The objective was to describe the prevalence and factors associated with uterine cervical cancer (CA) and high-grade squamous intraepithelial lesions (HSIL)
IntroductionWorldwide, cervical cancer is one of the most frequent malignant neoplasms in women, with 400,000 cases diagnosed per year, second only to breast cancer 1,2,3 . In Brazil, 20,690 new cases are expected in 2005, with a risk of 22 cases per 100,000 women. It is the most common neoplasm in the North of Brazil (23/100,000). In the South (31/100,000), Central West (23/100,000), Southeast (22/100,000), and Northeast (18/100,000) it is the second most frequent tumor, and every day ten women die from this disease 4 .In 1996, the Brazilian Ministry of Health, with consultancy from the Ontario Cancer Treatment and Research Foundation (Canada), drafted the National Cervical Cancer and Breast Cancer Program (known as Programa Viva Mulher), which was implemented in 1997 5,6 . Since the highest incidence of cervical cancer is from 35 to 49 years of age, the Program extended the safety range by ten years (above and below) so as to conduct activities targeting women from 25 to 59 years 6 .However, the first infection with human papillomavirus (HPV) generally occurs at the beginning of sexual activity 7,8 , and since sexual debut has occurred at increasingly early ages, this creates a window of approximately ten years between contact with the virus and the first Pap smear.Many cases of HPV infection do not cause symptoms and resolve spontaneously 9 . However, persistent cases may develop into precursor ARTIGO ARTICLE