International Journal of Preventive Medicine (Int J Prev Med)2008-78021082019092821262126ENDepartment of Surgical Oncology, Hospital General Tacuba, ISSSTE & Department of Surgery, Faculty of Medicine, National Autonomous University of Mexico, Mexico CityDepartment of Gynecology and Obstetrics. Hospital General Tacuba, ISSSTE, Mexico City20190904<p><span><strong>Background: </strong><span>Our main aim was to investigate whether the employment condition modifies the use <span>patterns of the screening mammography in workers insured by the Mexican government (<span><em>Instituto </em><span><em>de Seguridad y Servicios Sociales de los Trabajadores del Estado</em><span>, ISSSTE; medical facilities of the <span>Mexican government). </span></span></span></span></span></span></span></p><p><span><span><span><span><span><span><span><span><strong>Methods: </strong><span>A case–control study age‑matched was done in women insured<br /><span>by the Mexican government, aged 40–69 years, attending a general hospital (ISSSTE). All subjects <span>were submitted to an interview and anthropometric data registry. In the interview were obtained: <span>demographic data, of schooling, breast cancer family history, and reproductive history; besides, <span>mammography history during the past 2 years and place of performance (in or outside of the <span>ISSSTE). Finally, it was evaluated whether the mammography use in the ISSSTE was related to <span>their employment condition: Active workers (cases) vs. dependents or retired workers (controls).<br /></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p><p><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><strong>Results: </strong><span>The sample was of 252 women: 126 cases and 126 controls. Cases obtained less <span>mammograms in the ISSSTE (<span><em>P </em><span>= 0.03, odds ratio = 0.54, 95% confidence interval, CI 0.30–0.96), <span>than their dependents or the retired workers. Furthermore, cases with high education (university or <span>higher) also obtained fewer mammograms in the ISSSTE (<span><em>P </em><span>= 0.03, odds ratio = 0.26, 95% CI<br /><span>0.05–0.93). </span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p><p><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><strong>Conclusions: </strong><span>Women active workers with higher education are obtaining less screening <span>mammograms in the ISSSTE than their dependents or the retired workers.<br /></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p><p><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><strong>Keywords: </strong><span><em>Breast neoplasms, epidemiology, mammography, México, neoplasms, radiology</em></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span><br /></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p>http://ijpm.mui.ac.ir/index.php/ijpm/article/view/2126http://ijpm.mui.ac.ir/index.php/ijpm/article/download/2126/717717989