Knowledge and practices of users of primary health care on breast cancer control
DOI:
https://doi.org/10.34019/1982-8047.2020.v46.29607Keywords:
Primary Health Care, Mass Screening, Breast Neoplasms, MammographyAbstract
Introduction: In comprehensive care for women, developed in primary health care, the importance of actions related to the control of breast cancer is highlighted, one of the main causes of illness and death of women. In comparison with developed countries that have well-structured early detection programs, Brazil still has high mortality rates. Objective: To investigate the adequacy of the knowledge and practices of primary care users regarding breast cancer screening, based on the recommendations of the National Cancer Institute (INCA). Material and Methods: Descriptive cross-sectional study using a structured questionnaire applied to users of a primary health care service aged 25 to 69 years. Prevalence of appropriate practices and their association with sociodemographic factors were estimated. Results: Although almost all women have heard of mammography and most knew of its purpose, none had an entirely adequate knowledge of breast cancer screening. The prevalence of appropriate practice for their age group was 34.4% (95% CI: 28.0% -41.3%), with a higher proportion for younger users (84,1%; 95% CI: 75,1-93,2%). Conclusion: The knowledge of primary health care users on breast cancer screening is still very precarious. This is reflected in the inadequacy of practices in relation to mammography. Health education actions can reverse this situation and potentially lead to a positive impact on the health of the female population.
Downloads
References
Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018; 68(6):394-424. doi:10.3322/caac.21492
Ministério da Saúde (MS). Instituto Nacional de Câncer José Alencar Gomes da Silva. Estimativa 2018: incidência de câncer no Brasil. Rio de Janeiro: INCA; 2018. [citado em 2019 Nov 11]. Disponível em: https://www.inca.gov.br/publicacoes/livros/estimativa-2018-incidencia-de-cancer-no-brasil.
Nelson HD, Fu R, Cantor A, Pappas M, Daeges M, Humphrey L. Effectiveness of breast cancer screening: systematic review and meta-analysis to update the 2009 U.S. Preventive Services Task Force Recommendation. Ann Intern Med. 2016; 164(4):244-55. doi:10.7326/M15-0969
Ministério da Saúde (BR). Portaria nº 874, de 16 de maio de 2013. Institui a Política Nacional para a Prevenção e Controle do Câncer na Rede de Atenção à Saúde das Pessoas com Doenças Crônicas no âmbito do Sistema Único de Saúde (SUS). Brasil: Ministério da Saúde; 2013. [citado em 2019 Nov 11]. Disponível em: http://bvsms.saude.gov.br/bvs/saudelegis/gm/2013/prt0874_16_05_2013.html.
Ministério da Saúde (BR). Instituto Nacional de Câncer José Alencar Gomes da Silva. Diretrizes para a detecção precoce do câncer de mama no Brasil/ Instituto Nacional de Câncer José Alencar Gomes da Silva. Rio de Janeiro: INCA; 2015.
International Agency for Research on Cancer. IARC Working Group on the Evaluation of Cancer-Preventive Strategies. Breast cancer screening. 2nd edition. Lyon: International Agency for Research on Cancer; 2014. [citado em 2019 Nov 11]. Disponível em: http://publications.iarc.fr/Book-And-Report-Series/Iarc-Handbooks-Of-Cancer-Prevention/Breast-Cancer-Screening-2016
Silva GAE, Souza-Júnior PRB, Damacena GN, Szwarcwald CL. Early detection of breast cancer in Brazil: data from the National Health Survey, 2013. Rev Saude Publica. 2017; 51(suppl 1):14s. doi:10.1590/S1518-8787.2017051000191
Toan DTT, Son DT, Hung LX, Minh LN, Mai DL, Hoat LN. Knowledge, attitude, and practice regarding breast cancer early detection among women in a mountainous area in Northern Vietnam. Cancer Control. 2019; 26(1):1073274819863777. doi:10.1177/1073274819863777
Moraes DC, Almeida AM, Figueiredo EN, Loyola EA, Panobianco MS. Opportunistic screening actions for breast cancer performed by nurses working in primary health care. Rev Esc Enferm USP. 2016; 50(1):14-21. doi:10.1590/S0080-623420160000100002
Urban LABD, Chala LF, Bauab SDP, Schaefer MB, Dos Santos RP, Maranhão NMA et al. Breast cancer screening: updated recommendations of the Brazilian College of Radiology and Diagnostic Imaging, Brazilian Breast Disease Society, and Brazilian Federation of Gynecological and Obstetrical Associations. Radiol Bras. 2017 Jul-Aug; 50(4):244-49. doi:10.1590/0100-3984.2017-0069
Jacome EM, Silva RM, Gonçalves MLC, Collares PMC, Barbosa IL. Detecção de Câncer de Mama: Conhecimento, Atitude e Prática dos médicos e enfermeiros da Estratégia Saúde da Família de Mossoró, RN, Brasil. Rev. bras. Cancerol. 2011 Jan-Mar; 57(2):189-98. Disponível em: https://rbc.inca.gov.br/site/arquivos/n_57/v02/pdf/06_artigo_deteccao_cancer_mama_conhecimento_atitude_pratica_medicos_enfermeiros_estrategia_saude_familia_mossoro_RN_brasil.pdf
Molino CGRC, Romano-Lieber NS, Ribeiro E, Melo DO. Comparison of the methodological quality and transparency of Brazilian practice guidelines. Cien Saude Colet. 2019; 24(10):3947-56. doi:10.1590/1413-812320182410.24352017
Buranello MC, Meirelles MCCC, Walsh IAP, Pereira GA, Castro SS. Breast cancer screening practice and associated factors: women's health survey in Uberaba MG Brazil, 2014. Cien Saude Colet. 2018; 23(8):2661-70. doi:10.1590/1413-81232018238.14762016
Corrêa CSL, Pereira LC, Leite ICG, Fayer VA, Guerra MR, Bustamante-Teixeira MT. Rastreamento do câncer de mama em Minas Gerais: avaliação a partir de dados dos sistemas de informações do Sistema Único de Saúde. Epidemiol Serv Saúde. 2017; 26(3):481-92. doi:10.5123/s1679-49742017000300006
Santos-Silva I. Políticas de controle do câncer de mama no Brasil: quais são os próximos passos? Cad Saúde Pública. 2018; 34(6). doi:10.1590/0102-311x00097018
Matos JC, Pelloso SM, Carvalho MDB. Fatores associados à realização da prevenção secundária do câncer de mama no Município de Maringá, Paraná, Brasil. Cad Saúde Pública. 2011; 27(5):888-98. doi: 10.1590/S0102-311X2011000500007
Oliveira RDP, Santos MCL, Moreira CB, Fernandes AFC. Detection of breast cancer: knowledge, attitude, and practice of Family Health Strategy Women. J Cancer Educ. 2018; 33(5):1082-87. doi:10.1007/s13187-017-1209-4
Lages RB, Oliveira Gda P, Simeão Filho VM, Nogueira FM, Teles JB, Vieira SC. Inequalities associated with lack of mammography in Teresina-Piauí-Brazil, 2010-2011. Rev Bras Epidemiol. 2012; 15(4):737-47. doi: doi:10.1590/s1415-790x2012000400006
Silva RP, Gigante DP, Amorim MHC, Leite FMC. Factors associated with having mammography examinations in primary health care users in Vitória, Espírito Santo, Brazil. Epidemiol Serv Saude. 2019; 28(1):e2018048. doi:10.5123/S1679-49742019000100010
Vyas A, Madhavan S, LeMasters T, Atkins E, Gainor S et al. Factors influencing adherence to mammography screening guidelines in Appalachian women participating in a mobile mammography program. J Community Health. 2012; 37(3):632-46. doi:10.1007/s10900-011-9494-z
Vieira RA, Lourenço TS, Mauad EC, Moreira Filho VG, Peres SV, Silva TB et al. Barriers related to non-adherence in a mammography breast-screening program during the implementation period in the interior of São Paulo State, Brazil. J Epidemiol Glob Health. 2015; 5(3):211-9. doi:10.1016/j.jegh.2014.09.007
Casa Civil (BR). Lei nº 11.664/08 de 29 de abril de 2008. Dispõe sobre a efetivação de ações de saúde que assegurem a prevenção, a detecção, o tratamento e o seguimento dos cânceres do colo uterino e de mama, no âmbito do Sistema Único de Saúde – SUS. [citado em 2019 Nov 11]. Disponível em: https://www2.camara.leg.br/legin/fed/lei/2008/lei-11664-29-abril-2008-574731-norma-pl.html
Kwok C, Tranberg R, Lee FC. Breast cancer knowledge, attitudes and screening behaviors among Indian-Australian women. Eur J Oncol Nurs. 2015; 19(6):701-6. doi:10.1016/j.ejon.2015.05.004
Rodrigues JD, Cruz MS, Paixão AN. An analysis of breast cancer prevention in Brazil. Cien Saude Colet. 2015; 20(10):3163-76. doi:10.1590/1413-812320152010.20822014
Marinho LA, Cecatti JG, Osis MJ, Gurgel MS. Knowledge, attitude and practice of mammography among women users of public health services. Rev Saude Publica. 2008; 42(2):200-7. doi: 10.1590/S0034-89102008005000006
George TO, Allo TA, Amoo EO, Olonade O. Knowledge and attitudes about breast cancer among women: a wake-up call in Nigeria. Open Access Maced J Med Sci. 2019; 7(10):1700-1705. doi:10.3889/oamjms.2019.221
Anwar SL, Tampubolon G, Van Hemelrijck M, Hutajulu SH, Watkins J et al. Determinants of cancer screening awareness and participation among Indonesian women. BMC Cancer. 2018; 18(1):208. doi:10.1186/s12885-018-4125-z
Sathian B, Asim M, Mekkodathil A, James S, Mancha A, Ghosh A. Knowledge regarding breast self-examination among the women in Nepal: a meta-analysis. Nepal J Epidemiol. 2019; 9(2):761-768. doi:10.3126/nje.v9i2.24684
Ministério da Saúde (BR). Instituto Nacional de Câncer. Parâmetros para o rastreamento do câncer de mama: recomendações para gestores estaduais e municipais. Rio de Janeiro: INCA; 2009. [citado em 2019 Nov 03]. Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/parametros_rastreamento_cancer_mama.pdf.
Downloads
Published
How to Cite
Issue
Section
License
Cessão de Primeira Publicação à HU Revista
Os autores mantém todos os direitos autorais sobre a publicação, sem restrições, e concedem à HU Revista o direito de primeira publicação, com o trabalho licenciado sob a Licença Creative Commons Attribution que permite o compartilhamento irrestrito do trabalho, com reconhecimento da autoria e crédito pela citação de publicação inicial nesta revista, referenciando inclusive seu DOI.
