Coverage of screening for cervical cancer in a northeastern state of Brazil

Authors

DOI:

https://doi.org/10.36311/jhgd.v31.10319

Keywords:

Cervical Neoplasms, Public Health Services Coverage, Pap smear

Abstract

Backgroung: Cervical cancer is a serious public health problem in Brazil and around the world. Its screening through the Pap smear screening is crucial for prevention and early detection.

Objective: The objective of the study was to evaluate the Pap smear ratio in the regions of the State of Rio Grande do Norte from 2008 to 2014, and to describe the regions with lower and higher screening for cervical cancer according to the space.

Methods: It is a quantitative, retrospective, descriptive and cross-sectional study that used secondary data from SISCOLO/DATASUS. The sample was composed by the 167 municipalities of the State of Rio Grande do Norte in Brazil, divided by the eight regions of that State. The results were expressed in absolute and relative frequencies, the differences between means were analyzed by the T student tests, in which significant differences were considered when p<0.05. The mapping of results was done through the TabWin program 32.

Conclusion: The average ratio of Pap smear varied considerably between the regions of the State in the years 2008 to 2014. There was decrease in the average of the ratio between the years 2008 and 2014, especially in the metropolitan region. Regarding the space, it was seen that most of the municipalities with the lower ratio are located at the ends of the map. Knowing the cytopathological ratio indicator in the regions of the State is fundamental for the management of health in that State, in order to better qualify practitioners and to establish specific goals for the evaluation of coverage of cervical cancer.

Downloads

Download data is not yet available.

References

1. Jemal ADVM, Bray F, Center MM, Ferlay JME, Ward E, Forman D. Global cancer statistics. CA Cancer J Clin 2011; 61:69-90

2. Eskander RN, Tewari KS. American Society of Clinical Oncology 2013: Summary of Scientific Advancements in Gynecologic Cancer. Int J Gynecol Cancer 2014; 24:13–18.

3. Ministry of Health (BR). Control of cervical and breast cancers. Brasília: Ministry of Health. 2013.

4. National Cancer Institute. Incidence of cancer in Brazil, estimate. 2014.

5. TewarI KS, Sill MW, Long HJ, Penson RT, Huang H, Ramondetta LM et al. Improved Survival with Bevacizumab in Advanced Cervical Cancer. N Engl J Med 2014; 370:734–743

6. Yanikkerem E, Goker A, Piro N, Dikayak S, Koyuncu FM. Knowledge About Cervical Cancer, Pap Test and Barriers Towards Cervical Screening of Women in Turkey. Journal of Cancer Education 2012; 28: 375–383

7. World Health Organization. ICO Information Centre on HPV and Cervical Cancer (HPV Information Centre). Summary report on HPV and cervical cancer statistics in Brazil. 2014.

8. DATASUS. Ministry of Health (BR). Statistical information of cervical-vaginal cytopathological examination. 2014.

9. National Cancer Institute in Brazil. Report of Indicators of Cervical Cancer Control Actions. 2016.

10. DATASUS. Ministry of Health (BR). Regional, State and National Indicators of the List of guidelines, objectives, targets and indicators for 2014: Ratio for Pap smear examination. 2016.

11. Ministry of Health (BR). Guidelines, objectives, targets and indicators 2013-2015. 2015.

12. Correa MS, Silveira DS, Siqueira FV, Facchini LA, Piccini RX, Thumé E et al. 2012. Coverage and adequacy of cervical examination in Southern and Northeastern Brazil. Cad. Public Health 28:2257-2266

13. Ferreira ML. Reasons that influence the non-performance of the Pap smear according to women’s perception. Esc Anna Nery 2009; 13:378-384

14. Murata IMH, Gabrielloni MC, Schirmer J. Coverage of Pap smear in women aged 25 to 59 years in Maringá – PR, Brasil. Rev Bras Cancerol 2012; 58:409-415

15. Ministry of Health (BR). Strategic actions plan for coping with chronic noncommunicable diseases (DCNT) in Brazil, 2011-2022. 2011.

16. Sadovsky ADI, Poton WL, Santos BR, Barcelos MRB Silva IC. Index of Human Development and Secondary Prevention of Breast Cancer and Cervical Cancer: an ecologic study. Cad. Saúde Pública 2015; 31:1539-1550

17. Dias MBK, Tomazelli JG, Assis M. Screening of Cervical Cancer in Brazil: analysis of SISCOLO data from 2002 to 2006. Epidemiol. Serv. Saúde 2010; 19:293-306

18. Cesarim MR, Piccoli JCE. Health Education for Prevention of Cervical Cancer in Women of the Municipality of Santo Ângelo/RS. Science and Collective Health 2012; 16:3925-3932

19. Santos RS, Melo ECP, Santos KM. Spatial Analysis of Indicators agreed for the screening of Cervical Cancer in Brazil. Texto Contexto Enferm 2012; 21:800-810

20. Goodman A. The Social Ecology of Cervical Cancer: The Challenges to Pap Smear Screening. IJCM 2013; 4:16-20

21. Sousa AMV, Teixeira CCA, Medeiros SS, Nunes SJC, Salvador PPTCO, Barros RMB et al. Cervical cancer mortality in the state of Rio Grande do Norte, Brazil, 1996-2010: time trends and projections up to 2030. Epidemiol. Serv. Saúde. 2016; 25(2):311-322.

22. Barbosa IR, Souza D, Bernal MM, Costa ICC. Desigualdades regionais na mortalidade por câncer de colo de útero no Brasil: tendências e projeções até o ano 2030. Cien Saude Colet [periódico na internet] (2015/Jul). Available from: http://www.cienciaesaudecoletiva.com.br/artigos/desigualdades-regionais-na-mortalidade-por-cancer-de-colo-de-utero-no-brasil-tendencias-e-projecoes-ate-o-ano-2030/15188?id=15188.

Published

2021-03-31

Issue

Section

ORIGINAL ARTICLES