The risk for FSWs to develop preinvasive or invasive cervical lesions increased with the number of cigarettes they smoked per day and their years of smoking.

First sexual experience before 20 years of age, cigarette smoking and HPV infection were high-risk factors for preinvasive and invasive lesions of the cervix in Venezuelan FSW.

No abstract

El objetivo del artículo fue caracterizar la participación comunitaria en los servicios de salud de la parroquia Idelfonso Vásquez, Municipio Maracaibo, Zulia, Venezuela. La investigación fue descriptiva, transversal y de campo. Se emplearon criterios de selección para las comunidades y para la muestra de los sujetos a los cuales se les aplicó un cuestionario estructurado. El 75% de los encuestados dijo conocer la existencia de leyes que respaldan la participación comunitaria; 73% reconoció a los consejos comunales como las instancias de participación existentes en sus comunidades. 38,3% manifestó que la comunidad había intervenido en la planificación de los programas de salud mientras que el 19,9% refirió que la participación en la ejecución de los mismos era esporádica. Con relación a la contraloría social de los servicios de salud, el 50,8% de los informantes expresó no saber quiénes la efectuaban. Se apreciaron importantes avances en cuanto al reconocimiento y utilización de los mecanismos existentes para la participación comunitaria, sin embargo, se requiere profundizar lo referente al ejercicio de la contraloría social, a fin de que las comunidades hagan uso de este instrumento de poder que les permitirá incidir en la reformulación de las políticas de salud y por ende en la gestión de los servicios.

Objective. To determine the false‐negative, false‐positive, sensitivity, specificity, negative predictive value (NPV), and positive predictive value (PPV) rates of Pap smears and colposcopy in sexual workers. Materials and Methods. Four hundred thirty‐eight prostitutes were given a gynecological examination, Pap smear, and colposcopic examination of the cervix. A cervical biopsy was taken under colposcopic guidance when there was abnormal epithelium. Results. There were 81 premalignant and malignant lesions. Twenty‐two Pap smear reports were abnormal: 17 CIN1, four CIN2, and one CIN3. Pap smears had a 14.4% false‐negative rate, 0.9% false‐positive rate, sensitivity 22.2%, specificity 98.8%, NPV 84.4%, and PPV 81.8%. Eighty‐four biopsies were taken from abnormal colposcopic findings, and 96.4% were reported as premalignant and malignant lesions. Colposcopy had a 0.8% false‐positive rate, sensitivity 100%, specificity 99.2%, NPV 100%, and PPV 96.4%. Conclusions. Pap smear had a low‐sensitivity and colposcopy had a high sensitivity and specificity.

Objective. To determine the false-negative, false-positive, sensitivity, specificity, negative predictive value (NPV), and positive predictive value (PPV) rates of Pap smears and colposcopy in sexual workers.Materials and Methods. Four hundred thirty-eight prostitutes were given a gynecological examination, Pap smear, and colposcopic examination of the cervix. A cervical biopsy was taken under colposcopic guidance when there was abnormal epithelium.Results. There were 81 premalignant and malignant lesions. Twenty-two Pap smear reports were abnormal: 17 CIN1, four CIN2, and one CIN3. Pap smears had a 14.4% false-negative rate, 0.9% false-positive rate, sensitivity 22.2%, specificity 98.8%, NPV 84.4%, and PPV 81.8%. Eighty-four biopsies were taken from abnormal colposcopic findings, and 96.4% were reported as premalignant and malignant lesions. Colposcopy had a 0.8% false-positive rate, sensitivity 100%, specificity 99.2%, NPV 100%, and PPV 96.4%.Conclusions. Pap smear had a low-sensitivity and colposcopy had a high sensitivity and specificity.