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Integrality in cervical cancer care: evaluation of access.

Brito-Silva K, Bezerra AF, Chaves LD, Tanaka OY - Rev Saude Publica (2014)

Bottom Line: NVivo 9.0 software was used for the content analysis of the primary data.Pap smear coverage was low, possible due to insufficient screening and the difficulty of making appointments in primary care.There was higher coverage among younger women.

View Article: PubMed Central - PubMed

Affiliation: Centro Acadêmico de Vitória, Universidade Federal de Pernambuco, Vitória de Santo Antão, PE, Brasil.

ABSTRACT

Objective: To evaluate integrity of access to uterine cervical cancer prevention, diagnosis and treatment services.

Methods: The tracer condition was analyzed using a mixed quantitative and qualitative approach. The quantitative approach was based on secondary data from the analysis of cytology and biopsy exams performed between 2008 and 2010 on 25 to 59 year-old women in a municipality with a large population and with the necessary technological resources. Data were obtained from the Health Information System and the Regional Cervical Cancer Information System. Statistical analysis was performed using PASW statistic 17.0 software. The qualitative approach involved semi-structured interviews with service managers, health care professionals and users. NVivo 9.0 software was used for the content analysis of the primary data.

Results: Pap smear coverage was low, possible due to insufficient screening and the difficulty of making appointments in primary care. The numbers of biopsies conducted are similar to those of abnormal cytologies, reflecting easy access to the specialized services. There was higher coverage among younger women. More serious diagnoses, for both cytologies and biopsies, were more prevalent in older women.

Conclusions: Insufficient coverage of cytologies, reported by the interviewees allows us to understand access difficulties in primary care, as well as the fragility of screening strategies.

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Related in: MedlinePlus

Diagnoses of cytology by age group. Key municipality, SP, SoutheasternBrazil, 2008-2010.
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f03: Diagnoses of cytology by age group. Key municipality, SP, SoutheasternBrazil, 2008-2010.

Mentions: The urgent need to capture users aged over 50 can be seen in Figure 3, which shows the predominance of malignant changesin women aged over 50. Malignant changes (adenocarcinoma, carcinoma) were mainlydiagnosed in women aged between 50 and 59, whereas benign and pre-malignantchanges were concentrated in younger women (25-39) (Figure 3).


Integrality in cervical cancer care: evaluation of access.

Brito-Silva K, Bezerra AF, Chaves LD, Tanaka OY - Rev Saude Publica (2014)

Diagnoses of cytology by age group. Key municipality, SP, SoutheasternBrazil, 2008-2010.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4206144&req=5

f03: Diagnoses of cytology by age group. Key municipality, SP, SoutheasternBrazil, 2008-2010.
Mentions: The urgent need to capture users aged over 50 can be seen in Figure 3, which shows the predominance of malignant changesin women aged over 50. Malignant changes (adenocarcinoma, carcinoma) were mainlydiagnosed in women aged between 50 and 59, whereas benign and pre-malignantchanges were concentrated in younger women (25-39) (Figure 3).

Bottom Line: NVivo 9.0 software was used for the content analysis of the primary data.Pap smear coverage was low, possible due to insufficient screening and the difficulty of making appointments in primary care.There was higher coverage among younger women.

View Article: PubMed Central - PubMed

Affiliation: Centro Acadêmico de Vitória, Universidade Federal de Pernambuco, Vitória de Santo Antão, PE, Brasil.

ABSTRACT

Objective: To evaluate integrity of access to uterine cervical cancer prevention, diagnosis and treatment services.

Methods: The tracer condition was analyzed using a mixed quantitative and qualitative approach. The quantitative approach was based on secondary data from the analysis of cytology and biopsy exams performed between 2008 and 2010 on 25 to 59 year-old women in a municipality with a large population and with the necessary technological resources. Data were obtained from the Health Information System and the Regional Cervical Cancer Information System. Statistical analysis was performed using PASW statistic 17.0 software. The qualitative approach involved semi-structured interviews with service managers, health care professionals and users. NVivo 9.0 software was used for the content analysis of the primary data.

Results: Pap smear coverage was low, possible due to insufficient screening and the difficulty of making appointments in primary care. The numbers of biopsies conducted are similar to those of abnormal cytologies, reflecting easy access to the specialized services. There was higher coverage among younger women. More serious diagnoses, for both cytologies and biopsies, were more prevalent in older women.

Conclusions: Insufficient coverage of cytologies, reported by the interviewees allows us to understand access difficulties in primary care, as well as the fragility of screening strategies.

Show MeSH
Related in: MedlinePlus