ABSTRACT
OBJECTIVES: evaluating the level of information about the examination of uterine cervical cancer and its association with sociodemographic variables in women of a health care unit in the city of Bauru, São Paulo, Brazil. METHODS: we conducted a cross-sectional descriptive study with 370 women aged 25 to 59, through structured interviews in their own homes; we used descriptive statistics and the χ² test. RESULTS: 40.5% of the women had not undergone the Papanicolaou test at the recommended frequency; 58.2% incorrectly defined the test, and 69.5% did not know about the risk factors for the development of cervical cancer; the knowledge about the test showed statistically significant association with schooling and family income of the studied population. CONCLUSIONS: women present deficiencies on the proper practice of the Papanicolaou test, on knowledge about the test, risk factors and prevention methods. Therefore, it is necessary to develop primary health actions for the most vulnerable population...
OBJETIVOS: avaliar o nível de informação acerca do exame do câncer de colo de útero e sua associação com variáveis sócio-demográficas em mulheres de uma unidade de saúde do município de Bauru, São Paulo, Brasil. MÉTODO: realizou-se um estudo descritivo e transversal com 370 mulheres com idade entre 25 e 59 anos, por meio de entrevista estruturada nas próprias residências dos sujeitos e, foram utilizados a estatística descritiva e o teste χ². RESULTADOS: notou-se 40,5% não fizeram o exame Papanicolaou com a frequência recomendada; quanto ao conhecimento sobre o exame, 58,2% o definiram incorretamente e 69,5% não souberam relatar quais são os fatores de risco para o desenvolvimento do câncer de colo uterino; o conhecimento sobre o exame mostrou associação estatisticamente significativa com a escolaridade e a renda familiar da população estudada. CONCLUSÕES: as mulheres apresentam deficiências na prática adequada do exame de Papanicolaou, nos conhecimentos sobre o exame, os fatores de riscos e as formas de prevenção da doença e, diante disso, é necessário desenvolver ações primárias em saúde para a população mais vulnerável...
Subject(s)
Humans , Female , Health Centers , Health Knowledge, Attitudes, Practice , Uterine Cervical Neoplasms/prevention & control , Papanicolaou Test , Primary Health Care , Risk Factors , Uterine Cervical Neoplasms , Women , Women's Health , Women's Health Services , Cross-Sectional Studies , Socioeconomic Factors , Vaginal SmearsABSTRACT
Background: One of the confronted problems of doctors and medical personnels is sexually transmitted disease has not been decreased in our country up to now. By last 5 years propagation of trichomoniasis was 16.7-9.5% per 10000 population and infected T.vaginalis. In the practice of parasitology of our country metilen is revealed by gram method hasn’t been introduced which is used in up to date histological analyse. This became the background of our research work. Aim of our research is to diagnose trichomoniasis which infects sexually by cytological analyse and to define its specific and sensibility.Materials and Methods: A total 99 smears of 33 females aged 19-39, used cross sectional descriptive method. Finding T.vaginalis on specimens (1) Vaginal wet mount, (2) Gram staining and (3) Pap stain. Result: In our research T.vaginalis leaked out in wet mount smear was 33%, in Gram stain was (21.2%). The sensibility quality of T.vaginalis on Gram stain is 63%, specific quality is 90%, value of kappa coefficient (К=0.58 Р<0.002). In Pap stain T.vaginalis diagnosed 27,2% and sensibility quality of T.vaginalis is 81%, specific quality is 100%, value of kappa coefficient (К=0.87 Р<0.005). In the case when 3 analysis were positive case was 5 or 15.2%, in the case where 2 analysis were positive case was 6 or 18.2%. Conclusions: The Pap stain sensibility quality of T.vaginalis is 81%, specific quality is 100%, value of kappa coefficient (К=0.87 Р<0.005), that shows should be to give effect on diagnosing of sexually transmitted infectious disease.