Cervical cancer screening: knowledge of Pap smear benefits and utilization in Mexico
Autor(a) principal: | |
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Data de Publicação: | 2003 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | spa |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/31562 |
Resumo: | OBJECTIVE: To identify and evaluate the predisposing factors regarding the utilization of the Pap smears in the population seen in the Cervical Cancer Screening Program in Mexico METHODS: A cross-sectional study was conducted from January 1997 through December 1998 in Mexico city. A questionnaire was applied to a total of 2,107 women of reproductive age who attended a family planning program and data was collected regarding the following topics: social-demographics, reproductive risk factors associated with cervical cancer, sexual behavior and partner history, birth control, knowledge about Pap smear' benefits, and its utilization. Statistic analysis was conducted using Student´s test and non-conditional multiple logistic regression model for determining significance. RESULTS: The predisposing factors were: knowledge about Pap smear's benefits (OR=6.00, CI 95% 4.70-7.67), history of using at least two birth control methods (OR=2.38, CI 95% 1.75-3.24), previous history of vaginal infection (OR=2.18, CI 95% 1.73-2.75), sexual partner's approval of gynecological examinations (OR=1.56, CI 95% 1.07-2.29). CONCLUSIONS: Educational programs on cancer prevention in this population should include the benefits of screening tests. Pap smears for Mexican women of reproductive age are mostly offered opportunely. The previous use of health services is a determinant factor for the utilization of the Cervical Cancer Screening Program. These results show the need to strengthen health promotion programs to women at high risk of cervical cancer and their sexual partners. |
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Cervical cancer screening: knowledge of Pap smear benefits and utilization in Mexico Tamizaje en cáncer cervical: conocimiento de la utilidad y uso de citología cervical en México Cervix neoplasmsVaginal smearsWomen's healthCross-sectional studiesHealth plans and programmesSocioeconomic factorsRisk factorsReproductive medicineScreeningQuestionnairesNeoplasmas del cuello uterino^i1^sprevencFrotis vaginalSalud de las mujeresPlanes y programas de saludEstudios transversaisFactores socioeconomicosSalud reproductivaCuestionarios OBJECTIVE: To identify and evaluate the predisposing factors regarding the utilization of the Pap smears in the population seen in the Cervical Cancer Screening Program in Mexico METHODS: A cross-sectional study was conducted from January 1997 through December 1998 in Mexico city. A questionnaire was applied to a total of 2,107 women of reproductive age who attended a family planning program and data was collected regarding the following topics: social-demographics, reproductive risk factors associated with cervical cancer, sexual behavior and partner history, birth control, knowledge about Pap smear' benefits, and its utilization. Statistic analysis was conducted using Student´s test and non-conditional multiple logistic regression model for determining significance. RESULTS: The predisposing factors were: knowledge about Pap smear's benefits (OR=6.00, CI 95% 4.70-7.67), history of using at least two birth control methods (OR=2.38, CI 95% 1.75-3.24), previous history of vaginal infection (OR=2.18, CI 95% 1.73-2.75), sexual partner's approval of gynecological examinations (OR=1.56, CI 95% 1.07-2.29). CONCLUSIONS: Educational programs on cancer prevention in this population should include the benefits of screening tests. Pap smears for Mexican women of reproductive age are mostly offered opportunely. The previous use of health services is a determinant factor for the utilization of the Cervical Cancer Screening Program. These results show the need to strengthen health promotion programs to women at high risk of cervical cancer and their sexual partners. OBJETIVO: Identificar y evaluar los factores que predisponen a la utilización de la prueba de Papanicolaou en la población que usa el servicio del Programa Nacional de Detección Oportuna de Cáncer en México. MÉTODOS: Se realizó un estudio del tipo transversal de enero de 1997 a diciembre de 1998, en la Ciudad de México; se incluyeron a 2.107 mujeres en edad reproductiva que acudieron a un servicio de planificación familiar, las cuáles respondieron a un cuestionario con preguntas sobre características: sociodemográficas, factores de riesgo reproductivo asociados a cáncer cervical, historia de vida sexual, uso de métodos anticonceptivos, conocimiento de la utilidad y utilización del Papanicolaou. Para el análisis de los datos se construyeron modelos multivariados de regresión logística no condicional. RESULTADOS: Los predisponentes de utilización del programa de detección oportuna de cáncer en esta población fueron: el conocimiento de la utilidad del Papanicolaou incrementó en seis veces más la posibilidad de utilización (IC 95% 4,70-7,67); el antecedente de utilización de dos o más métodos de planificación familiar (OR=2,38; IC 95% 1,75-3,24); el antecedente de historia de infección vaginal (OR=2,18; IC 95% 1,73-2,75), y la aceptación del esposo para la realización de exploraciones ginecológicas (OR=1,56; IC 95% 1,07-2,29). CONCLUSIONES: La implementación de programas educativos en la prevención de cáncer, deberán incluir la utilidad de las pruebas de detección. En México, en mujeres en edad reproductiva utilización de la prueba de Papanicolaou se ofrece predominantemente en forma oportunista, por lo que el antecedente de utilización de los Servicios de Salud es un determinante para la utilización del Programa de Detección Oportuna de Cáncer Cervical. Estos resultados muestran la necesidad de ampliar la promoción a la salud de este programa a las mujeres de alto riesgo, incluyendo a sus parejas sexuales. Universidade de São Paulo. Faculdade de Saúde Pública2003-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3156210.1590/S0034-89102003000100015Revista de Saúde Pública; Vol. 37 No. 1 (2003); 100-106 Revista de Saúde Pública; Vol. 37 Núm. 1 (2003); 100-106 Revista de Saúde Pública; v. 37 n. 1 (2003); 100-106 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPspahttps://www.revistas.usp.br/rsp/article/view/31562/33447Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessAguilar-Pérez, José ALeyva-López, Ahidée GpeAngulo-Nájera, DavidSalinas, AntonioLazcano-Ponce, Eduardo C2012-07-08T14:50:23Zoai:revistas.usp.br:article/31562Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-08T14:50:23Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Cervical cancer screening: knowledge of Pap smear benefits and utilization in Mexico Tamizaje en cáncer cervical: conocimiento de la utilidad y uso de citología cervical en México |
title |
Cervical cancer screening: knowledge of Pap smear benefits and utilization in Mexico |
spellingShingle |
Cervical cancer screening: knowledge of Pap smear benefits and utilization in Mexico Aguilar-Pérez, José A Cervix neoplasms Vaginal smears Women's health Cross-sectional studies Health plans and programmes Socioeconomic factors Risk factors Reproductive medicine Screening Questionnaires Neoplasmas del cuello uterino^i1^sprevenc Frotis vaginal Salud de las mujeres Planes y programas de salud Estudios transversais Factores socioeconomicos Salud reproductiva Cuestionarios |
title_short |
Cervical cancer screening: knowledge of Pap smear benefits and utilization in Mexico |
title_full |
Cervical cancer screening: knowledge of Pap smear benefits and utilization in Mexico |
title_fullStr |
Cervical cancer screening: knowledge of Pap smear benefits and utilization in Mexico |
title_full_unstemmed |
Cervical cancer screening: knowledge of Pap smear benefits and utilization in Mexico |
title_sort |
Cervical cancer screening: knowledge of Pap smear benefits and utilization in Mexico |
author |
Aguilar-Pérez, José A |
author_facet |
Aguilar-Pérez, José A Leyva-López, Ahidée Gpe Angulo-Nájera, David Salinas, Antonio Lazcano-Ponce, Eduardo C |
author_role |
author |
author2 |
Leyva-López, Ahidée Gpe Angulo-Nájera, David Salinas, Antonio Lazcano-Ponce, Eduardo C |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Aguilar-Pérez, José A Leyva-López, Ahidée Gpe Angulo-Nájera, David Salinas, Antonio Lazcano-Ponce, Eduardo C |
dc.subject.por.fl_str_mv |
Cervix neoplasms Vaginal smears Women's health Cross-sectional studies Health plans and programmes Socioeconomic factors Risk factors Reproductive medicine Screening Questionnaires Neoplasmas del cuello uterino^i1^sprevenc Frotis vaginal Salud de las mujeres Planes y programas de salud Estudios transversais Factores socioeconomicos Salud reproductiva Cuestionarios |
topic |
Cervix neoplasms Vaginal smears Women's health Cross-sectional studies Health plans and programmes Socioeconomic factors Risk factors Reproductive medicine Screening Questionnaires Neoplasmas del cuello uterino^i1^sprevenc Frotis vaginal Salud de las mujeres Planes y programas de salud Estudios transversais Factores socioeconomicos Salud reproductiva Cuestionarios |
description |
OBJECTIVE: To identify and evaluate the predisposing factors regarding the utilization of the Pap smears in the population seen in the Cervical Cancer Screening Program in Mexico METHODS: A cross-sectional study was conducted from January 1997 through December 1998 in Mexico city. A questionnaire was applied to a total of 2,107 women of reproductive age who attended a family planning program and data was collected regarding the following topics: social-demographics, reproductive risk factors associated with cervical cancer, sexual behavior and partner history, birth control, knowledge about Pap smear' benefits, and its utilization. Statistic analysis was conducted using Student´s test and non-conditional multiple logistic regression model for determining significance. RESULTS: The predisposing factors were: knowledge about Pap smear's benefits (OR=6.00, CI 95% 4.70-7.67), history of using at least two birth control methods (OR=2.38, CI 95% 1.75-3.24), previous history of vaginal infection (OR=2.18, CI 95% 1.73-2.75), sexual partner's approval of gynecological examinations (OR=1.56, CI 95% 1.07-2.29). CONCLUSIONS: Educational programs on cancer prevention in this population should include the benefits of screening tests. Pap smears for Mexican women of reproductive age are mostly offered opportunely. The previous use of health services is a determinant factor for the utilization of the Cervical Cancer Screening Program. These results show the need to strengthen health promotion programs to women at high risk of cervical cancer and their sexual partners. |
publishDate |
2003 |
dc.date.none.fl_str_mv |
2003-02-01 |
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://www.revistas.usp.br/rsp/article/view/31562 10.1590/S0034-89102003000100015 |
url |
https://www.revistas.usp.br/rsp/article/view/31562 |
identifier_str_mv |
10.1590/S0034-89102003000100015 |
dc.language.iso.fl_str_mv |
spa |
language |
spa |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/31562/33447 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 37 No. 1 (2003); 100-106 Revista de Saúde Pública; Vol. 37 Núm. 1 (2003); 100-106 Revista de Saúde Pública; v. 37 n. 1 (2003); 100-106 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221780694007808 |