Implementation of cancer prevention practices in primary care: results of a cohort study in Chile 2018–2022

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dc.catalogadordfo
dc.contributor.authorPuschel Illanes, Klaus
dc.contributor.authorRioseco A.
dc.contributor.authorSoto M.
dc.contributor.authorPaz S.
dc.contributor.authorMartinez J.
dc.contributor.authorSoto G.
dc.contributor.authorFaundez M.
dc.contributor.authorArenas E.
dc.contributor.authorVescovi Z.
dc.contributor.authorFuentes I.
dc.contributor.authorThompson B.
dc.contributor.authorEmery J.
dc.date.accessioned2024-11-11T19:45:09Z
dc.date.available2024-11-11T19:45:09Z
dc.date.issued2024
dc.description.abstractObjectives: 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. Study design: The study incorporated a retrospective multicentre cohort study. 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. 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. 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.
dc.description.funderAgencia Nacional Investigación y Desarrollo
dc.format.extent7 páginas
dc.fuente.origenSCOPUS
dc.identifier.doi10.1016/j.puhe.2024.08.006
dc.identifier.eissn1476-5616
dc.identifier.issn0033-3506
dc.identifier.scopusidSCOPUS_ID:85203245195
dc.identifier.urihttps://doi.org/10.1016/j.puhe.2024.08.006
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/88516
dc.identifier.wosidWOS:001313159000001
dc.information.autorucEscuela de Medicina; Puschel Illanes Klaus; 0000-0002-1362-1311; 83957
dc.language.isoen
dc.nota.accesoContenido parcial
dc.pagina.final174
dc.pagina.inicio168
dc.revistaPublic Health
dc.rightsacceso restringido
dc.subjectCancer prevention
dc.subjectCohort study
dc.subjectImplementation practices
dc.subjectPreventive programs
dc.subjectPrimary care
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleImplementation of cancer prevention practices in primary care: results of a cohort study in Chile 2018–2022
dc.typeartículo
dc.volumen236
sipa.codpersvinculados83957
sipa.trazabilidadSCOPUS;2024-09-15
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