Conhecimento, atitude e prática do exame de Papanicolaou em mulheres com câncer de colo uterino
Autor(a) principal: | |
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Data de Publicação: | 2001 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1479 |
Resumo: | Despite screening programs, Brazil has a high cervical cancer mortality rate. The objective of this cross-sectional study was to analyze knowledge, attitudes, and practices related to the Pap smear and to understand why women fail to submit to this screening test. A structured questionnaire was used to interview 138 women: 90 with high grade intraepithelial neoplasia and 48 with invasive cervical cancer. Inadequate practices were more frequent among women with invasive cancer. In terms of difficulties in obtaining medical care, more than 80% of women reported lack of motivation, 60% reported that physicians failed to conduct a complete physical examination, and some 50% reported that physicians' schedules were busy. Having a Pap smear usually depended on a physician's request and the woman being symptomatic. Women over than 56 years old showed more frequent inadequate knowledge, attitudes and practices. However, those with more schooling were more knowledgeable of the Pap smear procedure. Age and less schooling could be barriers against women participating in screening programs, but socioeconomic problems must also be considered for improving practices related to the Pap smear. |
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Conhecimento, atitude e prática do exame de Papanicolaou em mulheres com câncer de colo uterinoNeoplasias UterinasSaúde da MulherExames MédicosDespite screening programs, Brazil has a high cervical cancer mortality rate. The objective of this cross-sectional study was to analyze knowledge, attitudes, and practices related to the Pap smear and to understand why women fail to submit to this screening test. A structured questionnaire was used to interview 138 women: 90 with high grade intraepithelial neoplasia and 48 with invasive cervical cancer. Inadequate practices were more frequent among women with invasive cancer. In terms of difficulties in obtaining medical care, more than 80% of women reported lack of motivation, 60% reported that physicians failed to conduct a complete physical examination, and some 50% reported that physicians' schedules were busy. Having a Pap smear usually depended on a physician's request and the woman being symptomatic. Women over than 56 years old showed more frequent inadequate knowledge, attitudes and practices. However, those with more schooling were more knowledgeable of the Pap smear procedure. Age and less schooling could be barriers against women participating in screening programs, but socioeconomic problems must also be considered for improving practices related to the Pap smear.O câncer de colo uterino apresenta alta mortalidade no Brasil, apesar dos programas para rastreamento. O objetivo deste estudo, de corte transversal, foi analisar conhecimento, atitude e prática do exame de Papanicolaou e entender a não adesão das mulheres a este exame. Foram entrevistadas 138 mulheres: noventa com neoplasia intra-epitelial de alto grau e 48 com câncer invasivo de colo uterino. As mulheres com câncer invasivo tiveram prática mais inadequada do exame. No entanto, independente do diagnóstico, mais de 80% delas referiram desmotivação/vergonha, 60% relataram que os médicos não examinavam e, cerca de 50% apontaram o tempo de espera para a consulta e a demora no agendamento como dificuldades para serem atendidas. Em geral, a prática do exame dependeu da iniciativa do médico e a periodicidade da coleta foi determinada pela procura de consulta devido a sintomas. As mulheres com 56 anos ou mais mostraram maior inadequação no conhecimento, na atitude e na prática. No entanto, aquelas com maior escolaridade conheciam melhor o exame. A maior idade e a menor escolaridade podem estar associados a não adesão das mulheres ao exame, porém as dificuldades sociais e econômicas para conseguir atendimento em saúde precisam ser consideradas para aumentar a prática do exame.Reports in Public HealthCadernos de Saúde Pública2001-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1479Reports in Public Health; Vol. 17 No. 4 (2001): July/AugustCadernos de Saúde Pública; v. 17 n. 4 (2001): Julho/Agosto1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1479/2946https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1479/2947Brenna, Sylvia Michelina FernandesHardy, EllenZeferino, Luiz CarlosNamura, Iarainfo:eu-repo/semantics/openAccess2024-03-06T15:26:27Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/1479Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:01:45.256518Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Conhecimento, atitude e prática do exame de Papanicolaou em mulheres com câncer de colo uterino |
title |
Conhecimento, atitude e prática do exame de Papanicolaou em mulheres com câncer de colo uterino |
spellingShingle |
Conhecimento, atitude e prática do exame de Papanicolaou em mulheres com câncer de colo uterino Brenna, Sylvia Michelina Fernandes Neoplasias Uterinas Saúde da Mulher Exames Médicos |
title_short |
Conhecimento, atitude e prática do exame de Papanicolaou em mulheres com câncer de colo uterino |
title_full |
Conhecimento, atitude e prática do exame de Papanicolaou em mulheres com câncer de colo uterino |
title_fullStr |
Conhecimento, atitude e prática do exame de Papanicolaou em mulheres com câncer de colo uterino |
title_full_unstemmed |
Conhecimento, atitude e prática do exame de Papanicolaou em mulheres com câncer de colo uterino |
title_sort |
Conhecimento, atitude e prática do exame de Papanicolaou em mulheres com câncer de colo uterino |
author |
Brenna, Sylvia Michelina Fernandes |
author_facet |
Brenna, Sylvia Michelina Fernandes Hardy, Ellen Zeferino, Luiz Carlos Namura, Iara |
author_role |
author |
author2 |
Hardy, Ellen Zeferino, Luiz Carlos Namura, Iara |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Brenna, Sylvia Michelina Fernandes Hardy, Ellen Zeferino, Luiz Carlos Namura, Iara |
dc.subject.por.fl_str_mv |
Neoplasias Uterinas Saúde da Mulher Exames Médicos |
topic |
Neoplasias Uterinas Saúde da Mulher Exames Médicos |
description |
Despite screening programs, Brazil has a high cervical cancer mortality rate. The objective of this cross-sectional study was to analyze knowledge, attitudes, and practices related to the Pap smear and to understand why women fail to submit to this screening test. A structured questionnaire was used to interview 138 women: 90 with high grade intraepithelial neoplasia and 48 with invasive cervical cancer. Inadequate practices were more frequent among women with invasive cancer. In terms of difficulties in obtaining medical care, more than 80% of women reported lack of motivation, 60% reported that physicians failed to conduct a complete physical examination, and some 50% reported that physicians' schedules were busy. Having a Pap smear usually depended on a physician's request and the woman being symptomatic. Women over than 56 years old showed more frequent inadequate knowledge, attitudes and practices. However, those with more schooling were more knowledgeable of the Pap smear procedure. Age and less schooling could be barriers against women participating in screening programs, but socioeconomic problems must also be considered for improving practices related to the Pap smear. |
publishDate |
2001 |
dc.date.none.fl_str_mv |
2001-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1479 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1479 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1479/2946 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1479/2947 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html application/pdf |
dc.publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
dc.source.none.fl_str_mv |
Reports in Public Health; Vol. 17 No. 4 (2001): July/August Cadernos de Saúde Pública; v. 17 n. 4 (2001): Julho/Agosto 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
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