title: [Human Development Index and secondary prevention of breast and cervical cancer: an ecological study].
abstract: This ecological study assessed mammography and Papanicolaou test (Pap smear) screening rates and their association with the Human Development Index (HDI) in Brazilian state capitals and Federal District in 2011, based on VIGITEL telephone survey data. More than 70% of women had a mammogram some time in life in all the state capitals, while the Pap smear rates any time in life and in the previous three years fell short of the 80% target in most state capitals. There was a strong positive correlation between HDI and the test rates (r = 0.52 and 0.66 for mammogram any time in life and in the previous two years and r = 0.66 and 0.71 for Pap smear any time in life and in the previous three years, respectively). Prevalence ratio (PR) for mammogram in the previous two years was 1.06 (95%CI: 1.01-1.10) and PR for Pap smear in the previous three years was 1.07 (IC95%: 1.04-1.10). The promotion of public health policies that encourage Brazil's urban economic and social development should help increase coverage for these tests.
authors.affiliation: Universidade Federal do Espírito Santo, Vitória, Brasil.
authors.forename: Ana Daniela Izoton de
authors.initials: AD
authors.lastname: Sadovsky
authors.affiliation: Universidade Federal de Pelotas, Pelotas, Brasil.
authors.forename: Wanêssa Lacerda
authors.initials: WL
authors.lastname: Poton
authors.affiliation: Universidade Federal de Pelotas, Pelotas, Brasil.
authors.forename: Bárbara
authors.initials: B
authors.lastname: Reis-Santos
authors.affiliation: Universidade Federal do Espírito Santo, Vitória, Brasil.
authors.forename: Mara Rejane Barroso
authors.initials: MR
authors.lastname: Barcelos
authors.affiliation: Universidade Federal de Pelotas, Pelotas, Brasil.
authors.forename: Inacio Crochemore Mohnsam da
authors.initials: IC
authors.lastname: Silva
mesh_terms: D000328:Adult; D000368:Aged; D001938:Brazil; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000517:prevention & control*; D005260:Female; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data*; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D065006:Papanicolaou Test; D055502:Secondary Prevention / Q000379:methods*; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000517:prevention & control*; D014626:Vaginal Smears / Q000706:statistics & numerical data*