Utilize este identificador para referenciar este registo: http://hdl.handle.net/10451/25063
Título: Cancer screening in Portugal: sex differences in prevalence, awareness of organized programmes and perception of benefits and adverse effects
Autor: Costa, Ana Rute
Silva, Susana
Moura-Ferreira, Pedro
Cabral, Manuel Villaverde
Santos, Osvaldo
Carmo, Isabel do
Barros, Henrique
Lunet, Nuno
Palavras-chave: Early detection of cancer
Health knowledge
Data: 2016
Editora: John Wiley & Sons Ltd
Resumo: BACKGROUND: Cancer screening has contributed to downward trends in cancer mortality, but is also associated with adverse effects, which highlights the importance of promoting the participation based on informed decisions. OBJECTIVES: We aimed to describe the use of cancer screening (either in organized programmes or as opportunistic screening), awareness of organized programmes and perception of its potential benefits and adverse effects, depicting possible sex differences. DESIGN AND METHODS: We evaluated 1624 Portuguese-speaking dwellers, aged between 16 and 79 years, through face-to-face interviews. To quantify sex differences, adjusted prevalence ratios and respective 95% confidence intervals were computed using Poisson regression. RESULTS: Among eligible age groups, the lifetime prevalence of screening for breast and cervical cancers was 89.8 and 71.9%, respectively. The prevalence was 23.7% for colorectal cancer and no significant sex differences were observed. Prostate cancer screening was reported by 63.8% of men. Over half of the participants referred that cancers such as prostate, skin, lung and stomach should be screened for, in addition to those for which organized programmes are recommended. Reassurance by negative results was identified as the main potential benefit of screening by nearly one-third of men and women. Anxiety while waiting for results was the most mentioned potential adverse effect (60.4%); men refer less often this and financial costs, although statistical significance of these results was borderline. CONCLUSIONS: This study provides a benchmark to plan and monitor the effects of awareness-raising interventions, as well as for international comparisons across countries with different cancer prevention and control structures.
Descrição: © 2016 The Authors. Health Expectations Published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Peer review: yes
URI: http://hdl.handle.net/10451/25063
DOI: 10.1111/hex.12450
ISSN: 1369-6513
Versão do Editor: http://onlinelibrary.wiley.com/doi/10.1111/hex.12450/full
Aparece nas colecções:FM-IMPSP-Artigos em Revistas Nacionais

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