Abstract

CASTILLO AVILA, Irma Yolanda et al. FACTORS ASSOCIATED TO THE ADEQUATE USE OF PAP SMEARS BY WOMEN IN CARTAGENA (COLOMBIA). Hacia promoc. Salud [online]. 2013, vol.18, n.2, pp.123-134. ISSN 0121-7577.

Objective: To determine factors associated with the use of cytology in women in the city of Cartagena. Methods: A cross-sectional analytical study, with a population of 237,751 women was carried out. Informed consent was requested from each participant as national and international ethic norms request. Women from the urban area of the city of Cartagena were included, selected through multistage sampling. A social-demographic survey and the section related to cervical cancer in the National Demographic and Health Survey (ENDS - 2010) was used. Descriptive and inferential statistics analysis were applied to the data. Results: A total of 915 women with an average age of 40 years (SD = 12.9 years) participated. The prevalence of cytology was 85.9%, only 39.8% (313) which meets the scheme proposed by the national standard. The variables explaining the proper use of cytology by women from Cartagena are: be over 29 years old (OR: 2.1 - CI: 1.3-3.4), pick up the result of the test (OR: 2.5 - CI: 1.1-5.7), have an abnormal result (OR: 0.5 CI 0.2 to 0.9) and belong to the subsidized health care coverage or not having health care coverage (OR: 0.5 - CI: 0.4-0.8). Conclusions: Factors associated with the use of cytology in women in the city of Cartagena according to the scheme proposed by the national standard is explained by, demographic, economical and social health factors.

Keywords : Cervix cancer; Papanicolau test; social-economic factors; cultural factors; health services.

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