title: [Prevalence of non-utilization of mammography and associated factors in elderly women].
abstract: This study analyzes the prevalence of non-utilization of mammography among older women, according to socio-demographic variables, health status, and use of preventive health services. This was a cross-sectional study including women 60 years or older. We interviewed 4,621 women 60 to 106 years of age; the majority were widows (51.8%) and had little or no schooling (53.8%). Most (89%) reported health problems, and 66.4% used private medical care. Prevalence of self-reported mammography was 72.1%. Gynecological visits (PR = 2.39; 95%CI: 2.04-2.80), Pap smear (PR = 3.24; 95%CI: 2.89-3.63), years of schooling (PR = 1.07; 95%CI: 1.02-1.12), health care insurance (PR = 1.16; 95%CI: 1.11-1.20), physician visits (PR = 1.23; 95%CI: 1.11-1.37), age (PR = 1.12; 95%CI: 1.08-1.17), marital status (PR = 1.05; 95%CI: 1.00-1.09), and barriers to health services (PR = 0.94; 95%CI: 0.89-0.98) were also associated with non-utilization of mammography. These associations may be partially explained by lack of knowledge, poor access to public health services, and cultural factors related to the aging process and reproductive incapacity.
authors.affiliation: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil. novaes.cristiane@gmail.com
authors.forename: Cristiane de Oliveira
authors.initials: Cde O
authors.lastname: Novaes
authors.forename: Inês Echenique
authors.initials: IE
authors.lastname: Mattos
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000502:physiology*; D001938:Brazil / Q000453:epidemiology; D001943:Breast Neoplasms / Q000517:prevention & control*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data*; D017533:Marital Status; D008403:Mass Screening; D015995:Prevalence; D012959:Socioeconomic Factors