title: [Access barriers in early diagnosis of breast cancer in the Federal District and Oaxaca].
abstract: OBJECTIVE
  To identify social, cultural and health service barriers that prevent timely access to early detection of breast cancer in two regions: Mexico City Federal District and the state of Oaxaca.
  
  
  METHODS
  An exploratory cross-sectional qualitative study was carried out in 2008 among women under 25 years of age without pathology, with pathological diagnosis, their male partners and managers of several public and private institutions. Information was collected by focus groups and through interviews that were recorded and transcribed after having received informed consent.
  
  
  RESULTS
  Initial exploration allowed the identification of access barriers in three main areas: a) the availability of information for the general population, b) training of first-contact general practitioners and gynecologists, and c) fears among couples and families.
  
  
  CONCLUSIONS
  Barriers in the three levels identified are relevant as they reveal important deficiencies in the dissemination of information both to the general population and to health providers.
authors: Innovación en Sistemas y Servicios de Salud CISS/INSP, México. gnigenda@insp.mx
authors: Gustavo
authors: G
authors: Nigenda
authors: Marta
authors: M
authors: Caballero
authors: Luz María
authors: LM
authors: González-Robledo
mesh_terms: D001943:Breast Neoplasms / Q000175:diagnosis*; D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D008800:Mexico; D008875:Middle Aged