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Previous issue date: 2017-06-19 === O exame Papanicolaou tem como finalidade o diagn?stico precoce visando reduzir a
morbidade e/ou mortalidade por c?ncer cervical. O presente estudo teve como objetivo
identificar a preval?ncia e os fatores associados ? n?o realiza??o do Papanicolaou em
mulheres brasileiras. Para tal foi adotada a base de dados obtida atrav?s da Pesquisa Nacional
de Sa?de (PNS), realizada no Brasil no ano de 2013. Para tabula??o e an?lise estat?stica foi
utilizado o software Stata? 14 verificando as Raz?es de Preval?ncia com respectivos
Intervalos de Confian?a de 95% e valores de p, utilizando-se na an?lise multivariada a
regress?o de Poisson. Os resultados apresentaram associa??o para realiza??o do Papanicolaou
ap?s 3 anos as mulheres brancas e n?o brancas sem escolaridade, n?o brancas com n?vel
fundamental de escolaridade, idade entre 60-64 anos, auto percep??o de sa?de regular,
ruim/muito ruim, sem plano de sa?de, que n?o vive com c?njuge, ? fumante, n?o pratica
nenhuma atividade f?sica e possui multimorbidades. J? para a nunca realiza??o do exame
Papanicolaou apresentaram associa??o mulheres brancas e n?o brancas sem escolaridade,
mulheres brancas e n?o brancas com n?vel fundamental de escolaridade, n?o brancas com
n?vel m?dio, idade entre 25-29, 30-39 e 60-64 anos, sem ocupa??o, sem plano de sa?de, que
n?o vive com o c?njuge, ? ex-fumante de tabaco, bebe moderadamente e foi diagnosticada
com 3, 4 ou mais doen?as cr?nicas. Para a nunca realiza??o do Papanicolaou por dificuldade
de acesso aos servi?os de sa?de apresentaram associa??o as mulheres brancas e n?o brancas
sem escolaridade, n?o brancas com n?vel fundamental, idades entre 25-29 e 30-39, sem plano
de sa?de, que n?o vive com o c?njuge e pertence aos estratos sociais D-E. E por motivos
pessoais as mulheres brancas e n?o brancas sem escolaridade, n?o brancas com n?veis
fundamental e m?dio de escolaridade, idades entre 25-29, 30-39 e 60-64, sem ocupa??o, que
n?o possui plano de sa?de, n?o vive com o c?njuge, ? fumante e ex-fumante de tabaco e
pratica atividade f?sica de forma insuficiente. Essas informa??es devem ser consideradas para
avaliar o impacto das pr?ticas direcionadas ao controle do c?ncer cervical no territ?rio
brasileiro e assim contribuir na redu??o das taxas de incid?ncia e mortalidade por c?ncer de
colo do ?tero no Brasil. === The Papanicolaou exam aims at the early diagnosis aiming to reduce morbidity and / or
mortality from cervical cancer. The present study aimed to identify the prevalence and factors
associated with non-realization of Papanicolaou in Brazilian women. For this purpose, the
database obtained through the National Health Survey was used in Brazil in 2013. For
statistical tabulation and analysis, Stata? 14 software was used to verify the Prevalence
Ratios with respective Confidence Intervals of 95% and p values, using the Poisson regression
in the multivariate analysis. The results for Pap smear after 3 years white and non-white
women with no schooling, non-white with a primary level of education, age between 60-64
years, self-perception of regular health, poor / very poor, without health insurance, who does
not live with a spouse, is a smoker, does not practice any physical activity, and has
multimorbidities. Papanicolaou never had association with white and non-white women with
no schooling, white and non-white women with a primary level of schooling, non-white with
a mean level of 25-29, 30-39 and 60-64 years, without occupation, without a health insurance,
who does not live with the spouse, is a former tobacco smoker, drinks moderately and was
diagnosed with 3, 4 or more chronic diseases. For the Papanicolaou never performed because
of difficulty of access to health services, there was association between white and non-white
women with no schooling, non-white with a fundamental level, ages between 25-29 and 30-
39, without health insurance, who did not live with the spouse and belongs to the social strata
D-E. And for personal reasons white and non-white women with no schooling, not white with
basic and average levels of schooling, ages 25-29, 30-39 and 60-64, without occupation, who
do not have health insurance, do not live with the spouse, is a smoker and former smoker of
tobacco and does not perform enough physical activity. This information should be
considered in order to evaluate the impact of practices aimed at the control of cervical cancer
in the Brazilian territory and thus contribute to the reduction of incidence and mortality rates
for cervical cancer in Brazil.
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