Title: [Use and determinants of Pap smear in a rural Colombian municipality 1998-1999]

POPLINE Document Number: 314422

Author(s):

Castro-Jimenez MA
Londono-Cuellar PA
Vera-Cala LM

Source citation:

Revista de Salud Publica, 2006 Nov;8(3):248-257.

Abstract:

The objectives were to determine the prevalence of Pap smear use and identifying the factors associated with Pap test performance. A cross-sectional study was carried out on volunteer women recruited from a local programme for detecting cervical cancer in Mogotes, Colombia. Prevalence ratios (PR) were calculated. Papanicolau smear use was the outcome being measured. Information about demographic characteristics, clinical factors, history of cancer in the family, lifestyle factors and using birth control methods was collected. Pap smear use prevalence was 67.3 %. Age group, using birth control methods (PR:1.4; 95 % CI:1.2-1.7) and living in rural settings (PR:0.9; 95 % CI:0.8-1.0) were the factors associated with Pap test performance. This data suggests that living in rural settings is associated with decreased opportunities for performing Pap tests. (author's)

Spanish Abstract:

Establecer la prevalencia de uso de la citología del cuello uterino e identificar los factores que determinan la asistencia a este examen. Estudio de corte transversal en voluntarias de un programa de prevención de cáncer de cuello uterino realizado en Mogotes, Colombia. Se calcularon razones de prevalencia (RP). La variable dependiente fue el antecedente de asistencia a citología. Se recolectaron características sociodemográficas, clínicas, familiares y de hábitos. La prevalencia de asistencia previa a citología fue 67,3 %. A mayor edad de la mujer aumentaba la probabilidad de tener una citología anterior. El uso de métodos de planificación familiar que requerían control (RP: 1,4; IC95%: 1,2-1,7) y la residencia rural (RP: 0,9; IC95%: 0,8-1,0) también fueron factores que determinaron su utilización. Estos datos confirman que vivir en zonas rurales está asociado con una menor oportunidad de la mujer para acceder al examen citológico. (del autor)

Keywords:

Colombia
Rural Areas
Research Report
Cross Sectional Analysis
Women
Pap Smear
Prevalence
Preventive Health Care
Geographic Factors
Age Factors
Contraceptive Usage
Developing Countries
South America, Northern
South America
Latin America
Americas
Population
Research Methodology
Demographic Factors
Laboratory Examinations and Diagnoses
Examinations and Diagnoses
Medical Procedures
Medicine
Health Services
Delivery of Health Care
Health
Measurement
Population Characteristics
Contraception
Family Planning