Factors related to inadequate cervical cancer screening in two Brazilian state capitals

Revista de Saúde Pública

Luís Felipe Leite Martins¹  Joaquim Gonçalves Valente²  Luiz Claudio Santos Thuler¹ 

[1] ,Instituto Nacional de CâncerRio de Janeiro RJ ,Brazil

关键词: Vaginal Smears;    Uterine Cervical Neoplasms;    diagnosis;    Women's Health;    Cross-Sectional Studies;    Esfregaço Vaginal;    Neoplasias do Colo do Útero;    diagnóstico;    Programas de Rastreamento;    Saúde da Mulher;    Estudos Transversais;    Frotis Vaginal;    Neoplasias del Cuello Uterino;    diagnóstico;    Tamizaje Masivo;    Salud de la Mujer;    Estudios Transversales;   

DOI  :  10.1590/S0034-89102009000200013

来源: SciELO

【 摘 要 】

OBJECTIVE:To analyze factors associated with cervical cancer screening failure. METHODS:Population-based cross-sectional study with self-weighted two-stage cluster sampling conducted in the cities of Fortaleza (Northeastern Brazil) and Rio de Janeiro (Southeastern Brazil) in 2002. Subjects were women aged 25-59 years in the last three years prior to the study. Data were analyzed through Poisson regression using a hierarchical model. RESULTS: The proportion of women who did not undergo the Pap smear test in Fortaleza and Rio de Janeiro was 19.1% (95% CI: 16.1;22.1) and 16.5% (95% CI: 14.1;18.9), respectively. Higher prevalence ratios of cervical cancer screening failure in both cities were seen among women with low education and low per capita income, old age, unmarried, who never underwent mammography, clinical breast examination, and blood glucose and cholesterol level testing. Smokers also had lower screening rates compared to non-smoker women and this difference was only statistically significant in Rio de Janeiro. CONCLUSIONS:The study findings point to the need of intervention focusing particularly women in worse socioeconomic conditions and access to healthcare, old-aged and unmarried. Education activities must prioritize screening of asymptomatic women and early diagnosis for symptomatic women and access to adequate diagnostic methods and treatment should be provided.

【 授权许可】

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