Abstract
To identify proximal, intermediary and individual social determinants related to mammography adherence, according to the Social Determinants of Health model proposed by Dahlgren and Whitehead. Method: Correlational cross-sectional study, carried out with a sociodemographic and clinical data questionnaire and the Champion's Health Belief Model Scale, translated and adapted for use in Brazil. Data analyzed by multiple linear regression, from the domains scale, and sociodemographic and clinical variables were used as predictors. The age group of 60-64 years (55.0%) was highlighted, 22 (55.0%) women had a stable partner; and 14 (65.0%) completed higher education. The domain with the greatest influence on adhesion to mammography was perceived barriers. The social determinants of health are directly related to the levels of adherence to the exam among women, as well as the perceived benefits, susceptibilities and barriers.
Highlights
Brazil has seen transformations, reflecting the social, economic and cultural history in the composition of the various regions, states and municipalities, in a scenario of inequalities that spans centuries and persists to the present day
The present study aimed to identify the proximal, intermediary and individual social determinants related to adhesion to mammography in the light of the Social Determinants of Health (SDH) model, proposed by Dahlgren and Whitehead[7]
The present study reports a new aspect in the fact that it has raised several aspects of SDH and their relation to mammography adhesion via Champion’s Health Belief Model Scale (CHBMS), a scale used on world-wide basis, but which until now was not available for use in Brazil
Summary
Brazil has seen transformations, reflecting the social, economic and cultural history in the composition of the various regions, states and municipalities, in a scenario of inequalities that spans centuries and persists to the present day From this perspective, the twentieth century is of particular importance, since it is influenced by the growth of the international market, in which capitalist forms of production, labor and consumption are installed; based on these dynamics, the process of industrialization and urbanization develops more rapidly, triggering intense and contrasting changes in the evolution of the population’s health conditions, as well as in the emergence of health inequalities[1]. These aspects may have a positive or negative influence on adherence to the diagnostic examination
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