<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2221-2434</journal-id>
<journal-title><![CDATA[Revista Finlay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Finlay]]></abbrev-journal-title>
<issn>2221-2434</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Cienfuegos. Centro Provincial de información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2221-24342023000400414</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores de riesgo asociados al cáncer de mama en mujeres de un área de salud]]></article-title>
<article-title xml:lang="en"><![CDATA[Risk Factors Associated with Breast Cancer in Women in a Health Area]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hierrezuelo Rojas]]></surname>
<given-names><![CDATA[Naifi]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cordoví Hierrezuelo]]></surname>
<given-names><![CDATA[Mileidy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Neira Hierrezuelo]]></surname>
<given-names><![CDATA[Naiovis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Santiago de Cuba. Santiago de Cuba.  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Policlínico Comunitario Ramón López Peña.  ]]></institution>
<addr-line><![CDATA[Santiago de Cuba. ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Facultad de Enfermería-Tecnología de la Salud Dr. Juan Manuel Páez Inchausti  ]]></institution>
<addr-line><![CDATA[Santiago de Cuba ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>13</volume>
<numero>4</numero>
<fpage>414</fpage>
<lpage>424</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2221-24342023000400414&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2221-24342023000400414&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2221-24342023000400414&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento: el cáncer de mama es el tumor maligno más frecuente entre las mujeres de todo el mundo. En Cuba, sigue siendo la neoplasia que más se diagnóstica en mujeres, por eso es importante, determinar los factores de riesgo asociados.  Objetivo:  identificar los factores de riesgo asociados al cáncer de mama en mujeres de un consultorio médico de familia de Santiago de Cuba.  Métodos:  se realizó un estudio analítico-observacional, tipo caso-control en pacientes pertenecientes al Policlínico Comunitario Ramón López Peña de Santiago de Cuba, en el período de enero a diciembre del 2022. La población de estudio estuvo constituida por las pacientes de sexo femenino, mayores de 30 años (3 550), de las cuales se escogieron los casos (pacientes diagnosticadas con cáncer de mama) y los controles (pacientes que no padecieran la enfermedad), se escogieron 2 controles por cada caso seleccionado. Como variable dependiente se consideró el cáncer de mama, se utilizaron como variables independientes: la edad, antecedentes patológicos personales y familiares, menarquía precoz, menopausia tardía, nuliparidad, edad del primer hijo, lactancia materna exclusiva, terapia hormonal de reemplazo o sustitutiva, uso de métodos anticonceptivos, obesidad, sedentarismo, tabaquismo, alcoholismo. Se operacionalizaron como sigue (No= ausencia del factor de riesgo; Sí= presencia del factor de riesgo) Se determinó el Odd Ratio, el intervalo de confianza y la prueba de Chi cuadrado.  Resultados:  la edad mayor de 60 años (OR=3,47), los antecedentes patológicos personales (OR=3,83), la menarquia precoz (OR=5,65), la menopausia tardía (OR=5,16), el abandono de la lactancia materna (OR=6,59), el tabaquismo (OR=8,28) y la obesidad (OR=7,21), se asociaron a la aparición del cáncer de mama.  Conclusiones:  factores de riesgos relacionados con los estilos de vida como el tabaquismo y la obesidad y el abandono de la lactancia materna fueron los factores de riesgo que tuvieron una fuerte asociación causal en la aparición del cáncer de mama en la presente investigación.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Foundation: breast cancer is the most common malignant tumor among women around the world. In Cuba, it continues to be the neoplasia most diagnosed in women, which is why it is important to determine the associated risk factors.  Objective: to identify the risk factors associated with breast cancer in women from a family doctor's office in Santiago de Cuba.  Methods: an analytical-observational, case-control study was carried out in patients belonging to the Ramon Lopez Peña Community Polyclinic in Santiago de Cuba, in the period from January to December 2022. The study population consisted of female patients, over 30 years of age (3,550), from which the cases (patients diagnosed with breast cancer) and controls (patients who did not suffer from the disease) were chosen, 2 controls were chosen for each selected case. Breast cancer was considered as the dependent variable; the following were used as independent variables: age, personal and family pathological history, early menarche, late menopause, nulliparity, age of the first child, exclusive breastfeeding, replacement or replacement hormone therapy, use of contraceptive methods, obesity, sedentary lifestyle, smoking, alcoholism. They were operationalized as follows (No = absence of the risk factor; Yes = presence of the risk factor) The Odd Ratio, the confidence interval and the Chi square test were determined.  Results: age over 60 years (OR=3.47), personal pathological history (OR=3.83), early menarche (OR=5.65), late menopause (OR=5.16), abandonment of breastfeeding (OR=6.59), smoking (OR=8.28) and obesity (OR=7.21) were associated with the appearance of breast cancer.  Conclusions: risk factors related to lifestyles such as smoking and obesity and abandonment of breastfeeding were the risk factors that had a strong causal association in the appearance of breast cancer in the present investigation.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[factores de riesgo]]></kwd>
<kwd lng="es"><![CDATA[neoplasias de la mama]]></kwd>
<kwd lng="es"><![CDATA[mujeres]]></kwd>
<kwd lng="en"><![CDATA[risk factors]]></kwd>
<kwd lng="en"><![CDATA[breast neoplasms]]></kwd>
<kwd lng="en"><![CDATA[women]]></kwd>
</kwd-group>
</article-meta>
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<source><![CDATA[Obstetricia y Ginecología.]]></source>
<year>2018</year>
<edition>3</edition>
<page-range>205-16</page-range><publisher-loc><![CDATA[La Habana ]]></publisher-loc>
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<ref id="B19">
<label>19</label><nlm-citation citation-type="book">
<collab>American Society of Clinical Oncology</collab>
<source><![CDATA[Peso corporal y el riesgo de cáncer]]></source>
<year>2021</year>
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</article>
