[Opportunistic screening versus missed opportunities: non-adherence to Pap smear testing in women attending prenatal care].

Cad Saude Publica 2016 Jun;32(6)

Universidade Federal de Juiz de Fora, Juiz de Fora, Brasil., Universidade Federal de Juiz de Fora, Universidade Federal de Juiz de Fora, Juiz de Fora , Brazil.

The objectives were to estimate the prevalence of non-adherence to Pap smear testing in women attending prenatal care and to identify associated factors. This was a cross-sectional population-based study in 308 women from a rural municipality (county) in Minas Gerais State, Brazil. Complex stratified cluster sampling was used. Statistical analysis used the chi-square test and logistic regression model with the variables that presented p-value ≤ 0.05 in the bivariate model. Prevalence of lack of Pap smear test was 21.3%. Among women 25 years or older, prevalence was 15.1%. Non-adherence was more common in young, single women and those with low schooling. Low schooling remained associated with non-performance of Pap smear (OR = 0.41), indicating that women with more schooling enjoyed higher odds of testing. Contact with the prenatal clinic did not determine guaranteed access to the test, thus indicating missed opportunities when opportunistic screening is employed.

Download full-text PDF

Source
http://dx.doi.org/10.1590/0102-311X00001415DOI Listing
June 2016

Publication Analysis

Top Keywords

pap smear
16
testing women
8
smear testing
8
missed opportunities
8
women attending
8
attending prenatal
8
non-adherence pap
8
low schooling
8
women
6
smear test
4
lack pap
4
prevalence lack
4
213% women
4
151% non-adherence
4
non-adherence common
4
common young
4
prevalence 151%
4
older prevalence
4
model prevalence
4
women years
4

Similar Publications