Please use this identifier to cite or link to this item: http://hdl.handle.net/1822/29712

TitleAdherence to cervical and breast cancer programs is crucial to improving screening performance
Author(s)Longatto Filho, Adhemar
Mauad, Edmund C.
Nicolau, S. M.
Moreira, L. F.
Haikel Jr., Raphael L.
Baracat, Edmund Chada
KeywordsBrazil
Breast cancer
Cancer screening
Cervical cancer
Early detection
Early diagnosis
Mobile unit
Issue dateSep-2009
PublisherDeakin University
JournalRural and Remote Health
Abstract(s)INTRODUCTION: Cervical and breast cancer are the most common malignancies among women worldwide. Effective screening can facilitate early detection and dramatically reduce mortality rates. The interface between those screening patients and patients most needing screening is complex, and women in remote areas of rural counties face additional barriers that limit the effectiveness of cancer prevention programs. This study compared various methods to improve compliance with mass screening for breast and cervical cancer among women in a remote, rural region of Brazil. METHODS: In 2003, a mobile unit was used to perform 10,156 mammograms and Papanicolaou smear tests for women living in the Barretos County region of São Paulo state, Brazil (consisting of 19 neighbouring cities). To reach the women, the following community outreach strategies were used: distribution of flyers and pamphlets; media broadcasts (via radio and car loudspeakers); and community healthcare agents (CHCAs) making home visits. RESULTS: The most useful intervention appeared to be the home visits by healthcare agents or CHCAs. These agents of the Family Health Programme of the Brazilian Ministry of Health reached an average of 45.6% of those screened, with radio advertisements reaching a further 11.9%. The great majority of the screened women were illiterate or had elementary level schooling (80.9%) and were of 'poor' or 'very poor' socioeconomic class (67.2%). CONCLUSIONS: Use of a mobile screening unit is a useful strategy in developing countries where local health systems have inadequate facilities for cancer screening in underserved populations. A multimodal approach to community outreach strategies, especially using CHCAs and radio advertisements, can improve the uptake of mass screening in low-income, low-educational background female populations.
TypeArticle
DescriptionPublicado online
URIhttp://hdl.handle.net/1822/29712
ISSN1445-6354
Publisher versionhttp://www.rrh.org.au/articles/subviewnew.asp?ArticleID=1241
Peer-Reviewedyes
AccessOpen access
Appears in Collections:ICVS - Artigos em Revistas Internacionais com Referee

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