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Use of cervical cancer screening among patients of primary healthcare services: Northeast Portugal

2022Journal article Open access
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dc.contributor.authorTeixeira, Cristina
dc.contributor.authorAntão, Celeste
dc.contributor.authorAnes, Eugénia
dc.contributor.authorGomes, Maria José
dc.contributor.authorVersos, Ana
dc.contributor.authorTomé, Conceição
dc.date.accessioned2022-05-26T14:19:26Z
dc.date.available2022-05-26T14:19:26Z
dc.date.issued2022
dc.description.abstractUnderstanding 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, overscreened 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 underscreened (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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationTeixeira, Cristina; Antão, Celeste; Anes, Eugénia; Gomes, Maria José; Versos, Ana; Tomé, Conceição (2022). Use of cervical cancer screening among patients of primary healthcare services: Northeast Portugal. Portuguese Journal of Public Health. ISSN 2504-3145. p. 1-8pt_PT
dc.identifier.doi10.1159/000522666pt_PT
dc.identifier.eissn2504-3137
dc.identifier.issn2504-3145
dc.identifier.urihttp://hdl.handle.net/10198/25545
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherS. Karger AGpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectCervical cancerpt_PT
dc.subjectMass screeningpt_PT
dc.subjectSecondary preventionpt_PT
dc.subjectEarly diagnosis of diseasept_PT
dc.subjectWomen’s healthpt_PT
dc.subjectHealth literacypt_PT
dc.titleUse of cervical cancer screening among patients of primary healthcare services: Northeast Portugalpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage8pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titlePortuguese Journal of Public Healthpt_PT
person.familyNameTeixeira
person.familyNameAntão
person.familyNameAnes
person.familyNameGomes
person.givenNameCristina
person.givenNameCeleste
person.givenNameEugénia
person.givenNameMaria José
person.identifierX-5933-2018
person.identifier.ciencia-id6E12-F2A0-568F
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person.identifier.ciencia-idA610-FE92-8B8B
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person.identifier.orcid0000-0003-1721-5836
person.identifier.orcid0000-0001-8474-3474
person.identifier.orcid0000-0001-9825-8293
person.identifier.ridO-2296-2013
person.identifier.scopus-author-id55207402700
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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