4.7 Article

Prevalence and Predictors of Breast and Cervical Cancer Screening Among Spanish Women With Diabetes

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DIABETES CARE
卷 32, 期 8, 页码 1470-1472

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AMER DIABETES ASSOC
DOI: 10.2337/dc09-0479

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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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