ABSTRACT
This cross-sectional study aimed to verify the coverage of Pap smear tests and associated factors in a cluster sample of women 20 to 60 years of age in the city of São Leopoldo, Rio Grande Sul State, Brazil, in 2003. Two outcomes were analyzed: Pap smear in the previous three years and Pap smear never performed. Among 867 women, 741 (85.5%; 95%CI: 83.1-87.8) had a Pap smear in the previous three years, 60 (6.9%; 95%CI: 5.2-8.6) were late with the test, and 66 (7.6%; 95%CI: 5.8-9.4) had never done a Pap smear. Poisson regression showed significant association with: income, age, skin color, and marital status. Although coverage was high, risk factors for uterine cervical cancer were not associated with performing the test.
Subject(s)
Papanicolaou Test , Uterine Cervical Neoplasms/prevention & control , Vaginal Smears/statistics & numerical data , Adult , Brazil/epidemiology , Cross-Sectional Studies , Female , Humans , Middle Aged , Risk Factors , Socioeconomic Factors , Urban Population/statistics & numerical data , Uterine Cervical Neoplasms/epidemiology , Young AdultABSTRACT
Este estudo transversal teve por objetivos verificar a cobertura de realização do exame preventivo de câncer do colo do útero e os fatores associados na população de mulheres de 20 a 60 anos residentes na zona urbana de São Leopoldo, Rio Grande do Sul, Brasil, durante o ano de 2003. A amostra foi por conglomerados. Foram analisados dois desfechos, a realização de exame preventivo do câncer do colo do útero nos últimos três anos e exame preventivo de Papanicolaou nunca realizado. Entre as 867 mulheres entrevistadas, 741 (85,5 por cento; IC95 por cento: 83,1-87,8) tinham realizado o exame citopatológico do colo uterino nos últimos três anos, 60 (6,9 por cento; IC95 por cento: 5,2-8,6) estavam com o procedimento atrasado e 66 (7,6 por cento; IC95 por cento: 5,8-9,4) nunca o haviam realizado. Na regressão de Poisson foi observada significância para as variáveis: classe econômica, idade, cor da pele, estado civil. Observou-se que apesar da cobertura elevada, os fatores de risco para o câncer de colo uterino não motivaram a realização do exame.
This cross-sectional study aimed to verify the coverage of Pap smear tests and associated factors in a cluster sample of women 20 to 60 years of age in the city of São Leopoldo, Rio Grande Sul State, Brazil, in 2003. Two outcomes were analyzed: Pap smear in the previous three years and Pap smear never performed. Among 867 women, 741 (85.5 percent; 95 percentCI: 83.1-87.8) had a Pap smear in the previous three years, 60 (6.9 percent; 95 percentCI: 5.2-8.6) were late with the test, and 66 (7.6 percent; 95 percentCI: 5.8-9.4) had never done a Pap smear. Poisson regression showed significant association with: income, age, skin color, and marital status. Although coverage was high, risk factors for uterine cervical cancer were not associated with performing the test.
