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Binomial regression was used to generate prevalence ratios and absolute differences between visits for routine examinations or gynecologic complaints.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Analyses included 982 women, of whom 182 (18.5%) did not have a CBE during their visit. Significant interactions were observed between age and primary reason for the visit: the prevalence ratio for no CBE during a visit for gynecologic complaints versus routine examination was 3.2 for women aged at least 40 years, and 1.3 among younger women (\n                      <jats:italic>P<\/jats:italic>\n                      for multiplicative interaction = 0.001). Absolute differences were 6.4% and 18.5% for younger and older women, respectively (\n                      <jats:italic>P<\/jats:italic>\n                      for additive interaction = 0.04).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A high proportion of eligible women do not undergo a CBE during cervical smear appointments at primary\u2010care units in Rio de Janeiro, particularly older women presenting with gynecologic complaints. Understanding of health professionals' barriers to following and implementing guidelines for secondary prevention of breast cancer is urgently needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijgo.2015.06.033","type":"journal-article","created":{"date-parts":[[2015,9,8]],"date-time":"2015-09-08T12:36:50Z","timestamp":1441715810000},"page":"289-292","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["The association between scheduling a gynecologic clinical visit and clinical breast examination in Rio de Janeiro"],"prefix":"10.1002","volume":"131","author":[{"given":"Lu\u00eds Felipe L.","family":"Martins","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liz Maria","family":"de Almeida","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9 S.","family":"Szklo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena A","family":"Tupinamb\u00e1","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moyses","family":"Szklo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cl\u00e1udia M.","family":"Coeli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,9,8]]},"reference":[{"key":"e_1_2_6_2_2","unstructured":"World Health Organization.National cancer control programmes. Policies and managerial guidelines 2nd edn.www.who.int\/cancer\/media\/en\/408.pdf Published 2002. Accessed September 29 2014"},{"key":"e_1_2_6_3_2","unstructured":"Brazil Ministry of Health.Breast Cancer Control. Consensus Document (in Portuguese).http:\/\/www.inca.gov.br\/publicacoes\/Consensointegra.pdf Published 2004. Accessed September 29 2014"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.32635\/2176-9745.RBC.2012v58n1.1429"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6947-8-38"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-3-21"},{"key":"e_1_2_6_7_2","unstructured":"Brazil Ministry of Health.Screening (in Portuguese).http:\/\/bvsms.saude.gov.br\/bvs\/publicacoes\/caderno_atencao_primaria_29_rastreamento.pdf Published 2010. 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