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      • Record: found
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      Cervical cancer screening in Teresina, Piauí, Brazil: evaluation study using data of the Cervical Cancer Information System, 2006-2013.

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          Abstract

          to assess the cervical cancer screening tests in Teresina, Piauí, Brazil.

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          Avaliação da qualidade das variáveis epidemiológicas e demográficas do Sistema de Informações sobre Nascidos Vivos, 2002

          Dalia Romero, Cynthia Braga da Cunha (2007)
          O trabalho avalia a qualidade da informação do Sistema de Informações sobre Nascidos Vivos (SINASC) quanto à clareza metodológica da documentação, completitude do preenchimento e consistência para o país, grandes regiões e Unidades da Federação no ano 2002. Adicionalmente, correlaciona-se a completitude com indicadores de pobreza, desigualdade e recursos humanos. As variáveis analisadas são: raça/cor do recém-nascido, instrução materna, estado civil materno, ocupação materna, idade materna, consulta pré-natal, filhos nascidos vivos, filhos nascidos mortos e peso do bebê ao nascer. Mostrou-se que o SINASC possui boa completitude de preenchimento e consistência da informação na maioria das variáveis; porém, observaram-se sérios problemas de qualidade nas variáveis sobre filhos anteriores e ocupação. Quanto à raça, encontraram-se tanto problemas metodológicos de definição da variável como incompletitude do preenchimento no Distrito Federal, São Paulo, Bahia e Sergipe, Brasil. Por intermédio da análise estatística, confirmou-se a relação significativa entre completitude e indicadores de pobreza e desigualdade. Espera-se que melhorias da qualidade da informação do SINASC possam contribuir para que esse sistema seja uma robusta fonte de dados epidemiológicos que permita identificar fatores de risco e condicionantes sócio-econômicos.
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            • Record: found
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            Coverage and focus of a cervical cancer prevention program in southern Brazil

            Carlos Alberto Temes de Quadros, Cesar Gomes Victora, Juvenal Soares Dias da Costa (2004)
            OBJECTIVE: To determine the coverage and focus of cervical cancer screening (Pap smears) in a population-based sample in Brazil. METHODS: Cross-sectional cluster survey covering 1 730 women aged 20 years or older with a history of sexual activity. Information was collected on social, demographic and behavioral variables, knowledge of and use of the Pap test. RESULTS: Of women aged 25-59 years, who are the target population of the national cervical cancer screening program, 78.7% had had at least one Pap test in their lifetime, and 68.8% had had a Pap test in the last 3 years. Statistics for focus of the program showed that of the 637 women who reported having a Pap test in the last year, only 20.6% actually required one. The remainder were either outside the age range or had had another test less than 30 months previously. Prevalence of not having been tested in the previous 3 years was highest among black (41.7%) and low-income women (64.3%), and among those at greatest risk for cervical cancer (62.3% for women with three or more risk factors). Focus was inversely related to socioeconomic status. CONCLUSION: Coverage rates were similar to those reported in other national studies, but this is the first report to examine the focus of the national program. We show that 8 of every 10 Pap tests were not necessary. Coverage levels remain unacceptably low among women of low socioeconomic status and those at greatest risk for cervical cancer.
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              Mass screening programmes and trends in cervical cancer in Finland and the Netherlands.

              J. W. A. M. den Teuling, Sabine Siesling, Eero Pukkala … (2008)
              With respect to cervical cancer management, Finland and the Netherlands are comparable in relevant characteristics, e.g., fertility rate, age-of-mother at first birth and a national screening programme for several years. The aim of this study is to compare trends in incidence of and mortality from cervical cancer in Finland and the Netherlands in relation to the introduction and intensity of the screening programmes. Therefore, incidence and mortality rates were calculated using the Cancer Registries of Finland and the Netherlands. Data on screening intensity were obtained from the Finnish Cancer Registry and the Dutch evaluation centre at ErasmusMC-Rotterdam. Women aged 30-60 have been screened every 5 years, in Finland since 1992 and in the Netherlands since 1996. Screening protocols for smear taking and referral to the gynaecologist are comparable. Incidence and mortality rates have declined more in Finland. In 2003, age-adjusted incidence and mortality in Finland were 4.0 and 0.9 and in the Netherlands 4.9 and 1.4 per 100,000 woman-years, respectively. Excess smear use in the Netherlands was estimated to be 24 per 1,000 women during a 5-year interval compared to 121 in Finland. The decline in mortality in Finland seems to be almost completely related to the screening programme whereas in the Netherlands it was initially considered to be a natural decline. Differences in risk factors might also play a role: the Netherlands has higher population density and higher percentages of immigrants and (female) smokers. The greater excess smear use in Finland might also have affected incidence.
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                Author and article information

                Journal
                Journal ID (iso-abbrev): Epidemiol Serv Saude
                Title: Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil
                Publisher: Instituto Evandro Chagas
                ISSN (Electronic): 2237-9622
                ISSN (Print): 1679-4974
                Publication date (Electronic): February 23 2017
                Volume: 26
                Issue: 1
                Affiliations
                [1 ] Fundação Municipal de Saúde, Diretoria Regional de Saúde Sul, Teresina-PI, Brasil.
                [2 ] Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública Sergio Arouca, Rio de Janeiro-RJ, Brasil.
                Article
                Publisher Item ID: S2237-96222017000100071
                DOI: 10.5123/S1679-49742017000100008
                PubMed ID: 28226009
                SO-VID: 36792f3f-7fa8-466b-9987-2a7b5cc7b045
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