Amorim Vivian Mae Schmidt Lima, Barros Marilisa Berti de Azevedo
Department of Collective Health, School of Medical Sciences, Universidade Estadual de Campinas, Campinas, SP, Brazil.
Rev Bras Epidemiol. 2014;17 Suppl 2:136-49. doi: 10.1590/1809-4503201400060012.
To determine the prevalence of the Papanicolaou exam among women aged 20 to 59 years in the city of Campinas (state of São Paulo, Brazil) and to analyze associations between this test and affiliation to private health insurance plans as well as socioeconomic/demographic variables and health-related behavior.
To do so, a population-based, cross-sectional study was carried out. Statistical analyses took the study design into account.
Despite the significant socioeconomic differences between women with and without private health plans, no differences between these groups were found regarding having been submitted to the Papanicolaou test. In fact no differences were found as to socioeconomic and health variables analyzed. Among all variables analyzed, only marital status was significantly associated with having undergone the test. The Brazilian public health system accounted for 55.7% of the exams.
The present findings indicate social equity in the city of Campinas regarding the preventive exam for cervical cancer in the age group studied.
确定巴西圣保罗州坎皮纳斯市20至59岁女性中巴氏涂片检查的普及率，并分析该检查与加入私人健康保险计划以及社会经济/人口统计学变量和健康相关行为之间的关联。
为此，开展了一项基于人群的横断面研究。统计分析考虑了研究设计。
尽管有私人健康保险计划和没有私人健康保险计划的女性之间存在显著的社会经济差异，但在是否接受巴氏涂片检查方面，两组之间未发现差异。事实上，在分析的社会经济和健康变量方面均未发现差异。在所有分析的变量中，只有婚姻状况与是否接受该检查显著相关。巴西公共卫生系统提供了55.7%的检查。
目前的研究结果表明，在坎皮纳斯市，在所研究的年龄组中，宫颈癌预防检查方面存在社会公平性。
