Coverage and focus of a cervical cancer prevention program in southern Brazil Cobertura y concentración poblacional de un programa para la prevención del cáncer cervicouterino en el sur del Brasil
OBJECTIVE: To determine the coverage and focus of cervical cancer screening (Pap smears) in a population-based sample in Brazil. METHODS: Cross-sectional cluster survey covering 1 730 women aged 20 years or older with a history of sexual activity. Information was collected on social, demographic and...
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Pan American Health Organization
2004
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ftdoajarticles:oai:doaj.org/article:ec1267e5d3f44571a8d167ceea2a07a2 2023-05-15T15:19:07+02:00 Coverage and focus of a cervical cancer prevention program in southern Brazil Cobertura y concentración poblacional de un programa para la prevención del cáncer cervicouterino en el sur del Brasil Carlos Alberto Temes de Quadros Cesar Gomes Victora Juvenal Soares Dias da Costa 2004-10-01T00:00:00Z https://doaj.org/article/ec1267e5d3f44571a8d167ceea2a07a2 EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892004001000001 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/ec1267e5d3f44571a8d167ceea2a07a2 Revista Panamericana de Salud Pública, Vol 16, Iss 4, Pp 223-232 (2004) Papanicolaou smear vaginal smear physical examination cross-sectional study epidemiology Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2004 ftdoajarticles 2022-12-31T15:59:31Z OBJECTIVE: To determine the coverage and focus of cervical cancer screening (Pap smears) in a population-based sample in Brazil. METHODS: Cross-sectional cluster survey covering 1 730 women aged 20 years or older with a history of sexual activity. Information was collected on social, demographic and behavioral variables, knowledge of and use of the Pap test. RESULTS: Of women aged 25-59 years, who are the target population of the national cervical cancer screening program, 78.7% had had at least one Pap test in their lifetime, and 68.8% had had a Pap test in the last 3 years. Statistics for focus of the program showed that of the 637 women who reported having a Pap test in the last year, only 20.6% actually required one. The remainder were either outside the age range or had had another test less than 30 months previously. Prevalence of not having been tested in the previous 3 years was highest among black (41.7%) and low-income women (64.3%), and among those at greatest risk for cervical cancer (62.3% for women with three or more risk factors). Focus was inversely related to socioeconomic status. CONCLUSION: Coverage rates were similar to those reported in other national studies, but this is the first report to examine the focus of the national program. We show that 8 of every 10 Pap tests were not necessary. Coverage levels remain unacceptably low among women of low socioeconomic status and those at greatest risk for cervical cancer. OBJETIVO: Determinar la cobertura y la concentración poblacional del tamizaje del cáncer cervicouterino (con la prueba de Papanicolaou) en una muestra poblacional en el Brasil. MÉTODOS: Encuesta transversal por conglomerados en una muestra de 1 740 mujeres de 20 años de edad o mayores con antecedentes de actividad sexual. Se recogió información acerca de las características sociales, demográficas y conductuales de estas mujeres, y sobre su familiaridad con la prueba de Papanicolau y la frecuencia con la que se la habían hecho. RESULTADOS: De las mujeres entre los 25 y 59 años de ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic |
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Directory of Open Access Journals: DOAJ Articles |
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English Spanish Portuguese |
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Papanicolaou smear vaginal smear physical examination cross-sectional study epidemiology Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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Papanicolaou smear vaginal smear physical examination cross-sectional study epidemiology Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Carlos Alberto Temes de Quadros Cesar Gomes Victora Juvenal Soares Dias da Costa Coverage and focus of a cervical cancer prevention program in southern Brazil Cobertura y concentración poblacional de un programa para la prevención del cáncer cervicouterino en el sur del Brasil |
topic_facet |
Papanicolaou smear vaginal smear physical examination cross-sectional study epidemiology Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
OBJECTIVE: To determine the coverage and focus of cervical cancer screening (Pap smears) in a population-based sample in Brazil. METHODS: Cross-sectional cluster survey covering 1 730 women aged 20 years or older with a history of sexual activity. Information was collected on social, demographic and behavioral variables, knowledge of and use of the Pap test. RESULTS: Of women aged 25-59 years, who are the target population of the national cervical cancer screening program, 78.7% had had at least one Pap test in their lifetime, and 68.8% had had a Pap test in the last 3 years. Statistics for focus of the program showed that of the 637 women who reported having a Pap test in the last year, only 20.6% actually required one. The remainder were either outside the age range or had had another test less than 30 months previously. Prevalence of not having been tested in the previous 3 years was highest among black (41.7%) and low-income women (64.3%), and among those at greatest risk for cervical cancer (62.3% for women with three or more risk factors). Focus was inversely related to socioeconomic status. CONCLUSION: Coverage rates were similar to those reported in other national studies, but this is the first report to examine the focus of the national program. We show that 8 of every 10 Pap tests were not necessary. Coverage levels remain unacceptably low among women of low socioeconomic status and those at greatest risk for cervical cancer. OBJETIVO: Determinar la cobertura y la concentración poblacional del tamizaje del cáncer cervicouterino (con la prueba de Papanicolaou) en una muestra poblacional en el Brasil. MÉTODOS: Encuesta transversal por conglomerados en una muestra de 1 740 mujeres de 20 años de edad o mayores con antecedentes de actividad sexual. Se recogió información acerca de las características sociales, demográficas y conductuales de estas mujeres, y sobre su familiaridad con la prueba de Papanicolau y la frecuencia con la que se la habían hecho. RESULTADOS: De las mujeres entre los 25 y 59 años de ... |
format |
Article in Journal/Newspaper |
author |
Carlos Alberto Temes de Quadros Cesar Gomes Victora Juvenal Soares Dias da Costa |
author_facet |
Carlos Alberto Temes de Quadros Cesar Gomes Victora Juvenal Soares Dias da Costa |
author_sort |
Carlos Alberto Temes de Quadros |
title |
Coverage and focus of a cervical cancer prevention program in southern Brazil Cobertura y concentración poblacional de un programa para la prevención del cáncer cervicouterino en el sur del Brasil |
title_short |
Coverage and focus of a cervical cancer prevention program in southern Brazil Cobertura y concentración poblacional de un programa para la prevención del cáncer cervicouterino en el sur del Brasil |
title_full |
Coverage and focus of a cervical cancer prevention program in southern Brazil Cobertura y concentración poblacional de un programa para la prevención del cáncer cervicouterino en el sur del Brasil |
title_fullStr |
Coverage and focus of a cervical cancer prevention program in southern Brazil Cobertura y concentración poblacional de un programa para la prevención del cáncer cervicouterino en el sur del Brasil |
title_full_unstemmed |
Coverage and focus of a cervical cancer prevention program in southern Brazil Cobertura y concentración poblacional de un programa para la prevención del cáncer cervicouterino en el sur del Brasil |
title_sort |
coverage and focus of a cervical cancer prevention program in southern brazil cobertura y concentración poblacional de un programa para la prevención del cáncer cervicouterino en el sur del brasil |
publisher |
Pan American Health Organization |
publishDate |
2004 |
url |
https://doaj.org/article/ec1267e5d3f44571a8d167ceea2a07a2 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 16, Iss 4, Pp 223-232 (2004) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892004001000001 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/ec1267e5d3f44571a8d167ceea2a07a2 |
_version_ |
1766349306265075712 |