Abstract

ARBOLEDA RUIZ, Walter Antonio; BETANCURTH LOAIZA, Diana Paola  and  CORREA RAMIREZ, Luz Ángela. MAMMOGRAM FREQUENCY AND CLINICAL BREAST EXAM IN WOMEN UNDER THE SUBSIDIZED HEALTH REGIME- MANIZALES (CALDAS). Hacia promoc. Salud [online]. 2012, vol.17, n.2, pp.125-135. ISSN 0121-7577.

Objective: To determine the scope of breast clinical exam and screening for cancer mammogram in a group of women under the subsidized health regime in the municipality of Manizales. Materials and Methods: Observational, transversal type study. Telephone interviews were carried out with 352 women in ages between 50 and 69 years old, resident in the urban and rural areas of the municipality of Manizales during the fourth trimester in 2010. The scope of screening was assessed as the proportion of women with mammogram and clinical breast exam history and women with personal record of breast cancer were excluded. Life frequency, frequency in the last two years and in the previous year was estimated. Factors associated with the screening practice were analyzed using the adjusted OR calculation. Results: Frequency of useful life of the clinical exam was 56% and mammogram was 42.3% from which 3 and 7% were diagnoses respectively (asymptomatic women); the rest were done for screening purposes. Through screening, 53.1% had had clinical exam during the previous year and 24.7% had had mammograms during the last two years. Relationship of the different variables with the carrying out of mammograms was not found. Conclusions: There is low coverage of mammogram and clinical breast exam through screening in women under the subsidized health regime in spite of the recommendations generated by Social Protection Ministry and the National Study of Cancer Institute.

Keywords : Screening; mammogram; health services coverage; physical exam.

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