Format

Send to

Choose Destination
Prev Med. 2018 Jan;106:216-223. doi: 10.1016/j.ypmed.2017.11.002. Epub 2017 Nov 8.

Breast cancer related perceptions and practices of health professionals working in Brazil's network of primary care units.

Author information

1
Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, United States.
2
Department of Health Management and Informatics, University of Missouri School of Medicine, One Hospital Drive, CE707 CS&E Bldg, Columbia, MO 65212, United States.
3
Prevention Research Center in St. Louis, Brown School, Washington University in St. Louis, St. Louis, MO 63130, United States.
4
Prevention Research Center in St. Louis, Brown School, Washington University in St. Louis, St. Louis, MO 63130, United States; Department of Surgery and Alvin J. Siteman Cancer Center, Washington University School of Medicine, Washington University in St. Louis, St. Louis, MO 63130, United States.
5
Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, United States. Electronic address: yzs2@cdc.gov.

Abstract

In 2004 the Brazilian National Cancer Institute (INCA) established breast cancer screening guidelines for women in Brazil: annual clinical breast exam for women age 40-49 and biennial mammogram for women age 50-69. Healthcare provider's adherence to these guidelines is currently unknown. The objective of this study is to describe the perceptions and practices related to breast cancer screening among physicians, nurses, and health unit coordinators working in the network of primary healthcare units (HCUs) in Brazil. In 2011, 1600 primary HCUs were randomly sampled from all regions in Brazil. At each HCU the coordinator and one health professional were asked to participate in a telephone survey to gathered information on their knowledge, attitudes, and practices related to breast cancer screening. Participation rates for coordinators, physicians, and nurses were 78%, 34%, and 65% respectively. Health unit coordinators identified numerous barriers that prevent patients from receiving appropriate screening, many (44%) were unaware of INCA cancer screening guidelines. Despite a high perceived impact of INCA guidelines, a majority of physicians and nurses did not follow them. Most physicians and nurses recommended mammograms on an annual basis (~75%) and 50.9% of nurses and 25.1% of physicians initiated routine breast cancer screening in women under age 40. Physicians and nurses in Brazil screen at younger ages and more frequently than recommended by INCA guidelines. Given that primary HCUs are the source of health care for many women, interventions that educate healthcare providers on the appropriate ages and intervals for breast cancer screening may prove useful.

KEYWORDS:

Brazil; Breast; Breast cancer; Breast cancer screening; Cancer screening; Clinical breast exam; Mammography; Nurse; Physician

PMID:
29128409
PMCID:
PMC5813797
[Available on 2019-01-01]
DOI:
10.1016/j.ypmed.2017.11.002

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center