Resumen

URIBE-PEREZ, Claudia Janeth; DIAZ-MARTINEZ, Luis Alfonso; ORTIZ-SERRANO, Ricardo  y  MEZA-DURAN, Erika Eliana. Pap smear prevalence and that of pre-malignant and malignant cervical lesions amongst women living in the Carmen initiative demonstration area, Bucaramanga, Colombia. Rev Colomb Obstet Ginecol [online]. 2006, vol.57, n.1, pp.10-18. ISSN 0034-7434.

Objective: Establishing the prevalence of premalignant and malignant cervical lesions amongst women living in the CARMEN initiative demonstration area, Bucaramanga, Colombia. Methodology: A cross-sectional study of 8,015 randomly selected women. Patients having abnormal cytology results received individualised diagnosis/treatment (colposcopy, biopsy, or conisation). Histopathological findings were correlated with demographical data and their sexual and reproductive history. Results: 8,071 women answered the survey but only 2,698 had up-to-date Pap smears (34.9%; 95%CI 17.2%-29.8%); 1,660 accepted updating their smears. 2.2% (95%CI 1.8%-2.6%) had Pap smears positive for cervical lesions, this being higher in those living with more mature women. Pre-malignant and malignant cervical lesion prevalence was 1.1% (95%CI 0.8%-1.4%). Women with pre-malignant or malignant cervical lesions were younger, had begun their sexual intercourse earlier and had had more sexual partners than healthy women. Conclusions: Pre-malignant and malignant cervical lesion prevalence is higher than in other parts of the world. Pap smear coverage is very low. Early detection of cervical cancer must be intensified.

Palabras clave : cervical neoplasia; CIN; cervico-vaginal cytology; human papillomavirus.

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