Cobertura de detección de cáncer de células uterinas en una región de alta incidência.

OBJECTIVE: To analyze the coverage of a uterine cancer detection program in a city with a high incidence of disease, in addition to the factors associated with compliance with the current preventive program. METHODS: A cross-sectional study based on household surveys was carried out. The sample was made up of women between 25 and 59 years old from the city of Boa Vista, RR, northern Brazil, who were covered by the uterine cancer detection program. The group movement method is used. The dependent variable was participation in a women's health program, defined as less than a Pap test in the 36 months prior to the interview; The explanatory variables are extracted from the individual data. A generalized linear model was used. RESULTS: 603 women were analyzed, with an average age of 38.2 years (SD = 10.2). Five different women were added to the detection problem, and the prevalence of adherence in the last three years was up to 85.7% (95% CI: 82.5; 88.5). A high income per person and a recent medical consultation if associated with the menu were not tested in multivariate analyzes. Ignorance of the disease, the causes and the prevention methods are correlated with the chances of non-compliance with the detection system; 20.0% of women were reported to be involved in opportunistic rather than routine screening problems. CONCLUSIONS: The level of coverage reported is high, exceeding the recommended level for cervical cancer control. The preventive program appears to be opportunistic in nature, particularly for the most vulnerable women (with low incomes and little information about the disease). Studies on the diagnostic quality of cervicovaginal cytology and therapeutic schedules for positive cases are necessary to understand the barriers to cervical cancer control.