Denise de Fátima Fernandes Cunha

Factors related to failure to attend the consultation to receive the results of the Pap smear test

Objective to identify the factors related to the failure of women to attend the follow-up consultation to receive the results of the Pap smear test. Method a cross-sectional study, carried out with 775 patients who underwent the Pap smear test in the Centro de Saúde da Família of Fortaleza, between September 2010 and February 2011. Results the majority of the women studied were young (≤35 years), had low levels of education (≤7 years of study), and commenced sexual activity early (≤20 years), with 17.0% of them failing to return to receive the test results. Statistically significant results for the failure to return were related to: young women (p=0.001); early onset of sexual activity (p=0.047); and inadequate knowledge about the Pap smear test (p=0.029). Conclusion the fact that the women failed to return for the result is a problem for the control of cervical cancer and must be addressed through educational strategies that reinforce the importance of the return for the early detection of this cancer.OBJETIVO: identificar los factores relacionados a la no asistencia de las mujeres a la consulta de retorno para recibir el resultado de la prueba de Papanicolaou. METODO: se trata de un estudio transversal, realizado con 775 pacientes que se sometieron a la prueba de Papanicolaou en el Centro de Salud de la Familia de Fortaleza-CE, entre septiembre de 2010 y febrero de 2011. RESULTADOS: la mayoria de las encuestadas eran jovenes (≤35 anos), de baja escolaridad (≤7 anos de estudio), iniciaron la vida sexual muy temprano (≤20 anos) y 17,0% de ellas no retornaron para recibir el resultado del examen. Los resultados estadisticamente significativos por no retornar estuvieron relacionados a: mujeres jovenes (p=0,001); inicio precoz de la actividad sexual (p=0,047); y conocimiento inadecuado sobre la prueba de Papanicolaou (p=0,029). CONCLUSION: el hecho de la mujer no retornar para recibir el resultado es un problema para el control del cancer de cuello uterino y debe ser combatido por medio de estrategias educativas que refuercen la importancia del retorno para la deteccion precoz de ese cancerOBJECTIVE: to identify the factors related to the failure of women to attend the follow-up consultation to receive the results of the Pap smear test. METHOD: a cross-sectional study, carried out with 775 patients who underwent the Pap smear test in the Centro de Saude da Familia of Fortaleza, between September 2010 and February 2011. RESULTS: the majority of the women studied were young (≤35 years), had low levels of education (≤7 years of study), and commenced sexual activity early (≤20 years), with 17.0% of them failing to return to receive the test results. Statistically significant results for the failure to return were related to: young women (p=0.001); early onset of sexual activity (p=0.047); and inadequate knowledge about the Pap smear test (p=0.029). Conclusion the fact that the women failed to return for the result is a problem for the control of cervical cancer and must be addressed through educational strategies that reinforce the importance of the return for the early detection of this cancer.

Fatores relacionados ao não comparecimento à consulta para receber o resultado do exame colpocitológico

Objective to identify the factors related to the failure of women to attend the follow-up consultation to receive the results of the Pap smear test. Method a cross-sectional study, carried out with 775 patients who underwent the Pap smear test in the Centro de Saúde da Família of Fortaleza, between September 2010 and February 2011. Results the majority of the women studied were young (≤35 years), had low levels of education (≤7 years of study), and commenced sexual activity early (≤20 years), with 17.0% of them failing to return to receive the test results. Statistically significant results for the failure to return were related to: young women (p=0.001); early onset of sexual activity (p=0.047); and inadequate knowledge about the Pap smear test (p=0.029). Conclusion the fact that the women failed to return for the result is a problem for the control of cervical cancer and must be addressed through educational strategies that reinforce the importance of the return for the early detection of this cancer.OBJETIVO: identificar los factores relacionados a la no asistencia de las mujeres a la consulta de retorno para recibir el resultado de la prueba de Papanicolaou. METODO: se trata de un estudio transversal, realizado con 775 pacientes que se sometieron a la prueba de Papanicolaou en el Centro de Salud de la Familia de Fortaleza-CE, entre septiembre de 2010 y febrero de 2011. RESULTADOS: la mayoria de las encuestadas eran jovenes (≤35 anos), de baja escolaridad (≤7 anos de estudio), iniciaron la vida sexual muy temprano (≤20 anos) y 17,0% de ellas no retornaron para recibir el resultado del examen. Los resultados estadisticamente significativos por no retornar estuvieron relacionados a: mujeres jovenes (p=0,001); inicio precoz de la actividad sexual (p=0,047); y conocimiento inadecuado sobre la prueba de Papanicolaou (p=0,029). CONCLUSION: el hecho de la mujer no retornar para recibir el resultado es un problema para el control del cancer de cuello uterino y debe ser combatido por medio de estrategias educativas que refuercen la importancia del retorno para la deteccion precoz de ese cancerOBJECTIVE: to identify the factors related to the failure of women to attend the follow-up consultation to receive the results of the Pap smear test. METHOD: a cross-sectional study, carried out with 775 patients who underwent the Pap smear test in the Centro de Saude da Familia of Fortaleza, between September 2010 and February 2011. RESULTS: the majority of the women studied were young (≤35 years), had low levels of education (≤7 years of study), and commenced sexual activity early (≤20 years), with 17.0% of them failing to return to receive the test results. Statistically significant results for the failure to return were related to: young women (p=0.001); early onset of sexual activity (p=0.047); and inadequate knowledge about the Pap smear test (p=0.029). Conclusion the fact that the women failed to return for the result is a problem for the control of cervical cancer and must be addressed through educational strategies that reinforce the importance of the return for the early detection of this cancer.

Comportamentos e práticas sexuais de homens que fazem sexo com homens

The objective was to identify behaviors and sexual practices of men who have sexual relations with other men in the context of vulnerability to HIV/AIDS. This was a cross-sectional, exploratory and descriptive study. It was carried out in a gay sociability place in Fortaleza, Ceará, Brazil, between November 2010 and March 2011, through interviews with 189 men who have sex with men. The ethical aspects were respected. We found a sample consisting mostly by young, single, and highly educated men. The sexual history demonstrated the early onset of sexual activity, with a high prevalence of sexual intercourse with a partner of the opposite sex. There was also a high prevalence of HIV testing. Sexual practices revealed high prevalence of performing oral and anal sex, as well as high levels of protection in anal sex, despite the low protection in oral sex. A greater incorporation of prevention practices was found compared to the national scene in the beginning of the disease outbreak.El objetivo fue identificar los comportamientos y las practicas sexuales de los hombres que tienen sexo con hombres en el contexto de la vulnerabilidad al VIH/SIDA. Fue un estudio transversal, descriptivo y exploratorio. Se celebro en una sociabilidad local gay de Fortaleza, Ceara, Brasil, entre noviembre de 2010 y marzo de 2011, a traves de entrevistas con 189 hombres que tienen sexo con hombres. Se encontro una muestra compuesta en su mayoria por jovenes, solteros y con alto nivel de educacion. La historia sexual demostro el inicio temprano de la actividad sexual, la alta prevalencia de relaciones sexuales con una pareja del sexo opuesto. Hubo alta prevalencia de la prueba del VIH. Las practicas sexuales revelaron una alta prevalencia de realizar sexo oral y anal, asi como altos niveles de proteccion en el sexo anal, a pesar de la baja proteccion en el sexo oral. Se encontro una mayor incorporacion de las practicas de prevencion en relacion con la escena nacional en el inicio de la epidemia.

Analysis of papanicolaou test results not collected by patients, period between 2007 and 2009: documentary study

Aim: To evaluate the population coverage for Papanicolaou tests and to analyze the results not collected by patients at a Family Health Center in Fortaleza, CE - Brazil. Method: Retrospective research conducted via the analysis of exams archived between 2007 and 2009. Results: The population coverage of preventive examinations was below the desired goal, as 1346 examinations were performed per year, corresponding to population coverage of 60%. The presence of Lactobacilli sp. was related to the presence of mild inflammation (p = 0.000). Gardnerella vaginallis was related to the absence of mild inflammation (p = 0.000). The presence of Trichomonas vaginallis had no relation to light (p = 0.041) or moderate inflammation (p = 0.022). In all test results where low-grade intraepithelial neoplasia (CIN I) was found, the HPV was present. Conclusion: The number of women not returning to receive the test results made the monitoring, completeness and continuity of the care difficult.

Factores relacionados al no presentarse a la consulta para recibir el resultado de la prueba de Papanicolaou

Objective to identify the factors related to the failure of women to attend the follow-up consultation to receive the results of the Pap smear test. Method a cross-sectional study, carried out with 775 patients who underwent the Pap smear test in the Centro de Saúde da Família of Fortaleza, between September 2010 and February 2011. Results the majority of the women studied were young (≤35 years), had low levels of education (≤7 years of study), and commenced sexual activity early (≤20 years), with 17.0% of them failing to return to receive the test results. Statistically significant results for the failure to return were related to: young women (p=0.001); early onset of sexual activity (p=0.047); and inadequate knowledge about the Pap smear test (p=0.029). Conclusion the fact that the women failed to return for the result is a problem for the control of cervical cancer and must be addressed through educational strategies that reinforce the importance of the return for the early detection of this cancer.OBJETIVO: identificar los factores relacionados a la no asistencia de las mujeres a la consulta de retorno para recibir el resultado de la prueba de Papanicolaou. METODO: se trata de un estudio transversal, realizado con 775 pacientes que se sometieron a la prueba de Papanicolaou en el Centro de Salud de la Familia de Fortaleza-CE, entre septiembre de 2010 y febrero de 2011. RESULTADOS: la mayoria de las encuestadas eran jovenes (≤35 anos), de baja escolaridad (≤7 anos de estudio), iniciaron la vida sexual muy temprano (≤20 anos) y 17,0% de ellas no retornaron para recibir el resultado del examen. Los resultados estadisticamente significativos por no retornar estuvieron relacionados a: mujeres jovenes (p=0,001); inicio precoz de la actividad sexual (p=0,047); y conocimiento inadecuado sobre la prueba de Papanicolaou (p=0,029). CONCLUSION: el hecho de la mujer no retornar para recibir el resultado es un problema para el control del cancer de cuello uterino y debe ser combatido por medio de estrategias educativas que refuercen la importancia del retorno para la deteccion precoz de ese cancerOBJECTIVE: to identify the factors related to the failure of women to attend the follow-up consultation to receive the results of the Pap smear test. METHOD: a cross-sectional study, carried out with 775 patients who underwent the Pap smear test in the Centro de Saude da Familia of Fortaleza, between September 2010 and February 2011. RESULTS: the majority of the women studied were young (≤35 years), had low levels of education (≤7 years of study), and commenced sexual activity early (≤20 years), with 17.0% of them failing to return to receive the test results. Statistically significant results for the failure to return were related to: young women (p=0.001); early onset of sexual activity (p=0.047); and inadequate knowledge about the Pap smear test (p=0.029). Conclusion the fact that the women failed to return for the result is a problem for the control of cervical cancer and must be addressed through educational strategies that reinforce the importance of the return for the early detection of this cancer.

Sexual behaviors and practices of men who have sex with men

The objective was to identify behaviors and sexual practices of men who have sexual relations with other men in the context of vulnerability to HIV/AIDS. This was a cross-sectional, exploratory and descriptive study. It was carried out in a gay sociability place in Fortaleza, Ceará, Brazil, between November 2010 and March 2011, through interviews with 189 men who have sex with men. The ethical aspects were respected. We found a sample consisting mostly by young, single, and highly educated men. The sexual history demonstrated the early onset of sexual activity, with a high prevalence of sexual intercourse with a partner of the opposite sex. There was also a high prevalence of HIV testing. Sexual practices revealed high prevalence of performing oral and anal sex, as well as high levels of protection in anal sex, despite the low protection in oral sex. A greater incorporation of prevention practices was found compared to the national scene in the beginning of the disease outbreak.El objetivo fue identificar los comportamientos y las practicas sexuales de los hombres que tienen sexo con hombres en el contexto de la vulnerabilidad al VIH/SIDA. Fue un estudio transversal, descriptivo y exploratorio. Se celebro en una sociabilidad local gay de Fortaleza, Ceara, Brasil, entre noviembre de 2010 y marzo de 2011, a traves de entrevistas con 189 hombres que tienen sexo con hombres. Se encontro una muestra compuesta en su mayoria por jovenes, solteros y con alto nivel de educacion. La historia sexual demostro el inicio temprano de la actividad sexual, la alta prevalencia de relaciones sexuales con una pareja del sexo opuesto. Hubo alta prevalencia de la prueba del VIH. Las practicas sexuales revelaron una alta prevalencia de realizar sexo oral y anal, asi como altos niveles de proteccion en el sexo anal, a pesar de la baja proteccion en el sexo oral. Se encontro una mayor incorporacion de las practicas de prevencion en relacion con la escena nacional en el inicio de la epidemia.

Conductas y prácticas sexuales de los hombres que tienen sexo con hombres

The objective was to identify behaviors and sexual practices of men who have sexual relations with other men in the context of vulnerability to HIV/AIDS. This was a cross-sectional, exploratory and descriptive study. It was carried out in a gay sociability place in Fortaleza, Ceará, Brazil, between November 2010 and March 2011, through interviews with 189 men who have sex with men. The ethical aspects were respected. We found a sample consisting mostly by young, single, and highly educated men. The sexual history demonstrated the early onset of sexual activity, with a high prevalence of sexual intercourse with a partner of the opposite sex. There was also a high prevalence of HIV testing. Sexual practices revealed high prevalence of performing oral and anal sex, as well as high levels of protection in anal sex, despite the low protection in oral sex. A greater incorporation of prevention practices was found compared to the national scene in the beginning of the disease outbreak.El objetivo fue identificar los comportamientos y las practicas sexuales de los hombres que tienen sexo con hombres en el contexto de la vulnerabilidad al VIH/SIDA. Fue un estudio transversal, descriptivo y exploratorio. Se celebro en una sociabilidad local gay de Fortaleza, Ceara, Brasil, entre noviembre de 2010 y marzo de 2011, a traves de entrevistas con 189 hombres que tienen sexo con hombres. Se encontro una muestra compuesta en su mayoria por jovenes, solteros y con alto nivel de educacion. La historia sexual demostro el inicio temprano de la actividad sexual, la alta prevalencia de relaciones sexuales con una pareja del sexo opuesto. Hubo alta prevalencia de la prueba del VIH. Las practicas sexuales revelaron una alta prevalencia de realizar sexo oral y anal, asi como altos niveles de proteccion en el sexo anal, a pesar de la baja proteccion en el sexo oral. Se encontro una mayor incorporacion de las practicas de prevencion en relacion con la escena nacional en el inicio de la epidemia.