Cytological screening for cervical cancer and associated factors in the penitentiary population of Peru.

OBJECTIVE: To determine the prevalence and factors associated with the screening of cervical cancer by Papanicolaou in the penitentiary population of Peru. METHOD: A cross-sectional study was conducted using data from the 2016 National Penitentiary Population Census of Peru. The dependent variable was the cytological screening of cervical cancer during the last year. The independent variables were classified as facilitators, sociodemographic predisposers, and generators of need for the use of health services.The multivariate association was estimated through adjusted prevalence ratios (aPR) and 95% confidence intervals (95% CI), using Poisson regression and using the variables with p <0.05 in the bivariate. RESULTS: A total of 4515 women incarcerated in the 67 prisons of Peru entered the study. 69% (95% CI: 67.81-70.5) performed cytological screening during the last year and this is associated with having public health insurance (aPR 1.28 , 95% CI: 1.21-1.36), go to prison health services (aPR 1.18 , 95% CI: 1.12-1.24) and have a history of cancer (aPR 1.14, 95% CI: 1.02-1.26). Age, number of children, sports activities and the type of prison were also associated with cytological screening. DISCUSSION: There is an association between cytological screening and access to health services, sociodemographic predispositions and pathological backgrounds of women incarcerated in Peru. More research should be promoted on health prevention behaviors in this population.

Cribado citológico de cáncer de cuello uterino y factores asociados en la población penitenciaria del Perú / Cytological screening for cervical cancer and associated factors in the penitentiary population of Peru

Objetivo: Determinar la prevalencia y los factores asociados al cribado de cáncer de cuello uterino por Papanicolaou en la población penitenciaria del Perú. Métodos: Se realizó un estudio transversal que utilizó los datos del Censo Nacional de Población Penitenciaria del Perú de 2016. La variable dependiente fue la realización de un cribado citológico del cáncer de cuello uterino durante el último año. Las variables independientes se clasificaron en facilitadores, predisponentes sociodemográficos, y generadores de necesidad para el uso de los servicios de salud. La asociación multivariada se estimó a través de razones de prevalencia ajustadas (RPa) e intervalos de confianza al 95% (IC 95%), mediante la regresión de Poisson y utilizando las variables con p <0,05 en el bivariado. Resultados: En el estudio participaron un total de 4.515 mujeres encarceladas en los 67 establecimientos penitenciarios del Perú. El 69% (con un intervalo de confianza o IC 95%: 67,81-70,5) realizó un cribado citológico durante el último año, y está asociado con poseer un seguro de salud público (RPa: 1,28; IC 95%: 1,21-1,36), acudir a los servicios de salud del establecimiento penitenciario (RPa: 1,18; IC 95%: 1,12-1,24) y tener antecedentes de cáncer (RPa: 1,14; IC 95%: 1,02-1,26). La edad, el número de hijos, la práctica de actividades deportivas y el tipo de establecimiento penitenciario también son factores que estuvieron asociados al cribado citológico. Discusión: Existe una asociación entre el cribado citológico y el acceso a los servicios de salud, predisponentes sociodemográficos y antecedentes patológicos de las mujeres encarceladas en el Perú. Se deben impulsar más investigaciones sobre las conductas de prevención de salud en esta población

Objective: To determine the prevalence and factors associated with the screening of cervical cancer by Papanicolaou in the penitentiary population of Peru. Method: A cross-sectional study was conducted using data from the 2016 National Penitentiary Population Census of Peru. The dependent variable was the cytological screening of cervical cancer during the last year. The independent variables were classified as facilitators, sociodemographic predisposers, and generators of need for the use of health services.: The multivariate association was estimated through adjusted prevalence ratios (aPR) and 95% confidence intervals (95% CI), using Poisson regression and using the variables with p <0.05 in the bivariate. Results: A total of 4515 women incarcerated in the 67 prisons of Peru entered the study. 69% (95% CI: 67.81-70.5) performed cytological screening during the last year and this is associated with having public health insurance (aPR 1.28 , 95% CI: 1.21-1.36), go to prison health services (aPR 1.18 , 95% CI: 1.12-1.24) and have a history of cancer (aPR 1.14, 95% CI: 1.02-1.26). Age, number of children, sports activities and the type of prison were also associated with cytological screening. Discussion: There is an association between cytological screening and access to health services, sociodemographic predispositions and pathological backgrounds of women incarcerated in Peru. More research should be promoted on health prevention behaviors in this population