Detalhes bibliográficos
Ano de defesa: |
2010 |
Autor(a) principal: |
Ozawa, Carolina [UNIFESP] |
Orientador(a): |
Não Informado pela instituição |
Banca de defesa: |
Não Informado pela instituição |
Tipo de documento: |
Dissertação
|
Tipo de acesso: |
Acesso aberto |
Idioma: |
por |
Instituição de defesa: |
Universidade Federal de São Paulo (UNIFESP)
|
Programa de Pós-Graduação: |
Não Informado pela instituição
|
Departamento: |
Não Informado pela instituição
|
País: |
Não Informado pela instituição
|
Palavras-chave em Português: |
|
Link de acesso: |
http://repositorio.unifesp.br/handle/11600/9961
|
Resumo: |
The cancer is still a major public health issue in the world. In the developing countries the incidence will be twice as much as in the developed countries (World Health Organization - WHO). In Brazil, INCA (National Cancer Institute) estimates that the most common types of cancer on women are breast cancer and cervical cancer and the mortality rates for Cervical Cancer are not showing any decrease tendencies till these days. The WHO recommends an 80% coverage of the Pap Smear in women between 25 and 59 years of age, what would be adequate to cause an impact in reducing the morbidity and mortality that would be observed 4 years after implementing early detection actions. The proposal of the present study is to estimate changes on the prevalence of the “once in a lifetime” Pap Smear screening in women between 15 and 59 years-old living in the city of São Paulo. The evaluated data were collected by self-referred answers from two home surveys performed in the years of 1987 and 2001-2002. The study verified if the screening was performed according to some personal attributes as age distribution, skin color, marital status, years of education and tendency to die from cervical cancer in the same period. The study included women from 15 to 59 years of age, being 968 on the first inquire and 1125 on the second inquire. The prevalence for the “once in a lifetime” Pap Smear increased in 24% between the two inquiries (from 68.8% in 1987 to 85% in 2001-2002) and the greater majority was submitted to this exam in less than three years from the survey (from 88.3% to 92.7%). The prevalence increased from 1987 to 2001-2002 in all age distributions, except in women with ages between 15-19 years-old. In the skin-color variable, there was a greater increase in the prevalence among black women (from 56.4% to 80.6%). When the conjugal life was considered, it was observed an increase on the declared coverage more significant among the single women (from 36.8% to 61.6%). Considering the years of education, the coverage increased in all intervals considered, with a relatively greater improvement in women with the fewer years of education. To sum up, it was observed a 24% increase in the prevalence of the Pap Smear on the inquires of 2001-2002 when compared to the 1987 ones, with a more significant increase among women between 50 and 59 years of age, on the single ones, on the black ones and also on the ones with the least years of education (up to 4 school years). |