Can Mobile Units Improve the Strategies for Cervical Cancer Prevention?

Can Mobile Units Improve the Strategies for Cervical Cancer Prevention?

Author Mauad, Edmundo Carvalho Google Scholar
Nicolau, Sergio Mancini Autor UNIFESP Google Scholar
Gomes, Uilho A. Google Scholar
Costa Vieira, Rene Aloisio da Google Scholar
Castro Mattos, Jaco Saraiva de Google Scholar
Longatto-Filho, Adhemar Google Scholar
Baracat, Edmund C. Google Scholar
Institution Barretos Canc Hosp
Universidade Federal de São Paulo (UNIFESP)
Universidade de São Paulo (USP)
Univ Minho
Abstract Cervical cancer is a serious public health problem in women in developing countries because of absence or ineffectiveness of screening programs. Several biases to access medical care and inequity of public health system in a continental country like Brazil limit the implementation of adequate programs to appropriately prevent the cervical cancer. Therefore, the aim of this study was to evaluate the results of applying the mobile unit (MU) for cervical cancer screening. From May 2003 to May 2004, a cervical cancer screening was offered to women aged 20-69 years, residing in 19 municipal districts of the Barretos county region, in São Paulo. Out of the 9,560 examination available, 2,964 (31%) women underwent screening. the medium distance traveled by the MU was 45 km. the medium time spent by women in the MU for completion of the questionnaire and doing the exam was 20 minutes. It was observed that 17.0% of women screened had never had the test or had not had it repeated within the last 3 years. the negative response was more common among women aged 20 to 29 years and 60 to 69 years and among women with less schooling and lower socio-economic income (P < 0.05). MU can significantly overcome the chronic deficiency of public health system accessibility offering opportunity to these women to participate in screening programs. Diagn. Cytopathol. 2010;38:727-730. (C) 2009 Wiley-Liss, Inc.
Keywords cervical cancer
mobile unit
HPV
cancer prevention
Language English
Date 2010-10-01
Published in Diagnostic Cytopathology. Malden: Wiley-Blackwell, v. 38, n. 10, p. 727-730, 2010.
ISSN 8755-1039 (Sherpa/Romeo, impact factor)
Publisher Wiley-Blackwell
Extent 727-730
Origin http://dx.doi.org/10.1002/dc.21287
Access rights Closed access
Type Article
Web of Science ID WOS:000282664000005
URI http://repositorio.unifesp.br/handle/11600/32940

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