Gasperin Simone Iara, Boing Antonio Fernando, Kupek Emil
Universidade do Vale do Itajaí, Brasil.
Cad Saude Publica. 2011 Jul;27(7):1312-22. doi: 10.1590/s0102-311x2011000700007.
This study focused on coverage of screening for cervical cancer and associated factors in women 20 to 59 years of age in Florianópolis, Santa Catarina State, Brazil, in 2009. This was a cross-sectional study using cluster random sampling. Two outcomes were examined: a history of at least one Papanicolaou test and delaying the test (never performed or performed more than three years previously). Among 952 women, 93% (95%CI: 91.5-94.7) had ever had a Pap smear, whereas 14% (95%CI: 11.8-16.2) had delayed the test. According to Poisson regression, both outcomes were associated with marital status, schooling, presence of chronic disease, and consulting a physician for other reasons. Age, income, and hospitalization in the previous year were only associated with ever having a Pap smear. Although test coverage was high, much of the screening was opportunistic. In addition, various social, economic, and demographic disparities influenced the odds of being screened.
本研究聚焦于2009年巴西圣卡塔琳娜州弗洛里亚诺波利斯市20至59岁女性宫颈癌筛查的覆盖率及相关因素。这是一项采用整群随机抽样的横断面研究。研究考察了两个结果:至少有一次巴氏试验的病史以及延迟进行该试验(从未进行或在三年多以前进行过)。在952名女性中,93%(95%置信区间:91.5 - 94.7)曾进行过巴氏涂片检查,而14%(95%置信区间:11.8 - 16.2)延迟了检查。根据泊松回归分析,这两个结果均与婚姻状况、受教育程度、慢性病的存在以及因其他原因咨询医生有关。年龄、收入和上一年的住院情况仅与曾进行巴氏涂片检查有关。尽管检查覆盖率较高,但大部分筛查是机会性的。此外,各种社会、经济和人口统计学差异影响了接受筛查的几率。