CYTOPATHOLOGICAL COLLECTION: KNOWLEDGE OF WOMEN FROM THE KAROLINAS ASSOCIATION
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Abstract
Cervical cancer (CC) is one of the public health issues with the highest rates of prevention, primarily through the Pap smear test, which identifies abnormal cells in the cervix. This test is the main method for detecting CC and its precursors. The objective of this research was to investigate the knowledge of women from the As Karolinas association in Exu, Pernambuco, regarding the prevention of CC and the collection of cytopathological exams. This is a descriptive, cross-sectional study with a quantitative approach conducted during the months of August, September, and October 2024. Data collection was done through an online questionnaire containing 13 questions. The results were analyzed through the organization and categorization of the database into tables and spreadsheets, and subsequently analyzed by the researcher in relation to the theoretical framework developed. Sixteen women participated, with an average age of 34.5 years, who stated that they were aware of the preventive examination but do not associate its importance beyond the diagnosis of CC. It was found that 18.75% had never undergone the preventive examination. Only 50% undergo the exam regularly, and the main reasons for not doing so include embarrassment (66.67%), fear (33.33%), and discomfort (33.33%). Despite this, 81.25% returned to health services to seek results, with 46.15% consulting a doctor and 38.46% a nurse. However, 15.38% of participants did not present the results to a healthcare professional, which can compromise appropriate follow-up. Therefore, although the majority of participants recognize the importance of the CC preventive examination, adherence to the test is hindered by barriers such as fear, shame, and lack of adequate information.
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This work is licensed under a Creative Commons Attribution 4.0 International License.
References
AKINYEMIJU, T. F. “Socio-economic and health access determinants of breast and cervical cancer screening in low-income countries: analysis of the World Health Survey”. PLoS One, vol. 7, n. 11, 2012.
ARRUDA, A. R. L. et al. “Câncer de colo do útero: uma revisão integrativa sobre as barreiras e estratégias para a ampliação do rastreamento no Brasil. RevistaFT”. Ciências da Saúde, vol. 29, 2025.
BORRULL-GUARDEÑO, J. et al. “Women's knowledge and attitudes towards cervical cancer prevention: A qualitative study in the Spanish context”. Journal of Clinical Nursing, vol. 30, 2021.
BRASIL. Controle dos cânceres do colo do útero e da mama. Brasília: Ministério da Saúde, 2013. Disponível em: . Acesso em: 20/02/2025.
BRASIL. Sistema de Informações de Câncer: Cito de colo. Brasília: Ministério da Saúde, 2024. Disponível em: . Acesso em: 20/02/2025.
BRÜGGMANN, D. et al. “Global cervical cancer research: A scientometric density equalizing mapping and socioeconomic analysis”. PLoS One, vol. 17, n. 1, 2022.
CARVALHO, L. R. S.; JURADO, S. R. “Motivos que influenciam a não realização do exame de papanicolaou”. Revista Científica de Enfermagem, vol. 8, n. 23. 2018.
CHAWLA, B. et al. “Knowledge, attitude, and practice on screening toward cervical cancer among health professionals in India-A review”. Womens Health, vol. 17, 2021.
CHOCONTÁ-PIRAQUIVE, L. A.; ALVIS-GUZMAN, N.; HOZ-RESTREPO, F. “How protective is cervical cancer screening against cervical cancer mortality in developing countries? The Colombian case”. BMC Health Services Research, vol. 10, 2010.
COREN - Conselho Regional de Enfermagem de Pernambuco. Protocolo de enfermagem na atenção básica. Recife: COREN, 2024. Disponível em: . Acesso em: 20/08/2024.
CRESPO, B. V. et al. “Barriers and facilitators to cervical cancer screening among under-screened women in Cuenca, Ecuador: the perspectives of women and health professionals”. BMC Public Health, vol. 22, 2022.
CUNHA, L. L. M.; RODRIGUES, I. G.; NUNES, D. P. “Conhecimento, atitudes e práticas de cuidadores formais sobre quedas de idosos institucionalizados”. Revista Brasileira de Geriatria e Gerontologia, vol. 26, n. 1, 2023.
DALMOLIN, S. P.; DEXHEIMER, G. M.; DELVING, L. K. O. B. “Mulheres com exames citopatológicos alterados: avaliação do seguimento de acordo com as condutas preconizadas pelo Ministério da Saúde”. Revista Brasileira de Análises Clínicas, vol. 48, n. 3, 2016.
DIAS, E. G. et al. “Atuação do enfermeiro na prevenção do câncer de colo de útero em Unidade de Saúde”. Journal of Health and Biological Sciences, vol. 9, n. 1, 2021.
FALCARO, M. et al. “The effects of the national HPV vaccination programme in England, UK, on cervical cancer and grade 3 cervical intraepithelial neoplasia incidence: a register-based observational study”. Lancet, vol. 398, n. 10316, 2021.
FARAJIMAKIN, O. “Barriers to Cervical Cancer Screening: A Systematic Review”. Cureus, vol. 16, n. 7, 2024.
FERNÁNDEZ-DEAZA, G. et al. “Cervical cancer screening coverage in the Americas region: a synthetic analysis”. Lancet Regional Health [2024]. Disponível em: . Acesso em: 23/02/2024.
FETTERS, M. D.; CURTIN, S. M.; IVANKOVA, N. V. Foundations of mixed methods research: integrating quantitative and qualitative approaches in the social and behavioral sciences. Los Angeles: Sage, 2020.
GERMANO, S. M. Estudo sobre a adesão do exame citológico de Papanicolau em mulheres entre 25 e 64 anos no município de Laje do Muriaé/RJ (Trabalho de Conclusão de Curso de Especialização em Atenção Básica). Florianópolis: UFSC, 2023
HUANG, Y. et al. “Knowledge, attitudes, and practices regarding cervical cancer prevention among women in China: a nationwide survey”. BMC Women's Health, vol. 23, n. 1, 2023.
IBGE - Instituto Brasileiro de Geografia e Estatística. Censo Brasileiro de 2022. Rio de Janeiro: IBGE, 2024. Disponível em: . Acesso em: 20/08/2024.
INCA - Instituto Nacional de Câncer. Câncer do colo do útero. Rio de Janeiro: INCA, 2023. Disponível em: . Acesso em: 20/08/2024.
INCA - Instituto Nacional de Câncer. Estatísticas de câncer. Rio de Janeiro: INCA, 2023. Disponível em: . Acesso em: 20/08/2024.
JI, Y. et al. “Application of KAP survey in community health care: a cross-sectional study with health agents in São Paulo”. International Journal of Environmental Research and Public Health, vol. 20, n. 2, 2023.
LI, C. et al. “Effects of nurse-led interventions on early detection of cancer: A systematic review and meta-analysis“. International Journal of Nursing Studies, vol. 110, 2020
LIMA, A. N. F.; NASCIMENTO, E. G. C.; ALCHIERI, J. C. “Adesão ao exame de citologia oncótica: um olhar sobre a saúde da mulher.” Revista APS, vol. 17, n. 3, 2014.
LIMA, K. F. et al. “A importância dos fatores associados a não adesão ao exame preventivo do câncer de colo uterino por mulheres brasileiras – revisão sistemática”. Revista Brasileira de Análises Clínicas [2021]. Disponível em: . Acesso em: 20/08/2024.
MCDOWELL, S. “Cervical Cancer Leads Cancer Deaths for Women in 37 Countries”. American Cancer Society, vol. 37, 2024.
MIJITI, Y. et al. “Survey on cervical cancer knowledge and its influencing factors among 2,578 women in Shache county, Kashi, China”. BMC Women's Health, vol. 23, 2023.
MINISTÉRIO DA SAÚDE. Assuntos. Saúde de A a Z: HPV. Brasília: Ministério da Saúde, 2024. Disponível em: . Acesso em: 20/08/2024.
OGUNDIPE, L. et al. “Cervical cancer screening and vaccination: knowledge, awareness, and attitude of female staff in a Nigerian University”. BMC Women's Health, vol. 23, 2023.
PETERSEN, Z. et al. “Barriers to uptake of cervical cancer screening services in low-and-middle-income countries: a systematic review”. BMC Womens Health, vol. 22, 2022.
RAMANAKUMAR, A. V. et al. “Incidence and duration of type-specific human papillomavirus infection in high-risk HPV-naïve women: results from the control arm of a phase II HPV-16/18 vaccine trial“. BMJ Open, vol. 6, 2026.
RESSEL, B. L. et al. “Exame preventivo do câncer de colo uterino: a percepção das mulheres”. Avances em Enfermeria, vol. 31, n. 2. 2013.
REYNOLDS, S. “FDA Approves HPV Tests That Allow for Self-Collection in a Health Care Setting”. National Cancer Institute [2024]. Disponível em: . Acesso em: 12/05/2025.
SALDANHA, A. P. S. et al. “Exame papanicolau: olhar de usuárias de uma unidade de saúde Da família frente a temática”. Brazilian Journal of Health Review, vol. 4, n. 6, 2021.
SANTOS, F. L. et al. “Exame papanicolau: analisando o conhecimento de mulheres na atenção básica.” Temas em Saúde, vol. 17, n. 1, 2017.
SILVA, M. A. S. et al. M. “Fatores relacionados à não adesão à realização do exame de Papanicolau”. Revista Rene, vol. 16, n. 4, 2015.
SINGH, P. et al. “A KAP study on cervical cancer screening in rural India: Assessment and public health implications”. Asian Pacific Journal of Cancer Prevention, vol. 22, n. 9, 2021.
SISAB - Sistema de Informação em Saúde para a Atenção Básica. Painel de Indicadores: Proporção de mulheres com coleta de citopatológico na APS. Brasília: SISAB, 2023. Disponível em: . Acesso em: 20/08/2024.
VASCONCELOS, C. T. M. et al. “Conhecimento, atitude e prática na prevenção do câncer de colo uterino e fatores associados entre mulheres”. Revista Brasileira de Enfermagem, vol. 61, n. 1, 2008.
VERBERCKMOES, B. et al. “Barriers and facilitators to cervical cancer screening among under- and neverscreened women in Flanders, Belgium – a qualitative study on community and healthcare providers’ perspectives”. BMC Public Health, vol. 24, 2024.
WŁOSZEK, E. et al. “HPV and Cervical Cancer-Biology, Prevention, and Treatment Updates”. Current Oncology, vol. 32, n. 3, 2025.
WU, J. et al. “Global burden of cervical cancer: current estimates, temporal trend and future projections based on the GLOBOCAN 2022”. Journal of the National Cancer Center [2025]. Disponível em: . Acesso em: 12/05/2025.
YANG, A, et al. “Regulation of RAS palmitoyltransferases by accessory proteins and palmitoylation”. Nature Structural and Molecular Biology, vol. 31, n. 3, 2024.
YEH, P. T. et al. “Self-sampling for human papillomavirus (HPV) testing: a systematic review and meta-analysis”. BMJ Global Health, vol. 4, 3, 2019.
ZANOTELI, M. S. Fatores que dificultam a realização do exame citopatológico de colo uterino - Revisão integrativa (Trabalho de Conclusão de Curso de Graduação em Enfermagem). Taquari: UNIVATES. 2023.
ZHANG, Y. et al. “Cross-sectional KAP study on cervical cancer awareness and screening among female university students in Spain”. European Journal of Obstetrics and Gynecology and Reproductive Biology, vol. 289, 2023.