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[Estimated mammogram coverage in Goiás State, Brazil]
Rosangela da Silveira Corrêa1, Ruffo Freitas-Júnior, João Emílio Peixoto
1Centro Regional de Ciências Nucleares do Centro-Oeste, Comissão Nacional de Energia Nuclear, Abadia de Goiás, Brasil. rcorrea@cnen.gov.br
Mammogram coverage in Goiás, Brazil, is insufficient, with only 61-66% of women screened. The Brazilian Unified National Health System provides limited screening, highlighting a need for more mammograms to meet public health goals.
Area of Science:
- Public Health
- Radiology
- Health Services Research
Context:
- Breast cancer screening is crucial for early detection and improved outcomes.
- Mammography is the primary imaging modality for breast cancer screening.
- Understanding mammogram coverage is essential for effective public health interventions.
Purpose:
- To estimate mammogram coverage in the State of Goiás, Brazil.
- To analyze mammogram supply, demand, and variations across age groups and service types.
- To determine the number of mammograms needed to achieve 70% and 100% coverage.
Summary:
- This cross-sectional study evaluated 98 mammography services in Goiás, Brazil.
- Full coverage estimates were 61% (ages 40-69) and 66% (ages 50-69), with the public system contributing only 13-14%.
- Significant disparities in mammogram rates were associated with geographical distribution, service type, and age group, with 43,424 additional mammograms required for 70% coverage.
Impact:
- Mammogram coverage in Goiás is unevenly distributed and falls short of recommended targets.
- Findings highlight critical gaps in breast cancer screening access within the Brazilian public health system.
- The study underscores the need for increased mammography services to meet population health demands and reduce disparities.
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