Prevalence and factors associated to cervical changes in units from the Single Health System

• 主要な著者: Indianara Carlotto Treco (著者), Valquíria Kulig Vieira (著者), Janaína Carla da Silva (著者), Fernando Rodrigo Treco (著者), Lirane Elize Defante Ferreto (著者), Léia Carolina Lucio (著者)
• フォーマット: 図書
• 出版事項: Universidade Federal do Rio Grande do Sul, 2021-12-01T00:00:00Z.
• 主題: article
• オンライン･アクセス: Connect to this object online.
• Notes: 1983-1447; 10.1590/1983-1447.2021.20200233
• Keywords: Cervical intraepithelial neoplasia; Papanicolaou test; Women's health; Tobacco; Contraceptives; Nursing; RT1-120
• Source: Revista Gaúcha de Enfermagem, Vol 42 (2021)

ABSTRACT Objective: To estimate the prevalence and risk factors associated with cytopathological changes in the uterine cervix of women treated by the Unified Health System. Method: This is a cross-sectional study carried out with 350 women, between 14 and 79 years old who underwent pap smear tests in heath units in Francisco Beltrão, Paraná. Cervical cytopathological analyses and a questionnaire were applied to obtain socioeconomic information, as well as data on sexual behavior, gynecological aspects, and life habits. Chi-square test and logistic regression with p <0.05 were applied for statistical analysis. Results: The prevalence of cervical changes was 3.4% and the main categories found were low-grade cervical intraepithelial lesion, high-grade cervical intraepithelial lesion, and atypical cells of undetermined significance. From these, the first were present in 16.6% of women under 25 years old. The multivariate analysis pointed at associations between previous results of the cytopathology test (OR = 25.693), smoking (OR = 7.576), and oral contraceptives (OR = 5.265) and the outcome. Conclusion: Women with a history of previous cervical cytopathological abnormality, use of oral contraceptives, and smokers were more likely to have an abnormal result in the pap smear test.