Ruiz-Maza J C, Soto-Azpilcueta R A, Sanchez-Salvatierra J, Torres-Prado Y
Sociedad Científica de San Fernando. Universidad Nacional Mayor de San Marcos. Lima. Perú.
Rev Esp Sanid Penit. 2018 Sep-Dec;20(3):103-110.
To determine the prevalence and factors associated with the screening of cervical cancer by Papanicolaou in the penitentiary population of Peru.
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.
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.
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.
确定秘鲁监狱人群中通过巴氏涂片法筛查宫颈癌的患病率及相关因素。
采用秘鲁2016年全国监狱人口普查数据进行横断面研究。因变量是过去一年中宫颈癌的细胞学筛查情况。自变量分为促进因素、社会人口学易患因素以及使用卫生服务需求的产生因素。通过调整患病率比（aPR）和95%置信区间（95%CI），采用泊松回归法估计多变量关联，并使用双变量中p<0.05的变量。
秘鲁67所监狱中总共4515名被监禁女性纳入研究。69%（95%CI：67.81 - 70.5）在过去一年进行了细胞学筛查，这与拥有公共医疗保险（aPR 1.28，95%CI：1.21 - 1.36）、前往监狱卫生服务机构（aPR 1.18，95%CI：1.12 - 1.24）以及有癌症病史（aPR 1.14，95%CI：1.02 - 1.26）有关。年龄、子女数量、体育活动以及监狱类型也与细胞学筛查有关。
秘鲁被监禁女性的细胞学筛查与获得卫生服务的机会、社会人口学易患因素以及病理背景之间存在关联。应推动对该人群健康预防行为的更多研究。
