Albuquerque Kamila Matos de, Frias Paulo Germano, Andrade Carla Lourenço Tavares de, Aquino Estela M L, Menezes Greice, Szwarcwald Célia Landmann
Instituto de Medicina Integral Professor Fernando Figueira, Recife, Brasil.
Cad Saude Publica. 2009;25 Suppl 2:S301-9. doi: 10.1590/s0102-311x2009001400012.
This research aimed to assess coverage of Pap smear screening in the State of Pernambuco, Brazil, during the three years prior to the study, among women 18 to 69 years of age, and to identify factors associated with women's lack of participation in screening. This was a cross-sectional, population-based study, using data from a survey in 2005-2006 with 640 women, selected by three-stage cluster sampling. Information on 258 women was analyzed. Pap smear coverage was 58.7% for women 18 to 69 years of age and 66.2% for those 25 to 59. Single marital status, no history of childbirth, and not having consulted a physician in the previous year were associated with lack of Pap smear screening. In the multivariate analysis, low schooling also showed a significant effect. Pap smear coverage in Pernambuco was satisfactory, but insufficient to impact the epidemiological profile of cervical cancer. It is necessary to strengthen and upgrade health promotion activities in order to reduce the inequalities and encourage women's active participation in cervical cancer prevention.
本研究旨在评估巴西伯南布哥州在研究前三年中18至69岁女性的巴氏涂片筛查覆盖率，并确定与女性未参与筛查相关的因素。这是一项基于人群的横断面研究，使用了2005 - 2006年对640名女性进行调查的数据，这些女性通过三阶段整群抽样选取。对258名女性的信息进行了分析。18至69岁女性的巴氏涂片覆盖率为58.7%，25至59岁女性的覆盖率为66.2%。单身婚姻状况、无分娩史以及前一年未咨询过医生与未进行巴氏涂片筛查有关。在多变量分析中，低教育水平也显示出显著影响。伯南布哥州的巴氏涂片覆盖率令人满意，但不足以影响宫颈癌的流行病学特征。有必要加强和提升健康促进活动，以减少不平等现象并鼓励女性积极参与宫颈癌预防。
