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Inequalities in Pap smear screening for cervical cancer in Brazil.
Martínez-Mesa, Jeovany; Werutsky, Gustavo; Campani, Raquel Barth; Wehrmeister, Fernando César; Barrios, Carlos Henrique.
Afiliación
  • Martínez-Mesa J; Latin American Cooperative Oncology Group (LACOG), Porto Alegre, Brazil. Electronic address: jeovanymm@yahoo.es.
Prev Med ; 57(4): 366-71, 2013 Oct.
Article en En | MEDLINE | ID: mdl-23827721
OBJECTIVE: To examine the risk factors associated with never being screened for cervical cancer (CC) in Brazil. METHODS: Using the National Household Sample Survey 2008 (PNAD), we analyzed data from 102,108 Brazilian women ages 25-64years. The patients were analyzed as having been or never having been screened with a Pap smear (Yes/No). Age-adjusted prevalence of never-screening was analyzed using a Chi-squared test. Crude and adjusted models using Poisson regression were performed. RESULTS: The prevalence of never-screened women for CC was 12.9%, 11.5% and 22.2% in Brazil in general, urban and rural areas, respectively. The Brazilian region with the highest prevalence of never-screening was the North (17.4%, 14.7% and 27.3% in general, urban and rural areas, respectively). The factors associated with a higher risk for never being screened were the following: poverty, younger age, lower educational level, non-white skin color, a greater number of children, no supplemental health insurance and not having visited a doctor in the past 12months. CONCLUSION: Socioeconomic and demographic conditions lead to inequalities in access to Pap smear screening in Brazil. Public health policy addressing these risk groups is necessary.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Frotis Vaginal / Neoplasias del Cuello Uterino / Disparidades en Atención de Salud / Detección Precoz del Cáncer / Prueba de Papanicolaou Tipo de estudio: Diagnostic_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Aspecto: Determinantes_sociais_saude / Equity_inequality Límite: Adult / Female / Humans / Middle aged País/Región como asunto: America do sul / Brasil Idioma: En Revista: Prev Med Año: 2013 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Frotis Vaginal / Neoplasias del Cuello Uterino / Disparidades en Atención de Salud / Detección Precoz del Cáncer / Prueba de Papanicolaou Tipo de estudio: Diagnostic_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Aspecto: Determinantes_sociais_saude / Equity_inequality Límite: Adult / Female / Humans / Middle aged País/Región como asunto: America do sul / Brasil Idioma: En Revista: Prev Med Año: 2013 Tipo del documento: Article Pais de publicación: Estados Unidos