Factors related to non-adherence to the realization of the Papanicolaou test

• Main Authors: Márcia Aparecida dos Santos Silva, Érica Mairene Bocate Teixiera, Rosangela Aparecida Pimenta Ferrari, Maria Elisa Wotzasek Cestari, Alexandrina Aparecida Maciel Cardelli
• Format: Article
• Language: English
• Published: Universidade Federal do Ceará 2015-09-01
• Series: Rev Rene
• Subjects: Uterine Cervical Neoplasms; Papanicolaou Test; Primary Health Care; Women’s Health.
• Online Access: http://www.revistarene.ufc.br/revista/index.php/revista/article/view/2025/pdf_1

Objective: to identify reasons for low adherence to the Papanicolaou test in women seeking care in primary health care. Methods: cross-sectional study. Data collection carried out during home visits, applying questionnaire to characterize sociodemographic aspects as well as the reasons for non-adherence to examination and suggestions for facilitating adherence. Results: among 169 women, 67% were of reproductive age and 73.9% have finished elementary school. The failure to previously scheduled examination was due mainly to the beliefs and attitudes (36.1%) and service organization (25.4%). The feelings reported by women during the Papanicolaou test were shame (55.6%), discomfort (32.5%) and pain (20.7%). Conclusion: Although the screening of cervical cancer is essential for timely intervention, a significant proportion of women still does not adhere to examination by myths and taboos, beliefs, and health attitudes, as well as service organization.