iso eng
dc.publisher Australian Rural Health Educ Network
dc.relation.ispartof Rural And Remote Health
dc.rights Acesso aberto
dc.subject Brazil en
dc.subject breast cancer en
dc.subject cancer screening en
dc.subject cervical cancer en
dc.subject early detection en
dc.subject early diagnosis en
dc.subject mobile unit en
dc.title Adherence to cervical and breast cancer programs is crucial to improving screening performance en
dc.type Artigo
dc.contributor.institution Barretos Canc Hosp
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.contributor.institution Univ Fed Rio Grande do Sul
dc.contributor.institution Univ Minho
dc.contributor.institution Universidade de São Paulo (USP)
dc.description.affiliation Barretos Canc Hosp, Dept Canc Screening, Sao Paulo, Brazil
dc.description.affiliation Univ Fed Sao Paulo, Sch Med, Dept Gynaecol, Sao Paulo, Brazil
dc.description.affiliation Univ Fed Rio Grande do Sul, BR-90046900 Porto Alegre, RS, Brazil
dc.description.affiliation Univ Minho, Life & Hlth Sci Res Inst ICVS, Sch Hlth Sci, Braga, Portugal
dc.description.affiliation Univ Sao Paulo, Sao Paulo, Brazil
dc.description.affiliationUnifesp Univ Fed Sao Paulo, Sch Med, Dept Gynaecol, Sao Paulo, Brazil
dc.description.source Web of Science
dc.identifier.wos WOS:000207803400019



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