Abstract
We measured asset-based and education-based inequity in utilization of 2 cancer screening tests, Pap tests and mammograms, using nationally representative surveys conducted in 2003, 2008, and 2013. Utilization of Pap tests (ages 25-59 years) and mammograms (ages 50-69 years) increased over time. Asset-based and education-based inequities declined significantly for both screening tests, particularly among women who reported a doctor visit in the previous year. This decline coincided with increases in the coverage of primary health care in Brazil. However, barriers persisted; in 2013, college-educated women were still 2.27 times more likely to have a mammogram than those who were illiterate.
Original language | English (US) |
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Pages (from-to) | 257-266 |
Number of pages | 10 |
Journal | Journal of Ambulatory Care Management |
Volume | 43 |
Issue number | 3 |
DOIs | |
State | Published - Jul 1 2020 |
Keywords
- Brazil
- Concentration Index of Inequality
- Relative Index of Inequality
- access
- cancer screening
- primary care
ASJC Scopus subject areas
- Health Policy