Abstract P5-09-12: The importance of education for adherence to mammographic screening in the Brazilian public health services

Abstract

Abstract Introduction: A third of the registration of new cases of breast cancer in Brazil corresponds to locally advanced or late diagnosed disease. The benefits of screening in this sense become evident and measurable in terms of their temporal extent and adherence of the target population to its recommendations. Unlike the organized mammographic screening where there is call, breast health education, monitoring and enforcement of the intervals between examinations, in the opportunistic model, individuals are subject to the recommendations from the spontaneous demand by health services. Objective: To determine the influence of education in breast cancer for adherence to mammographic screening in brazilian public health services. Methods: This is a cross-sectional, descriptive and comparative study between two groups of women with (group A, n=136) and without (group B, n=128) knowledge about breast cancer, who appeared in the Center of Detection, Diagnosis and Monitoring (CDDM) for organized screening. For this were interviewed 264 women in relation to the realization of previous mammograms in the last three years. The repetition of examinations, respecting the range of 24 months was defined as criteria to classify participants in adherent or not to screening. Results: Both groups of women had a similar mean age (50.2 ± 9.2 and 49.5 ± 9.5 years; p>0.05). Of the respondents, 77.2% (n=204) reported mammographic screening before joining the CDDS, however highest proportion was registered in group A (64.8%). Sixty women denied conducting prior mammography with predominance in the Group B (93.4% vs 6.6%, p<0.05). One hundred forty-four women were adherent to screening, 90.2% (n=130) of these belonged to group A. The remaining variables (education, occupation, family income, distance between place of residence and mammography center and personal / family history of breast cancer) were not associated with adherence to screening (p>0.05). Conclusion: The decrease in the adherence to conducting periodic mammography observed in group B reflects the opportunistic character of the screening in the country, where it loses the chance to sensitize women through education to improve their effective adhesion. Acknowledgements to the Brazilian Ministry of Health for their support to the study. Citation Format: Blanco EC, Ribeiro IM, Nascimento CCP, da Silva CA, Abrah㯀 CF, Borges MM. The importance of education for adherence to mammographic screening in the Brazilian public health services. [abstract]. In: Proceedings of the Thirty-Eighth Annual CTRC-AACR San Antonio Breast Cancer Symposium: 2015 Dec 8-12; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2016;76(4 Suppl):Abstract nr P5-09-12.