Factors related to mammography adherence among women in Brazil: A scoping review.
Camila Brasil Moreira, V Susan Dahinten, A Fuchsia Howard and 2 others
PMID 34388860WHAT IT FOUND
In Brazil, mammography adherence was linked to older age, urban residence, southeast region, higher education, higher income, health insurance and recent medical appointments.
Race was not consistently linked. These are associations from cross-sectional studies.
Key findings
01Older age, urban residence and living in southeast Brazil were associated with higher mammography adherence.
02Higher education, higher income and health insurance were consistently associated with mammography adherence.
03A recent medical appointment was associated with mammography adherence in all seven investigations that measured it.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Most included studies were cross-sectional, so they cannot show that a factor caused mammography adherence. The studies used different definitions of adherence, including within 2 years, ever versus never, and other time frames, making direct comparison difficult. Only 11 of the 22 studies measured adherence within the last 2 years, the national guideline time frame. Many factors were tested in only a few studies; 24 of 41 factors were included in three or fewer studies. Eight investigations used only bivariate analysis, and none reported effect sizes. Adherence rates varied widely because samples included high-risk women and national survey populations. The review excluded grey literature, so unpublished studies may be missing.
Declared interests
The authors declared no conflict of interest.
The easy way to misread this
Do not read these factors as causes of higher mammography uptake. The review did not test interventions, and most included studies were cross-sectional, so they cannot show that changing one factor would improve screening.