Purpose

There is little information on the supportive care offered to breast cancer patients. We investigated the association between the marginalization index and selected services offered by health professionals.

Methods

We used data from a cross-sectional parent study performed in Mexico from 2007 to 2009. We analyzed data from 832 women between 35 and 69 years of age with a histopathological diagnosis of breast cancer. This study was performed in hospitals in 5 states. We used frequencies, measures of central tendency, and logistic regression. We used the svy package of STATA statistical software v17.

Results

Overall, 15.6% of the study population reported that health professionals offered them selected services. The offer of two or more selected services was greater among women living in states with a very high marginalization index (21.8%) than among those living in states with a very low marginalization index (13.8%). Among women living in states with high marginalization, the odds of receiving a selected service offer were 2.03 times higher than those living in states with low marginalization (Odds ratio (OR) = 2.03, 95% CI 1.08–3.83). For women in the highest tertile of the asset index, the odds of receiving a selected service offer were 2.7 times greater than the odds for women in the lowest tertile (OR = 2.66, 95% CI 1.03–6.88).

Conclusion

The prevalence of comprehensive care offered to breast cancer patients is low in Mexico and varies according to the marginalization index and the asset index.

中文翻译：

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边缘化指数及其与乳腺癌患者综合护理中选定服务的关系

目的

关于为乳腺癌患者提供的支持性护理的信息很少。我们调查了边缘化指数与卫生专业人员提供的选定服务之间的关联。

方法

我们使用了 2007 年至 2009 年在墨西哥进行的一项横断面家长研究的数据。我们分析了 832 名 35 至 69 岁之间组织病理学诊断为乳腺癌的女性的数据。这项研究是在 5 个州的医院进行的。我们使用频率、集中趋势度量和逻辑回归。我们使用STATA统计软件v17的svy包。

结果

总体而言，15.6% 的研究人群表示卫生专业人员向他们提供了选定的服务。生活在边缘化指数非常高的州的妇女 (21.8%) 比生活在边缘化指数非常低的州的妇女 (13.8%) 提供的两种或更多选定服务更多。在生活在边缘化程度高的州的女性中，获得选定服务的几率比生活在边缘化程度低的州的女性高 2.03 倍（比值比 (OR) = 2.03，95% CI 1.08–3.83）。对于资产指数最高三分位数的女性来说，获得选定服务的几率是最低三分位数女性的 2.7 倍（OR = 2.66，95% CI 1.03–6.88）。

结论

在墨西哥，为乳腺癌患者提供的综合护理的普及率较低，并且根据边缘化指数和资产指数的不同而有所不同。