Use of Cervical Cancer Screening among Patients of Primary Healthcare Services: Northeast Portugal
Background: Understanding the overuse and underuse of cervical cancer (CC) screening plays a role in preventing such behaviours, allowing to maximize the CC screening uptake. Aim: To assess the predictors of being over-screened and never/under-screened in CC screening in Northeast Portugal. Methods:...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2022-04-01
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| Series: | Portuguese Journal of Public Health |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/522666 |
| _version_ | 1817987231206342656 |
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| author | Cristina Teixeira Celeste Antão Eugénia Anes Maria José Gomes Ana Versos Conceição Tomé |
| author_facet | Cristina Teixeira Celeste Antão Eugénia Anes Maria José Gomes Ana Versos Conceição Tomé |
| author_sort | Cristina Teixeira |
| collection | DOAJ |
| description | Background: Understanding the overuse and underuse of cervical cancer (CC) screening plays a role in preventing such behaviours, allowing to maximize the CC screening uptake. Aim: To assess the predictors of being over-screened and never/under-screened in CC screening in Northeast Portugal. Methods: This is a part of a larger cross-sectional survey carried out in two public health centres in Northeast Portugal (October 2017 to June 2018). Data collection was based on a face-to-face interview. This analysis included 764 women (aged 25–60 years) classified according to the use of CC screening into guideline-consistent screened, over-screened and unscreened/under-screened. Multivariate logistic regression models were conducted to assess predictors of being over-screened and never/under-screened. Adjusted odds ratio (OR) and respective 95% confidence interval (95% CI) were obtained. Results: One-fourth (n = 197) of participants were unscreened/under-screened and 50.0% (n = 382) of them were classified as over-screened. Regular visits with primary care physicians (OR = 0.44; 95% CI: 0.26–0.76) and higher age (OR = 0.98; 95% CI: 0.96–1.00) reduced the odds of being unscreened/under-screened. Women who received prescription/recommendation for CC screening from primary care physician (OR = 1.89; 95% CI: 1.09–3.29) or both primary care physician and nurse (OR = 2.62; 95% CI: 1.10–6.22) were more likely to be over-screened. Higher level of CC health literacy decreases the odds of being over-screened (OR = 0.95; 95% CI: 0.90–1.00) and unscreened/under-screened (OR = 0.87; 95% CI: 0.82–0.92). The majority of over-screened (52.2%) and of under-screened (44.2%) women reported that their screening frequency was based on healthcare provider prescription. Among never-screened women, 60.2% reported that no one prescribed screening. Conclusion: The increase in CC health literacy can maximize CC screening uptake. Primary healthcare providers could play a role in preventing the overuse and underuse of CC screening. |
| first_indexed | 2024-04-14T00:18:28Z |
| format | Article |
| id | doaj.art-cf4c0a1bf65c41edb457991778e92d1d |
| institution | Directory Open Access Journal |
| issn | 2504-3137 2504-3145 |
| language | English |
| last_indexed | 2024-04-14T00:18:28Z |
| publishDate | 2022-04-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Portuguese Journal of Public Health |
| spelling | doaj.art-cf4c0a1bf65c41edb457991778e92d1d2022-12-22T02:23:02ZengKarger PublishersPortuguese Journal of Public Health2504-31372504-31452022-04-011810.1159/000522666522666Use of Cervical Cancer Screening among Patients of Primary Healthcare Services: Northeast PortugalCristina Teixeira0Celeste Antão1https://orcid.org/0000-0003-1721-5836Eugénia Anes2https://orcid.org/0000-0001-8474-3474Maria José Gomes3https://orcid.org/0000-0001-9825-8293Ana Versos4Conceição Tomé5EPIUnit – Instituto de Saúde Pública, Universidade do Porto, Porto, PortugalInstituto Politécnico de Bragança, Campus de Santa Apolónia, Bragança, PortugalInstituto Politécnico de Bragança, Campus de Santa Apolónia, Bragança, PortugalInstituto Politécnico de Bragança, Campus de Santa Apolónia, Bragança, PortugalUnidade Local de Saúde do Nordeste, Bragança, PortugalUnidade Local de Saúde do Nordeste, Bragança, PortugalBackground: Understanding the overuse and underuse of cervical cancer (CC) screening plays a role in preventing such behaviours, allowing to maximize the CC screening uptake. Aim: To assess the predictors of being over-screened and never/under-screened in CC screening in Northeast Portugal. Methods: This is a part of a larger cross-sectional survey carried out in two public health centres in Northeast Portugal (October 2017 to June 2018). Data collection was based on a face-to-face interview. This analysis included 764 women (aged 25–60 years) classified according to the use of CC screening into guideline-consistent screened, over-screened and unscreened/under-screened. Multivariate logistic regression models were conducted to assess predictors of being over-screened and never/under-screened. Adjusted odds ratio (OR) and respective 95% confidence interval (95% CI) were obtained. Results: One-fourth (n = 197) of participants were unscreened/under-screened and 50.0% (n = 382) of them were classified as over-screened. Regular visits with primary care physicians (OR = 0.44; 95% CI: 0.26–0.76) and higher age (OR = 0.98; 95% CI: 0.96–1.00) reduced the odds of being unscreened/under-screened. Women who received prescription/recommendation for CC screening from primary care physician (OR = 1.89; 95% CI: 1.09–3.29) or both primary care physician and nurse (OR = 2.62; 95% CI: 1.10–6.22) were more likely to be over-screened. Higher level of CC health literacy decreases the odds of being over-screened (OR = 0.95; 95% CI: 0.90–1.00) and unscreened/under-screened (OR = 0.87; 95% CI: 0.82–0.92). The majority of over-screened (52.2%) and of under-screened (44.2%) women reported that their screening frequency was based on healthcare provider prescription. Among never-screened women, 60.2% reported that no one prescribed screening. Conclusion: The increase in CC health literacy can maximize CC screening uptake. Primary healthcare providers could play a role in preventing the overuse and underuse of CC screening.https://www.karger.com/Article/FullText/522666cervical cancermass screeningsecondary preventionearly diagnosis of diseasewomen’s healthhealth literacy |
| spellingShingle | Cristina Teixeira Celeste Antão Eugénia Anes Maria José Gomes Ana Versos Conceição Tomé Use of Cervical Cancer Screening among Patients of Primary Healthcare Services: Northeast Portugal Portuguese Journal of Public Health cervical cancer mass screening secondary prevention early diagnosis of disease women’s health health literacy |
| title | Use of Cervical Cancer Screening among Patients of Primary Healthcare Services: Northeast Portugal |
| title_full | Use of Cervical Cancer Screening among Patients of Primary Healthcare Services: Northeast Portugal |
| title_fullStr | Use of Cervical Cancer Screening among Patients of Primary Healthcare Services: Northeast Portugal |
| title_full_unstemmed | Use of Cervical Cancer Screening among Patients of Primary Healthcare Services: Northeast Portugal |
| title_short | Use of Cervical Cancer Screening among Patients of Primary Healthcare Services: Northeast Portugal |
| title_sort | use of cervical cancer screening among patients of primary healthcare services northeast portugal |
| topic | cervical cancer mass screening secondary prevention early diagnosis of disease women’s health health literacy |
| url | https://www.karger.com/Article/FullText/522666 |
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