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Epidemiologia e Serviços de Saúde
versión impresa ISSN 1679-4974versión On-line ISSN 2237-9622
Resumen
DIAS-DA-COSTA, Juvenal Soares et al. Factors associated with not having Pap Smears in São Leopoldo, Rio Grande do Sul, Brazil, 2015: a cross-sectional population-based study. Epidemiol. Serv. Saúde [online]. 2019, vol.28, n.1, e2018203. Epub 21-Mar-2019. ISSN 1679-4974. http://dx.doi.org/10.5123/s1679-49742019000100011.
Objective:
to estimate the prevalence of Pap tests not performed in the last three years and never performed in women and to analyze factors.
Methods:
this was a cross-sectional study with women aged 20 to 69 years living in São Leopoldo, RS, Brazil, in 2015; prevalence ratios (PR) were calculated using Poisson regression.
Results:
among 919 women, prevalence of delayed testing was 17.8% (95% confidence interval [95%CI]15.4;20.3) and never tested prevalence was 8.1% (95%CI6.3%;9.8%); in the adjusted analysis, the increase in the prevalence of delayed testing was associated with economic class D/E (PR=2.1 - 95%CI1.3;3.5), being aged 20-29 years (PR=3.2 - 95%CI2.1;4.9) and not having had a medical appointment (PR=3.0 - 95%CI2.1;4.1); never having tested was associated with economic class D/E (PR=2.6 - 95%CI1.4;5.0), being aged 20-29 years (PR=24.1 - 95%CI6.4;90.9), and not having had a medical appointment (PR=2.9 - 95%CI1.7;4.8).
Conclusion:
coverage of the test was high but characterized by social inequality.
Palabras clave : Vaginal Smears; Women’s Health; Secondary Prevention; Social Inequity; Cross-Sectional Studies.