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Revista Médica del Uruguay
versão impressa ISSN 0303-3295versão On-line ISSN 1688-0390
Resumo
REOLON, María Cecilia; LOPEZ, Silvana e CAVALLERI, Fiorella. Coverage of cervical cancer screening in Uruguay, 2018. Rev. Méd. Urug. [online]. 2022, vol.38, n.4, e205. Epub 01-Dez-2022. ISSN 0303-3295. https://doi.org/10.29193/rmu.38.4.5.
Introduction:
cervical cancer causes a significant loss of years due to disabilities and early deaths around the world. Due to its etiology, it is closely linked to socio- economic inequalities. Cervical cancer screening coverage of 80 % of the population through and pap smear constitutes one of the main strategies to reduce morbimortality of this kind of cancer.
Objectives:
to describe cervical cancer screening coverage in women between 21 and 64 years old, users of the National Integrated Health System (SNIS) in Uruguay in 2018 and explore their behavior according to age, place of residence, socio-economic and territorial cultural characteristics.
Method:
descriptive study, based on secondary data sources of a sample representing 95% of the universe. The screening technique considered in the study was a pap smear, valid for up to three years on September 30, 2019.
Results:
cervical cancer screening coverage in 2018 was 57%, lower in the first and last ages considered and it varied depending on the geographical area. A lower percentage of valid smear tests was found in women who were residents of provinces with lower human development index and a higher percentage of homes below the poverty line.
Conclusions:
cervical cancer screening coverage in Uruugay needs to increase in order to reduce morbimortality. The implementation of actions aimed at reducing differences between ages and places of residence is required. This estimation may be taken as a baseline that allows for a comparison with the post-COVID 19 pandemic situation, by replicating the same method.
Palavras-chave : Uterine cervical neoplasms; Early detection of cancer; Uruguay; Mass screening; Health services accessibility; Socioeconomic factors.