Colorectal Cancer Prevention in Córdoba, Argentina: a multi-methodological approach to strengthen public policies for territorial implementation
In Argentina, colorectal cancer (CRC) ranks second in incidence and mortality for both sexes. With a survival rate of over 90% when diagnosed early, the fecal occult blood test is suggested as a population screening method for the population aged 50 to 75 years without specific risks for this pathol...
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| Autores principales: | , , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2023
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/42737 |
| Aporte de: |
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I10-R327-article-42737 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
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I-10 |
| repository_str |
R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
COLORRECTAL CANCER Health Vulnerability Primary Prevention Population screening Implementation CANCER COLORRECTAL Vulnerabilidad en Salud Prevención Primaria Tamizaje poblacional Implementación . |
| spellingShingle |
COLORRECTAL CANCER Health Vulnerability Primary Prevention Population screening Implementation CANCER COLORRECTAL Vulnerabilidad en Salud Prevención Primaria Tamizaje poblacional Implementación . Aparicio, ML Butinof , M Tumas , N Gaydou, JP Retamar , A Colorectal Cancer Prevention in Córdoba, Argentina: a multi-methodological approach to strengthen public policies for territorial implementation |
| topic_facet |
COLORRECTAL CANCER Health Vulnerability Primary Prevention Population screening Implementation CANCER COLORRECTAL Vulnerabilidad en Salud Prevención Primaria Tamizaje poblacional Implementación . |
| author |
Aparicio, ML Butinof , M Tumas , N Gaydou, JP Retamar , A |
| author_facet |
Aparicio, ML Butinof , M Tumas , N Gaydou, JP Retamar , A |
| author_sort |
Aparicio, ML |
| title |
Colorectal Cancer Prevention in Córdoba, Argentina: a multi-methodological approach to strengthen public policies for territorial implementation |
| title_short |
Colorectal Cancer Prevention in Córdoba, Argentina: a multi-methodological approach to strengthen public policies for territorial implementation |
| title_full |
Colorectal Cancer Prevention in Córdoba, Argentina: a multi-methodological approach to strengthen public policies for territorial implementation |
| title_fullStr |
Colorectal Cancer Prevention in Córdoba, Argentina: a multi-methodological approach to strengthen public policies for territorial implementation |
| title_full_unstemmed |
Colorectal Cancer Prevention in Córdoba, Argentina: a multi-methodological approach to strengthen public policies for territorial implementation |
| title_sort |
colorectal cancer prevention in córdoba, argentina: a multi-methodological approach to strengthen public policies for territorial implementation |
| description |
In Argentina, colorectal cancer (CRC) ranks second in incidence and mortality for both sexes. With a survival rate of over 90% when diagnosed early, the fecal occult blood test is suggested as a population screening method for the population aged 50 to 75 years without specific risks for this pathology, who conform target population (TP). The study aimed to analyze the socio-health profiles of adults in the TP who had access to preventive measures in Córdoba, considering contextual vulnerability indicators at the departmental level; and to identify the main senses associated with barriers and facilitators in access and continuity in CRC prevention, according to health system users.
To do so, indicators were generated and analyzed from census data (2010) and provincial records provided by the CRC Provincial Prevention Program (2018-2023) (n=1445). Chorothetic maps were constructed, X2 and Wilcoxon tests, multiple correspondence factor analysis, and multiple logistic regression models were estimated. Fifteen semi-structured interviews were conducted with users who had made at least one screening-related consultation (residents from both the capital and the inland), and the transcribed interviews were analyzed qualitatively.
The most unfavorable socio-health indicators were observed in the northwestern part of the province, where most people who accessed the screening were from. Associations were identified between belonging to PO risk groups and certain social characteristics such as health coverage and educational level. These socio-health differences were also reflected in the user interviews.
When implementing territorial strategies, consideration should be given to the fact that there are communities with special needs or more impoverished, to which greater dedication, resources, and individual effort should be given by professionals in order to respond efficiently not only to their health problems but simply to their demands. Studies that address and integrate the multiplicity of factors involved in this problem, such as the present one, can generate extremely valuable contributions to public policies for the prevention of CRC. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2023 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/42737 |
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I10-R327-article-427372023-10-19T21:19:29Z Colorectal Cancer Prevention in Córdoba, Argentina: a multi-methodological approach to strengthen public policies for territorial implementation Prevención del Cáncer Colorrectal en Córdoba, Argentina: abordaje multimetodológico para el fortalecimiento de las políticas públicas de implementación territorial . Aparicio, ML Butinof , M Tumas , N Gaydou, JP Retamar , A COLORRECTAL CANCER Health Vulnerability Primary Prevention Population screening Implementation CANCER COLORRECTAL Vulnerabilidad en Salud Prevención Primaria Tamizaje poblacional Implementación . In Argentina, colorectal cancer (CRC) ranks second in incidence and mortality for both sexes. With a survival rate of over 90% when diagnosed early, the fecal occult blood test is suggested as a population screening method for the population aged 50 to 75 years without specific risks for this pathology, who conform target population (TP). The study aimed to analyze the socio-health profiles of adults in the TP who had access to preventive measures in Córdoba, considering contextual vulnerability indicators at the departmental level; and to identify the main senses associated with barriers and facilitators in access and continuity in CRC prevention, according to health system users. To do so, indicators were generated and analyzed from census data (2010) and provincial records provided by the CRC Provincial Prevention Program (2018-2023) (n=1445). Chorothetic maps were constructed, X2 and Wilcoxon tests, multiple correspondence factor analysis, and multiple logistic regression models were estimated. Fifteen semi-structured interviews were conducted with users who had made at least one screening-related consultation (residents from both the capital and the inland), and the transcribed interviews were analyzed qualitatively. The most unfavorable socio-health indicators were observed in the northwestern part of the province, where most people who accessed the screening were from. Associations were identified between belonging to PO risk groups and certain social characteristics such as health coverage and educational level. These socio-health differences were also reflected in the user interviews. When implementing territorial strategies, consideration should be given to the fact that there are communities with special needs or more impoverished, to which greater dedication, resources, and individual effort should be given by professionals in order to respond efficiently not only to their health problems but simply to their demands. Studies that address and integrate the multiplicity of factors involved in this problem, such as the present one, can generate extremely valuable contributions to public policies for the prevention of CRC. En Argentina, el cáncer colorrectal (CCR) ocupa el segundo lugar de incidencia y mortalidad para ambos sexos. Con una sobrevida superior al 90% cuando el diagnóstico es precoz, se sugiere cómo método de tamizaje poblacional el test de detección de sangre oculta en materia fecal para la población de 50 a 75 años sin riesgos específicos para esta patología, que conforman la población objetivo (PO). El objetivo del trabajo es analizar los perfiles socio-sanitarios de adultos de la PO que accedieron a medidas preventivas en Córdoba, considerando indicadores de vulnerabilidad contextual a nivel departamental; e identificar los principales sentidos asociados a barreras y facilitadores en el acceso y continuidad en la prevención del CCR, según usuarios del sistema de salud. Para ello, se generaron y analizaron indicadores a partir de datos censales (2010) y de registros provinciales provistos por el Programa de Prevención de CCR Provincial (2018-2023) (n=1445). Se construyeron mapas coropléticos, se estimaron test de X2 y de Wilcoxon, análisis factorial de correspondencias múltiples y modelos de regresión logística múltiple. Se realizaron 15 entrevistas semiestructuradas a usuarios que hubieran realizado al menos una consulta asociada al tamizaje (residentes en capital e interior), analizando luego los parlamentos transcritos de forma cualitativa. Se observaron indicadores sociosanitarios más desfavorables en el noroeste provincial, lugar de procedencia de la mayoría de las personas que accedieron al tamizaje. Se identificaron asociaciones entre la pertenencia a grupos de riesgo de la PO y ciertas características sociales como la cobertura de salud y el nivel de instrucción. Estas diferencias sociosanitarias también se vieron reflejadas en las entrevistas de usuarios. Al momento de implementar estrategias territoriales se deben considerar que existen comunidades con necesidades especiales o más desfavorecidas, a las que se debe prestar mayor dedicación, recursos y esfuerzo individual por parte de los profesionales para responder de forma eficiente no ya a sus problemas de salud, si no simplemente a sus demandas. Estudios que aborden e integren la multiplicidad de factores involucrados en esta problemática, como el presente, pueden generar aportes sumamente valiosos para las políticas públicas de prevención del CCR. . Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2023-10-19 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/42737 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 80 (2023): Suplemento JIC XXIV Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 80 (2023): Suplemento JIC XXIV Revista da Faculdade de Ciências Médicas de Córdoba; v. 80 (2023): Suplemento JIC XXIV 1853-0605 0014-6722 spa https://revistas.unc.edu.ar/index.php/med/article/view/42737/42793 Derechos de autor 2023 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |