Prevalence and predictors of breast and cervical cancer screening among Spanish women with diabetes

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Authors
Jiménez-Garcia, Rodrigo
Hernandez-Barrera, Valentin
Carrasco-Garrido, Pilar
Gil, Angel
Issue Date
2009-05-26
Type
Article
Language
en_US
Keywords
Prevalence , Predictors , Breast Cancer , Screening , Spanish Women , Diabetes
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Abstract
OBJECTIVE: To examine the use of mammography and Papanicolaou (Pap) smear among women with diabetes and to identify predictors of adherence to these tests. RESEARCH DESIGN AND METHODS: We analyzed data of a nationally representative sample of Spanish women. Diabetes status was self-reported. Screenings were assessed asking whether they had a mammography (≥40 years) and a Pap smear (18–69 years) within the previous 2 and 3 years, respectively. RESULTS: Women with diabetes were less likely to receive mammography (57.9%) or have a Pap smear (61.5%) than women without diabetes (mammography 61.9%, P < 0.05; Pap smear 65.6%, P < 0.05). After adjusting for age, educational level, income, comorbidity, tobacco use, obesity, and physician visits, the corresponding odds ratios remained significant (0.84, 95% CI 0.72–0.97) and (0.82, 95% CI 0.66–0.98). Higher educational level was a positive predictor for both tests among diabetic women. CONCLUSIONS: Spanish women with diabetes underuse breast and cervical cancer screening tests.
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Jiménez-Garcia, R., Hernandez-Barrera, V., Carrasco-Garrido, P., & Gil, A. (2009). Prevalence and predictors of breast and cervical cancer screening among Spanish women with diabetes. Diabetes care, 32(8), 1470–1472. https://doi.org/10.2337/dc09-0479
Publisher
Diabetes Care
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