Rastreamento oportunístico versus perdas de oportunidade: não realização do exame de Papanicolaou entre mulheres que frequentaram o pré-natal

• Autor(a) principal: Luciane Ribeiro
• Data de Publicação: 2016
• Outros Autores: Ronaldo Rocha Bastos, Marcel de Toledo Vieira, Luiz Cláudio Ribeiro, Maria Teresa Bustamante Teixeira, Isabel Cristina Gonçalves Leite
• 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/6141
• topic: Neoplasias do Colo do Útero; Esfregaço Vaginal; Saúde da Mulher; Inquéritos Epidemiológicos; Análise Multivariada

The objectives were to estimate the prevalence of non-adherence to Pap smear testing in women attending prenatal care and to identify associated factors. This was a cross-sectional population-based study in 308 women from a rural municipality (county) in Minas Gerais State, Brazil. Complex stratified cluster sampling was used. Statistical analysis used the chi-square test and logistic regression model with the variables that presented p-value ≤ 0.05 in the bivariate model. Prevalence of lack of Pap smear test was 21.3%. Among women 25 years or older, prevalence was 15.1%. Non-adherence was more common in young, single women and those with low schooling. Low schooling remained associated with non-performance of Pap smear (OR = 0.41), indicating that women with more schooling enjoyed higher odds of testing. Contact with the prenatal clinic did not determine guaranteed access to the test, thus indicating missed opportunities when opportunistic screening is employed.