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Reduce at risk drinking taking into account the gender diffe- diffe-rence

Percentage of at risk drinkers Equation: (a / b) × 100

a = Number of individuals age 16 or older who state drinking alcohol in amounts considered to be a health risk.

b = Number of individuals age 16 or older who were surveyed.

Definitions: Drinking is quantified in terms of the frequency and al-cohol intake for the different types of alal-coholic beverages, such that an individual who drinks alcohol in quantities entailing a risk to their health when their alcohol intake is equivalent to 40 g/day for the case of males and 20 g/day for the case of females.

The equivalent in grams of alcohol is calculated based on the amount and average alcohol content of each type of beverage.

Source: Spain’s National Health Survey. Ministry of Health and Social Policy (col. Spanish National Institute of Statistics).

Breakdown: Autonomous Community, Gender and Age Groups Periodicity: Depending on when the Survey is conducted

3.3.2. Early detection

Objective 7.a. Early breast cancer detection. Continue carrying out popula-tion breast cancer screening programs already being carried out.

Participation in the early breast cancer detection program Equation: (a / b) × 100

a = Number of females within the 50-69 age range, all inclusive, who are included in an organized, population-based early breast cancer de-tection program.

b = Number of females to whom this test has been offered.

Definitions: This is the percentage of females (within the 50-69 age range, compared to the total) who have been offered the possibility of taking part in the program and who come in and have the mammo-gram taken (excluding the exceptions to having the mammomammo-gram done which are set out in the criteria for being included in the program).

From the standpoint of accessibility and organization effectiveness of the systems, a female is understood as being included in the coverage when either she has had the mammogram offered actually taken or she has explicitly refused having this test done.

A prior diagnosis of breast cancer or having previously had a mammo-gram taken for any reasons within a time period of less than two years, whether in the public or private system, is considered to be a criterion for exclusion.

In the case of offering the program to females of ages other than those stipulated for this indicator, the ages in question are to be recorded so as to distinguish them from the others.

Source: Spanish Screening Program Network Breakdown: Autonomous Community Periodicity: Annual

Percentage of females who have had a mammogram Equation: (a / b) × 100

a = Number of females within the 50-69 age range who state having had a mammogram within the two-year period immediately prior to the survey.

b = Total number of females within the 50-69 age range who were sur-veyed

Definition: All those females who state having had a mammogram are included, specifying the length of time which has elapsed (in years) since the mammogram was taken, independently of whether it was in-dicated or taken by the public or private health system.

An overall analysis will be provided at the point in time of the eva-luation regarding the answers given on the Survey related to mam-mograms being done, in the regard – for example – of distinguishing the reason why they were taken as well as their relationship with so-ciodemographic variables which can be obtained from Spain’s Natio-nal Health Survey affording the possibility of delving deeper into the analysis of this preventive practice.

Explicit refusal to have the test done must be stated in writing, these cases not being counted for calculating the indicator.

Source: Spain’s National Health Survey. Ministry of Health and Social Policy(col. Spanish National Institute of Statistics).

Breakdown: by Autonomous Community and gender. An overall analysis will be provided at the point in time of the evaluation regar-ding the answers given on the Survey related to mammograms being done, in the regard – for example – of distinguishing the reason why they were taken as well as their relationship with sociodemographic variables which can be obtained from Spain’s National Health Survey affording the possibility of delving deeper into the analysis of this pre-ventive practice.

Objective 7.b. Early breast cancer detection. Promote and consolidate sys-tems for monitoring and evaluating the quality of these programs, enhan-cing the development of information systems which will make it possible to conduct a combined evaluation as well as an evaluation by individual Autonomous Communities., as well as of the process per se and the impact of these programs according to the standards set out in the European quality control guides.

Percentage of additional tests in view of suspected breast cancer Equation: (a / b) × 100

a = Number of females on who, after having had a screening mam-mogram, undergo additional examinations confirming or ruling out a diagnosis of suspected breast cancer.

b = Number of females who have had a screening mammogram.

Definitions: Included as examinations in addition to the screening mam-mogram are echogram, puncture fine needle aspiration and biopsy.

Source: Spanish screening program network.

Breakdown: Autonomous Community.

Periodicity: Annual

Breast cancer detection rate

Equation: (a / b) × 100

a = Number of females who, after the tests necessary for the early diag-nosis of breast cancer have been conducted, are given confirmation of their diagnosis of having cancer.

b = Number of females on whom screening mammograms have been done.

Definitions: All of the cancers detected are included, regardless of their stage.

Source: Spanish screening program network Breakdown: Autonomous Community.

Periodicity: Annual

Objective 8: The evaluation of familial risk of cancer will be promoted,