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Implementation of cancer prevention practices in primary care: results of a cohort study in Chile 2018-2022.
- Source :
-
Public health [Public Health] 2024 Nov; Vol. 236, pp. 168-174. Date of Electronic Publication: 2024 Sep 07. - Publication Year :
- 2024
-
Abstract
- Objectives: The burden of cancer is increasing rapidly in Latin America. Primary care has an essential role in cancer prevention, but implementation levels of prevention practices are not well known. This study evaluated implementation levels and associated factors of cancer preventive practices in primary care over time.<br />Study Design: The study incorporated a retrospective multicentre cohort study.<br />Methods: A population of 59,949 patients registered at three primary care clinics was followed from January 2018 to December 2022 in Santiago, Chile. We studied human papillomavirus (HPV) and hepatitis B virus (HBV) immunisation, brief counselling for smoking cessation and alcohol consumption, and cervical and breast cancer screening practices. Standardised electronic medical records were utilised as the source of information. Social, clinical, and organisational factors associated with prevention practices were studied.<br />Results: The cohort attrition level was 17.1%. Most of the population was of a low socioeconomic status, and 70% visited a primary health centre yearly. Implementation rates of immunisation practices were 90.84% for HPV and 80.94% for HBV in 2022. In contrast, brief counselling for smoking and alcohol consumption was below 20% during the study period. Cervical cancer screening decreased by 25.58% between 2018 and 2022, whereas breast cancer screening reached only 41.71% of the target population. Opportunistic medical visits were strongly associated with brief counselling and breast cancer screening.<br />Conclusion: Implementation practices for cancer prevention in a Chilean primary care cohort are high for immunisation and very low for brief counselling and screening practices. A comprehensive non-medical-based model is needed to improve cancer prevention in primary care.<br /> (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
- Subjects :
- Adult
Aged
Female
Humans
Male
Middle Aged
Young Adult
Breast Neoplasms prevention & control
Chile epidemiology
Cohort Studies
Papillomavirus Infections prevention & control
Papillomavirus Vaccines administration & dosage
Retrospective Studies
Uterine Cervical Neoplasms prevention & control
Early Detection of Cancer statistics & numerical data
Neoplasms prevention & control
Neoplasms epidemiology
Primary Health Care
Health Plan Implementation
Subjects
Details
- Language :
- English
- ISSN :
- 1476-5616
- Volume :
- 236
- Database :
- MEDLINE
- Journal :
- Public health
- Publication Type :
- Academic Journal
- Accession number :
- 39243704
- Full Text :
- https://doi.org/10.1016/j.puhe.2024.08.006