Table 2.
Knowledge and Perceptions About Use of Breast Cancer Screening Services Among Women Workers in Monterrey, Mexico, 2006
| Factor | Casea (n = 153) No. (%) | Controlb (n = 153) No. (%) | OR (95% CI)c |
|---|---|---|---|
| Accurate knowledge (educational factors) | |||
| Utility of BSE | 87 (56.9) | 151 (98.7) | 57.3 (13.7–239.7) |
| Utility of CBE | 133 (86.9) | 150 (98.0) | 7.5 (2.2–25.9) |
| Utility of mammography | 128 (83.7) | 145 (94.8) | 3.5 (1.5–8.1) |
| BSE screening guidelines | 45 (29.4) | 119 (77.8) | 8.4 (5.0–14.0) |
| CBE screening guidelines | 41 (26.8) | 143 (93.5) | 39.1 (18.8–81.4) |
| Mammography screening guidelines | 29 (19.0) | 97 (63.4) | 7.4 (4.4–12.5) |
| Screening guidelines index | 18 (11.8) | 109 (71.2) | 18.6 (10.1–34.0) |
| Sociocultural factors | |||
| CBE: No fear or embarrassment | 112 (73.2) | 142 (92.8) | 4.7 (2.3–9.6) |
| Mammography: No fear or embarrassment | 116 (75.8) | 135 (88.2) | 2.4 (1.3–4.4) |
| Perceptions of medical care: organizational and structural factors | |||
| CBE: Enough time to wait for and obtain | 35 (22.9) | 70 (45.8) | 6.2 (3.7–10.2) |
| Mammography: Enough time to wait for and obtain | 30 (19.6) | 68 (44.4) | 3.3 (2.0–5.5) |
| CBE: Enough equipment and personneld | 31 (62.0) | 141 (92.2) | 7.2 (3.2–16.4) |
| Mammography: Enough equipment and personnele | 14 (46.7) | 24 (77.4) | 3.9 (1.3–11.8) |
| CBE: Quality of attentiond | 34 (68.0) | 48 (31.4) | 13.9 (4.8–40.7) |
| Mammography: Quality of attentione | 14 (46.7) | 24 (77.4) | 3.9 (1.3– 11.8) |
OR indicates odds ratio; CI, confidence interval; BSE, breast self-examination; CBE, clinical breast examination.
a
A case was defined as lack of at least one CBE during the previous year by surveyed women. For women older than 40, a case was further defined as lack of at least one mammogram in the previous 2 years and, for women older than 50, in the previous year.
b
A control was defined as adherence by surveyed women to the above guidelines.
c
P < .001.
d
Among women who received at least one CBE in their lifetime (153 controls, 50 cases).
e
Among women aged 40 or older (31 controls, 30 cases).