Abstract
Studies on health behaviors have observed several barriers to breast cancer screening, including lack of breast cancer knowledge, distrust of health care providers, and long waiting times to be screened or to receive screening results. We conducted a nested case-control study among a subsample of 200 women 21 years of age and older [100 patients (cases)], who had been diagnosed with breast cancer, and 100 controls, who were screened and found to be free of breast cancer), all residing in the Toluca metropolitan area in central Mexico. We examined how knowledge of breast cancer screening guidelines, perceptions of screening methods, and quality of health care influenced the use of breast cancer screening among study participants. Our study found that the most important factor associated with the decision to have breast cancer screenings was having a positive perception of the quality of care provided by the local health care centers, such as having competent clinic personnel, sufficient screening equipment, and reasonable waiting times to receive screening and to receive the screening results. Therefore, individual health care centers need to focus on the patients’ perception of the services received by optimizing the care provided and, in so doing, increase the rates of early diagnosis and reduce the rate of mortality from breast cancer as well as its associated treatment costs.
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Acknowledgments
We thank the participants for their cooperation and participation in the research and the staff from the Centro Oncológico del Instituto de Seguridad Social del Estado de México y Municipios for providing the data.
Funding
This work was partially supported by grants from the Universidad Autónoma del Estado de México [2484/2007 to L.P.B.M.]; Fondos de Consolidación 2009 [S81109 to L.P.B.M.]; Consejo Nacional de Ciencia y Tecnología [to A.B.C.C.]; National Institutes of Health, National Center for Minority Health Disparities [P60-MD000503 to M.A.H.V.]; Fulbright-García Robles Scholarship Program [to M.A.H.V.]; and the Kellogg Health Scholars Program of the W. K. Kellogg Foundation to the Center for Advancing Health [P0117943 to S.R.H.].
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Andrea B. Cruz-Castillo and María A. Hernández-Valero are co-first authors.
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Cruz-Castillo, A.B., Hernández-Valero, M.A., Hovick, S.R. et al. A Study on the Knowledge, Perception, and Use of Breast Cancer Screening Methods and Quality of Care Among Women from Central Mexico. J Canc Educ 30, 453–459 (2015). https://doi.org/10.1007/s13187-014-0722-y
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DOI: https://doi.org/10.1007/s13187-014-0722-y