CERVICAL CANCER PREVENTION: Empowerment of women from a community of Luanda

Silva, Maria João; Brito, Irma da Silva; Bernardo, Bebiana Calisto; Rocha, Eurica; Pascoal, Ana Carolina Ferraz; Candeias, Judith

doi:10.23882/om5-2016-10-07

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“…Although education [ 32 ], income, and moral and affective values also interfere in the perception of risk and preventive practices [ 33 ], the organization of healthcare services and actions of health professionals [ 1 , 18 , 27 ] are significant aspects to obtain satisfactory results. Difficulties in accessing the healthcare unit, negligence of professionals in providing humanized care, lack of instructions and information offered to these women about cancer, and the importance of the screening test are closely associated with the failure to undergo the Pap smear test [ 14 , 31 , 34 , 35 , 36 ].…”

Section: Discussionmentioning

confidence: 99%

Barriers to Access the Pap Smear Test for Cervical Cancer Screening in Rural Riverside Populations Covered by a Fluvial Primary Healthcare Team in the Amazon

Silva

Garnelo

Herkrath

2022

IJERPH

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Cervical cancer is a major public health problem, especially in the north region of Brazil. The aim of the study was to identify the factors associated with not undergoing the cervical cancer screening test in rural riverside populations in the Amazon. A cross-sectional home-based survey was carried out in 38 locations covered by a fluvial primary healthcare team, and the administrative records of the screening tests from January 2016 to May 2019 were analyzed. After the descriptive analysis, logistic regression was performed considering the outcome of having undergone cervical cancer screening within the past three years. Of the 221 women assessed, 8.1% had never undergone the test, and 7.7% had undergone it more than three years ago. Multiparity (OR = 0.76 (95%CI = 0.64–0.90)), occupation in domestic activities (OR = 0.31 (95%CI = 0.11–0.89)), and lack of knowledge of the healthcare unit responsible for the service (OR = 0.18 (95%CI = 0.04–0.97)) were associated with not undergoing the cervical cancer screening test. The administrative records revealed that the screening test was performed outside the recommended age range (24%), performed needlessly (9.6%) with undue repetitions (3.2%), and a high percentage of the samples collected were unsatisfactory (23.5%). The findings revealed the existence of barriers for riverside women to access cervical cancer screening tests.

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