0013/2017 - Não realização de citopatológico de colo uterino entre gestantes no extremo sul do Brasil: prevalência e fatores associados Non-participation in screening for cervical cancer among pregnant women in Southern Brazil: prevalence and associated factors
O câncer do colo do útero é o terceiro tumor mais frequente na população feminina e o teste citopatológico (CP) a principal estratégia para o rastreamento. Este estudo mediu a prevalência e fatores associados a não realização de CP entre gestantes maiores de 25 anos, durante o pré-natal, no município de Rio Grande, RS, em 2013. A análise multivariável utilizou regressão de Poisson avaliada por meio de razão de prevalências (RP). Dentre as 1474 gestantes incluídas no estudo, 21,6% (IC95% 19,5%-23,7%) não realizaram CP nos últimos três anos. Na análise ajustada, a RP para não realização entre puérperas com escolaridade entre 0-4 anos foi 2,14 (IC95%:1,35-3,38) em comparação àquelas com 12 anos ou mais. Ter referido aborto prévio e consumido álcool durante a gestação mostrou RP=1,38 (1,10-1,73) e 1,39 (1,04-1,84) de não fazê-lo em relação as demais, respectivamente. Realizar 1-5 consultas de pré-natal conferiu RP=1,35 (1,03-1,77) em relação às demais. Evidencia-se proporção expressiva de não realização de CP e não cumprimento de recomendação básica do Ministério da Saúde. Os profissionais de saúde deveriam reforçar a necessidade de realização deste exame, bem como busca ativa na comunidade das gestantes com o perfil aqui descrito.
Palavras-chave:
Pré-natalPapanicolaouFatores de RiscoRastreamento
Abstract:
Cervical cancer is the third most common cause of cancer among women worldwide and the Pap test is the best screening method for its detection. This study assessed the prevalence of non-participation in this test among pregnant women and to identify associated factors. The sample included pregnant women older than 25 years who attended at least one prenatal care visit in Rio Grande, Brazil, in 2013. Multivariate analysis was performed using Poisson regression and the effect measure was prevalence ratio (PR). Among 1,474 pregnant women included in the study, 21.6% (95% CI 19.5–23.7) were not screened. In the adjusted analysis, was found PR=2.14 (1.35–3.38) among non-screened mothers with 0-4 years of schooling compared to those with 12 years or more. The PR=1.38 (1.10–1.73) and 1.39 (1.04–1.84) among those reporting previous abortion and alcohol use during pregnancy compared to those who did not report them. Finally, PR=1.35 (1.03–1.77) among those attending 1–5 prenatal visits compared to others. It is evidenced a high proportion of pregnant women non-performing Pap smears and non-compliance with basic recommendation by the Brazilian Ministry of Health. Health professionals should reinforce the need for this exam and look at household level for pregnant women with profile as described here.
Keywords:
Prenatal CarePapanicolaou TestRisk FactorsScreening Test
Non-participation in screening for cervical cancer among pregnant women in Southern Brazil: prevalence and associated factors
Resumo (abstract):
Cervical cancer is the third most common cause of cancer among women worldwide and the Pap test is the best screening method for its detection. This study assessed the prevalence of non-participation in this test among pregnant women and to identify associated factors. The sample included pregnant women older than 25 years who attended at least one prenatal care visit in Rio Grande, Brazil, in 2013. Multivariate analysis was performed using Poisson regression and the effect measure was prevalence ratio (PR). Among 1,474 pregnant women included in the study, 21.6% (95% CI 19.5–23.7) were not screened. In the adjusted analysis, was found PR=2.14 (1.35–3.38) among non-screened mothers with 0-4 years of schooling compared to those with 12 years or more. The PR=1.38 (1.10–1.73) and 1.39 (1.04–1.84) among those reporting previous abortion and alcohol use during pregnancy compared to those who did not report them. Finally, PR=1.35 (1.03–1.77) among those attending 1–5 prenatal visits compared to others. It is evidenced a high proportion of pregnant women non-performing Pap smears and non-compliance with basic recommendation by the Brazilian Ministry of Health. Health professionals should reinforce the need for this exam and look at household level for pregnant women with profile as described here.
Palavras-chave (keywords):
Prenatal CarePapanicolaou TestRisk FactorsScreening Test
Terlan, Rodrigo Jacobi, Cesar, J. Não realização de citopatológico de colo uterino entre gestantes no extremo sul do Brasil: prevalência e fatores associados. Cien Saude Colet [periódico na internet] (2017/jan). [Citado em 28/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/nao-realizacao-de-citopatologico-de-colo-uterino-entre-gestantes-no-extremo-sul-do-brasil-prevalencia-e-fatores-associados/16059?id=16059&id=16059
