Skip to main content
Log in

Inequalities in the use of mammography in Spain: effect of caring for disabled family

  • Brief Report
  • Published:
International Journal of Public Health

Abstract

Objective

To examine the association between caring for disabled household members and the use of mammography in Spain during the 2 years before the interview.

Methods

Weighted cross-sectional data from the 2006 National Health Survey in Spain. Using logistic regression models we analyzed the association between the dependent variable and caring for disabled family members.

Results

After adjusting for predisposing, enabling and need determinants of the use of mammography screening, having primary caregiving responsibilities for disabled family members-dependent persons, was associated with a lower probability of having received a mammogram (OR 0.56; 95 % CI 0.32–0.98).

Conclusions

Although women in Spain have incorporated mammography into their preventive healthcare regimen, inequalities in its use persist in some groups of women such those with primary caregiving responsibilities for disabled family members.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  • Andersen RM (1995) Revisiting the behavioral model and access to medical care: does it matter? J Health Soc Behav 36:1–10

    Article  PubMed  CAS  Google Scholar 

  • Baker LA, Silverstein M (2008) Preventive health behaviours among grandmothers raising grandchildren. J Gerontol B Psychol Sci Soc Sci 63:S304–S311

    Article  PubMed  Google Scholar 

  • Borda A, Sanz B, Otero L et al (2011) Travel time and participation in breast cancer screening in a region with high population dispersion. Gac Sanit 25:151–156

    Article  PubMed  Google Scholar 

  • Castells X, Sala M, Ascunce N et al (2006) Descripción del cribado del cáncer en España. Proyecto DESCRIC. Madrid: Plan de Calidad para el Sistema Nacional de Salud. Ministerio de Sanidad y Consumo. Agència d’Avaluació de Tecnologia i Recerca Mediques de Cataluña; 2007. Informes de Evaluación de Tecnologías Sanitarias, AATRM núm. 2006/01. http://aunets.isciii.es/ficherosproductos/70/AATRM%202006-01.pdf. Accessed 4 Mar 2011

  • Consedine NS (2011) The demographic, system, and psychosocial origins of mammographic screening disparities: prediction of initiation versus maintenance screening among immigrant and non-immigrant women. J Immigr Minor Health 9 [Epub ahead of print]

  • Ferlay J, Shin HR, Bray F, Forman D, Mathers C, Parkin DM (2010) GLOBOCAN 2008 v1.2, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 10 [Internet]. International Agency for Research on Cancer, Lyon, France. http://globocan.iarc.fr. Accessed 22 Sept 2011

  • García-Calvente M, del Río-Lozano M, Marcos-Marcos J (2011) Desigualdades de género en el deterioro de la salud como consecuencia del cuidado informal en España. Gaceta Sanitaria 25(suppl 2):100–107

    Google Scholar 

  • Glaser K, Grundy E (2002) Class, caring and disability: evidence from the British Retirement Survey. Ageing Soc 22:325–342

    Article  Google Scholar 

  • Instituto Nacional de Estadística. Encuesta Nacional de Salud (2006) Metodología detallada. http://www.ine.es/metodologia/t15/t153041906.pdf. Accessed 9 Feb 2011

  • Kinnear H, Connolly S, Rosato M et al (2010) Are caregiving responsibilities associated with non-attendance at breast screening? BMC Public Health 10:749

    Article  PubMed  Google Scholar 

  • Palència L, Espelt A, Rodríguez-Sanz M et al (2010) Socio-economic inequalities in breast and cervical cancer screening practices in Europe: influence of the type of screening program. Int J Epidemiol 39:757–765

    Article  PubMed  Google Scholar 

  • Perry N, Broeders M, de Wolf C, Tornberg S, Holland R, Von KL (2008) European guidelines for quality assurance in breast cancer screening and diagnosis. Fourth edition—summary document. Ann Oncol 19:614–622

    Article  PubMed  CAS  Google Scholar 

  • Pons-Vigués M, Puigpinós-Riera R, Rodríguez-Sanz M et al (2011) Preventive control of breast and cervical cancer in immigrant and native women in Spain: the role of country of origin and social class. Int J Health Serv 41:483–499

    Article  PubMed  Google Scholar 

  • Sanz-Barbero B, Otero L, Blasco T (2012) The effect of distance on the use of emergency hospital services in a Spanish region with high population dispersion: a multilevel analysis. Med Care 50:27–34

    Article  PubMed  Google Scholar 

  • Sanz B, Regidor E, Galindo S et al (2011) Pattern of health services use by immigrants from different regions of the world residing in Spain. Int J Public Health 56:567–576

    Article  PubMed  Google Scholar 

  • Sanz-Barbero B, Galindo S, Regidor E (2011) Impact of geographic origin on gynecological cancer screening in Spain. Rev Saúde Pública 45:1019–1026

    Article  PubMed  Google Scholar 

  • Schueler KM, Chu PW, Smith-Bindman R (2008) Factors associated with mammography utilization: a systematic quantitative review of the literature. J Womens Health (Larchmt) 17:1477–1498

    Article  Google Scholar 

  • Snijders TAB, Bosker RJ (1999) Multilevel analysis: an introduction to basic and advanced multilevel modelling. Sage Publications, Thousand Oaks, pp 13–37

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Belén Sanz-Barbero.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Sanz-Barbero, B., Sopacua, M., Otero-García, L. et al. Inequalities in the use of mammography in Spain: effect of caring for disabled family. Int J Public Health 57, 953–957 (2012). https://doi.org/10.1007/s00038-012-0395-4

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00038-012-0395-4

Keywords

Navigation