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

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Autor principal: Luís Felipe Leite Martins
Formato: Artículo científico
Lenguaje:en
Publicado: Universidade de São Paulo 2009
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author Luís Felipe Leite Martins
author_facet Luís Felipe Leite Martins
contents Factors related to inadequate cervical cancer screening in two Brazilian state capitals Luís Felipe Leite Martins Joaquim Gonçalves Valente Luiz Claudio Santos Thuler Salud Cross diagnosis Vaginal Smears Women’s Health Sectional Studies 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 signifi cant in Rio de Janeiro. CONCLUSIONS: The study fi ndings 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. 2009 artículo científico 0034-8910 https://www.redalyc.org/articulo.oa?id=67240175013 en http://www.redalyc.org/revista.oa?id=672 Revista de Saúde Pública application/pdf Universidade de São Paulo Revista de Saúde Pública (Brasil) Num.2 Vol.43
format Artículo científico
id redalyc_67240175013
institution Redalyc
language en
publishDate 2009
publisher Universidade de São Paulo
spellingShingle Factors related to inadequate cervical cancer screening in two Brazilian state capitals
Luís Felipe Leite Martins
Salud
Cross
diagnosis
Vaginal Smears
Women’s Health
Sectional Studies
Factors related to inadequate cervical cancer screening in two Brazilian state capitals Luís Felipe Leite Martins Joaquim Gonçalves Valente Luiz Claudio Santos Thuler Salud Cross diagnosis Vaginal Smears Women’s Health Sectional Studies 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 signifi cant in Rio de Janeiro. CONCLUSIONS: The study fi ndings 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. 2009 artículo científico 0034-8910 https://www.redalyc.org/articulo.oa?id=67240175013 en http://www.redalyc.org/revista.oa?id=672 Revista de Saúde Pública application/pdf Universidade de São Paulo Revista de Saúde Pública (Brasil) Num.2 Vol.43
title Factors related to inadequate cervical cancer screening in two Brazilian state capitals
topic Salud
Cross
diagnosis
Vaginal Smears
Women’s Health
Sectional Studies
url https://www.redalyc.org/articulo.oa?id=67240175013