Vieira Yohana Pereira, Viero Vanise Dos Santos Ferreira, Vargas Bianca Languer, Nunes Graziana Oliveira, Machado Karla Pereira, Neves Rosália Garcia, Saes Mirelle de Oliveira
Universidade Federal do Rio Grande, Rio Grande, Brasil.
Secretaria Estadual da Saúde, Porto Alegre, Brasil.
Cad Saude Publica. 2022 Oct 24;38(9):e00272921. doi: 10.1590/0102-311XPT272921. eCollection 2022.
This study aimed to verify the temporal trend and inequalities in self-reported cervical cancer screening in Brazilian capitals from 2011 to 2020. This is a trend study with Risk and Protective Factors Surveillance System for Chronic Non-Communicable Diseases Through Telephone Interview (Vigitel) data from 2011 to 2020. The outcome was the prevalence of cytopathological examination in the last three years. Slope index of inequality (SII) and concentration index (CIX) were used to estimate inequalities. An increasing trend in the outcome was observed in Brazil in the period surveyed, as well as a decrease in most regions, capitals, and in all groups according to education. There was a decrease in coverage in most regions of Brazil. We highlight that SII presented its worst results in 2011 and 2012, reaching 15.8p.p. (95%CI: 14.1; 17.6) and 15.0p.p. (95%CI: 13.1; 16.9), respectively, among women with 12 years or more of education. There was a decrease in coverage of cervical cancer screening in most Brazilian regions and capitals from 2011 to 2020. In the period before and during the pandemic, a reduction in the outcome was observed in the South and Southeast regions, suggesting that the COVID-19 pandemic caused geographical inequalities in the coverage for this exam in Brazil.
本研究旨在验证2011年至2020年巴西各首府自我报告的宫颈癌筛查的时间趋势和不平等情况。这是一项趋势研究，使用了2011年至2020年通过电话访谈进行的慢性非传染性疾病风险和保护因素监测系统（Vigitel）的数据。研究结果是过去三年细胞病理学检查的患病率。使用不平等斜率指数（SII）和集中指数（CIX）来估计不平等情况。在调查期间，巴西的研究结果呈上升趋势，大多数地区、首府以及按教育程度划分的所有群体的结果都有所下降。巴西大多数地区的覆盖率有所下降。我们强调，SII在2011年和2012年呈现出最差的结果，在接受12年或以上教育的女性中，分别达到15.8个百分点（95%置信区间：14.1；17.6）和15.0个百分点（95%置信区间：13.1；16.9）。从2011年到2020年，巴西大多数地区和首府的宫颈癌筛查覆盖率有所下降。在大流行之前和期间，南部和东南部地区的研究结果有所下降，这表明新冠疫情在巴西导致了该检查覆盖率的地理不平等。
