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与查乳房镜中的异常结果比例相关的因素:生态研究

Tatiana do Valle Lovato Sverzut¹, Inara Pereira da Cunha², Karine Laura Cortellazi¹

¹Universidade Estadual de Campinas (Unicamp), Faculdade de Odontologia de Piracicaba, Departamento de Ciências da Saúde e Odontologia Infantil. Piracicaba, São Paulo, Brasil.

Revista gaucha de enfermagem

|June 28, 2023

概括

较高的查性乳腺扫描率和增加的家庭健康战略 (FHS) 覆盖率与更高比例的异常乳腺扫描结果有关. 这些因素对于正在进行的对抗乳腺癌的斗争至关重要.

科学领域:

公共卫生公共卫生
在瘤学瘤学.
医疗保健服务研究医疗服务研究

背景情况:

乳腺癌查乳房显微镜对于早期检测至关重要.
了解影响异常乳房扫描结果的因素是有效的公共卫生战略的关键.

研究的目的:

为了确定与异常查乳房扫描结果的比例相关的因素在巴西圣保罗.
分析社会经济和医疗保健覆盖范围对乳腺造影结果的影响.

主要方法:

使用2016-2019年数据进行的生态研究.
分析包括645个市镇的50-69岁妇女.
使用多重波桑回归来评估与异常结果的关联 (BI-RADS® 0,4,5).

主要成果:

较高的查乳房扫描率与更高比例的异常结果相关 (PR=1.20).
家庭健康战略 (FHS) 的覆盖率增加低 (PR=1.20),低 (PR=1.57) 和中等 (PR=1.30) 也与更多异常发现相关.
这些发现突显了查强度和医疗保健系统因素之间的复杂相互作用.

结论:

社会经济地位和FHS覆盖率显著影响了乳房图片中异常结果的比例.
这些因素是公共卫生倡议对乳腺癌控制的关键考虑因素.
优化FHS和解决社会经济差异可能会影响查的有效性.

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