[Performance of mammography and Papanicolaou among rural women in Mexico].
OBJECTIVE
To analyze the frequency of reporting a recently conducted mammogram and/or pap smear and follow-up of abnormal findings among rural poor women in Mexico.


METHODS
We performed a cross-sectional analysis using data collected in the ENCEL 2007 - Oportunidades survey carried out between July - November, 2007. We used multilevel logistic regression to model the use of mammography and pap smears.


RESULTS
We found a low frequency of reported recent mammogram among the rural poor from 30-39 years old (12%) and 40-49 years old (16%) and a low frequency of reported medical follow-up of abnormal findings (60%), particularly among women at higher risk because of age or abnormal findings. These findings were associated with a lack of availability of medical resources and being of indigenous origin.


CONCLUSIONS
It is fundamental to strengthen both access to and follow-up of mammography and papsmears, particularly among high-risk rural women in order to reduce the level of mortality associated with breast and cervical-uterine cancer.
Sosa-Rubí
Sandra G
SG
Instituto Nacional de Salud Pública, Av. Universidad 655, col. Santa María Ahuacatitlán, 62508 Cuernavaca, Morelos. srubi@correo.insp.mx
Walker
Dilys
D
Serván
Edson
E
D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data*; D008800:Mexico; D008875:Middle Aged; D015999:Multivariate Analysis; D065006:Papanicolaou Test; D012423:Rural Health; D014626:Vaginal Smears / Q000706:statistics & numerical data*; D055815:Young Adult