title: Mammographic Screening of Women Attending a Reference Service Center in Southern Brazil.
abstract: BACKGROUND
  To investigate the prevalence of and factors associated with performance of annual mammography by women above 40 years of age.
  
  
  METHODS
  This cross-sectional retrospective study was conducted at an oncology reference service in Southern Brazil from October 2013 to October 2014 with 525 women aged 40 years or older.
  
  
  RESULTS
  The prevalence of annual mammography was 54.1%; annual mammographic screening was performed for women without private medical insurance, who were under hormone replacement therapy and who had used contraception in the past. An association was found between non-performance of breast clinical and self-examination and non-performance of mammographic screening.
  
  
  CONCLUSIONS
  Use of mammography for breast cancer screening in the public health care setting proved to be accessible; nevertheless, the proportion of screened women was low, and they exhibited poor adherence to the basic measures of care recommended for breast assessment. Thus, control of breast cancer requires implementing actions targeting the population most vulnerable to non-adherence to screening in addition to continuously monitoring and assessing that population to reduce the prevalence of this disease.
authors.affiliation: Department of Health Science, Graduate Program in Health Science, Maringa State University, Parana, Brazil E-mail : tiaracri@gmail.com.
authors.forename: Tiara Cristina
authors.initials: TC
authors.lastname: Romeiro Lopes
authors.forename: Angela Andreia
authors.initials: AA
authors.lastname: Franca Gravena
authors.forename: Marcela de Oliveira
authors.initials: Mde O
authors.lastname: Demitto
authors.forename: Sheila Cristina Rocha
authors.initials: SC
authors.lastname: Brischiliari
authors.forename: Deise Helena Pelloso
authors.initials: DH
authors.lastname: Borghesan
authors.forename: Catia Millene
authors.initials: CM
authors.lastname: Dell Agnolo
authors.forename: Maria Dalva de Barros
authors.initials: MD
authors.lastname: Carvalho
authors.forename: Sandra Marisa
authors.initials: SM
authors.lastname: Pelloso
mesh_terms: D000328:Adult; D000368:Aged; D001938:Brazil / Q000453:epidemiology; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000453:epidemiology; D018270:Carcinoma, Ductal, Breast / Q000175:diagnosis* / Q000453:epidemiology; D018275:Carcinoma, Lobular / Q000175:diagnosis* / Q000453:epidemiology; D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data*; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging; D011379:Prognosis; D012017:Referral and Consultation; D012189:Retrospective Studies; D016353:Self-Examination