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Cervical cancer as a marker of exclusion to health services and social vulnerability


Journal of Cancer Prevention & Current Research
Fernanda Keller Leite Araújo,1 Ígor Gouveia Soares,1 Paula Marina Carneiro Santos,1 Jurema Telles de Oliveira Lima,1,2 Rodrigo Alves Pinto2

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Abstract

Objectives: Verify the conditions of access/use of the health system by women with uterine cervical cancer (UCC) and their families, seeking to geolocate and identify the sociodemographic profile.
Methods: Cross-sectional study involving cancer patients admitted to IMIP between 2016 and 2019. The variables data were related to the sociodemographic profile, preventive examination, Human Papillomavirus (HPV) and the influence of the UCC diagnosis on the search for preventive and screening measures by women’s family members. It was opted for the stratification according to the mesoregions of the State.
Results: Out of the 285 participants, 55,8% live in municipalities in the 1st Region of Health, while the Florest Zone mesoregion has the higher performance of biopsies in the public sector (59,5%). The sociodemographic analysis highlights non-white race (77,7%) and only 6,8% with complete higher education. The knowledge about performing the Pap smear reached 88,9% and the disinformation about the HPV reached 44,4%. Related to the influence of cancer, 76,3% said that the young family members underwent HPV vaccination and 82,2% related their diagnosis to search for preventive in family members over 25 years old.
Conclusion: The UCC has dimensions that reveal regional and social inequalities, and should be understood not only as an oncological indicator, but essentially as an indicator of social vulnerability and health care needs. 

Keywords

uterine cervical neoplasms, social inequity, health services accessibility

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