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Socioeconomic position and breast cancer screening use in Chile: A population-based study
Indexado
WoS WOS:001414083400001
Scopus SCOPUS_ID:85215562657
DOI 10.1016/J.PMEDR.2025.102973
Año 2025
Tipo artículo de investigación

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



Background: Breast cancer screening is crucial for the early detection of the disease. Although several studies have examined the relationship between socioeconomic factors and mammography use, the impact of socioeconomic position (SEP) in countries undergoing demographic and epidemiological transitions-marked by a rising cancer incidence-and passive breast cancer screening programs in the search of the target population remains understudied. Objective: To analyze the relationship between SEP in the use of breast cancer screening in Chile during 2022. Methods: Data from the 2022 National Socioeconomic Characterization Survey was utilized for this study. The sample consisted of women aged 50-69 who were asked about their mammography screening history within the past three years. The relationship between SEP and breast cancer screening was analyzed using multilevel logitbinomial regression models. Results: The study included 26,337 women, of whom 66.9 % reported having undergone mammography in the past three years. Three SEP indicators were associated with non-use of mammography. These factors were primary education level or lower (Prevalence ratio = 1.20; 95 % CI 1.08-1.33. Ref: tertiary level), belonging to the low-income quintiles (eg: Quintile I (Prevalence ratio = 1.49; 95 % CI 1.30-1.69) and II (Prevalence ratio = 1.41; 95 % CI 1.24-1.60). Ref: quintile V) and being unemployed (Prevalence ratio = 1.34; 95 % CI 1.18-1.51) or working in service and commerce (Prevalence ratio = 1.21; 95 % CI 1.06-1.39) (Ref: Managers and professionals). Conclusions: Low SEP was significantly associated with the non-use of mammography. To improve mammography screening rates, it is essential to adopt strategies that incorporate both equity and territorial considerations.

Revista



Revista ISSN
Preventive Medicine Reports 2211-3355

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Disciplinas de Investigación



WOS
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Scopus
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SciELO
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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

Colaboración Institucional



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Autores - Afiliación



Ord. Autor Género Institución - País
1 Guerrero-Nancuante, Camilo - Universidad de Chile - Chile
Universidad de Valparaíso - Chile
2 Eguiguren, Pamela - Universidad de Chile - Chile
3 Abarca-Baeza, Isabel - Ministerio de Salud - Chile
UNIV AUTONOMA BARCELONA - España
Ministerio de Salud de Chile - Chile
Universitat Autònoma de Barcelona - España
4 Guzman, Isabel - Universidad de Chile - Chile
5 GARMENDIA-MIGUEL, MARIA LUISA Mujer Universidad de Chile - Chile

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Financiamiento



Fuente
Beca de Doctorado Nacional
Agencia Nacional de Investigación y Desarrollo
Agencia Nacional de Investigacio<acute accent>n y Desar-rollo

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Agradecimientos



Agradecimiento
The authors would like to thank to EquityCancer-LA project team for support during the development of the manuscript. Camilo Guerrero-Nancuante were funded by Agencia Nacional de Investigacio<acute accent>n y Desar-rollo (ANID) -Human capital Subdivision/National Doctorate/2022/21220560.
This work was supported by the Agencia Nacional de Investigaci\u00F3n y Desarrollo (ANID), Beca de Doctorado Nacional [grant numbers 21220560 , 2022]. The funding source had no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the article or in the decision to submit it for publication.
This work was supported by the Agencia Nacional de Investigaci\u00F3n y Desarrollo (ANID), Beca de Doctorado Nacional [grant numbers 21220560 , 2022]. The funding source had no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the article or in the decision to submit it for publication.

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