Factors associated with Pap smear among displaced women and host population in a settlement in Antioquia, Colombia, 2011

Authors

  • Sara M. Ramos J. University of Antioquia
  • Isabel C. Garcés P. University of Antioquia

DOI:

https://doi.org/10.17533/udea.rfnsp.13696

Keywords:

pap smear, cervical cancer, displaced, host population, social determinants, Colombia

Abstract

Objective: to characterize the socio-economic, demographic and health insurance factors associated with Pap smears among displaced and host population in the “Altos de Oriente” settlement, located in Bello, Colombia in 2011. Methodology: we conducted a secondary data analysis on the cross-sectional study entitled "Historical and socio-demographic description of the settlement Altos de Oriente.” The survey inquired about the date of the last Pap smear, health insurance, and socioeconomic and demographic variables. We performed a descriptive analysis and built logistic regression models. Results: both the displaced and host women from the settlement have low education, low income, and are mostly single mothers. The factors associated with not having a recent Pap smear were: being 41 to 49 years old, not using family planning methods, being unemployed and having only elementary school education or no education at all. Conclusions: efforts to increase coverage of Pap smear services in this group of displaced and host individuals should focus on women aged 41 to 49, who are housewives with a low education level.
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Author Biographies

Sara M. Ramos J., University of Antioquia

Health administrator with an emphasis on health services management, National School of Public Health, University of Antioquia, Medellín, Colombia.

Isabel C. Garcés P., University of Antioquia

Assistant Professor, National School of Public Health, Epidemiology Group, University of Antioquia, Medellín, Colombia.

References

(1). Ferlay J, Shin JR, Bray F, Forman D, Mathers C, Parkin DM. Estimates and worldwide burden of cancer in 2008: globocan2008. Int J Cancer 2010; 127 (12): 2893-2917. DOI: https://doi.org/10.1002/ijc.25516

(2). Medellín. Alcaldía. Vigilancia epidemiológica para la salud, pre-vención de la enfermedad y asistencia social en salud, informe final consolidado año 2009.

(3). Sankaranarayanan R, Madhukar A, Rajkumar R. Effective screening programmes for cervical cancer in low- and middle-income develo-ping countries. Bull World Health Organ. 2001; 79 (10): 954-962.

(4). Murillo R. Control del cáncer de cuello uterino en Colombia: triunfos y desafíos de la tamización basada en la citología cérvico-uterina. Biomédica 2008; 28 (4): 457-470. DOI: https://doi.org/10.7705/biomedica.v28i4.52

(5). Colombia. Ministerio de Salud. Resolución 412 de 2000: por la cual se establecen las actividades, procedimientos e intervenciones de demanda inducida y obligatorio cumplimiento y se adoptan las normas técnicas y guías de atención para el desarrollo de las acciones de protección específica y detección temprana y la atención de enfermedades de interés en salud pública. Bogotá: El Ministerio; 2000.

(6). Murillo R, Cendales R, Wiesner C, Piñeros M, Tovar S. Efecti-vidad de la citología cérvico-uterina para la detección temprana de cáncer de cuello uterino en el marco del sistema de salud de Colombia. Biomédica. 2009 sep., 29 (3): 354-361. DOI: https://doi.org/10.7705/biomedica.v29i3.7

(7). Profamilia. Encuesta Nacional de Demografía y Salud 2010. Bo-gotá: Profamilia; 2010.

(8). Piñeros M, Cendales R, Murillo R, Wiesner C, Tovar S. Cobertura de la citología de cuello uterino y factores relacionados en Colom-bia. Rev. Salud Pública. 2005; 9 (3): 327-41. DOI: https://doi.org/10.1590/S0124-00642007000300002

(9). Profamilia. Encuesta Nacional de Salud Sexual y Reproductiva en Zonas Marginales de Colombia. Bogotá: Profamilia; 2005.

(10). Leus X, Wallace J, Loretti A. Internally displaced persons. Pre-hospital Disaster Med 2001; 16 (3): 75-82. DOI: https://doi.org/10.1017/S1049023X00025851

(11). Martínez LA, Burbano SN, Restrepo C. [Trabajo de grado Geren-cia en sistemas de información en salud]. Medellín: Universidad de Antioquia; 2005.

(12). Restrepo J, Mejía A, Valencia M, Tamayo L, Salas W. Accesibilidad a la citología cervical en Medellín, Colombia en 2006. Rev. Esp. Salud Pública 2007; 81: 657-666. DOI: https://doi.org/10.1590/S1135-57272007000600009

(13). Castiblanco CA, Pinilla GM. Cobertura de citología cérvicouterina y factores asociados en mujeres mayores de 15 años. Repertorio de Medicina, Cirugía y Ciencias de la Salud 2006; 15 (2): 82-90. DOI: https://doi.org/10.31260/RepertMedCir.v15.n2.2006.425

(14). Hernández DM, Linaldi F, Apresa T, Escudero P, Alvarado L, et al. Factores asociados con incumplimiento para tamizaje en cáncer de cérvix. Rev. Med. Inst. Mex. Seguro Soc 2007; 45 (4): 313-320.

(15). Claeys P, González C, Page H, Bello RE, Temmerman M. Determinants of cervical cancer screening in a poor area: results of a population-based survey in Rivas, Nicaragua. Tropical medicine and international health 2002; 7 (2): 935-941. DOI: https://doi.org/10.1046/j.1365-3156.2002.00953.x

(16). Instituto Nacional de cancerología. Distribución de casos nuevos de cáncer por grupos quinquenales de edad según localización primaria, mujeres, INC, Colombia, 2005 [Internet]. [Acceso 31 de octubre de 2011]. Disponible en: http://www.cancer.gov.co/documentos/Tablas2005/Tabla%203.pdf.

(17). Castro MA, Londoño PA, Vera LM. Asistencia a citología del cuello uterino y sus determinantes en una población rural Colombia-na, 1998-199. Rev. Salud Pública. 2006 nov; 8 (3): 248-257. DOI: https://doi.org/10.1590/S0124-00642006000300010

(18). Aguilar JA, Leyva A, Angulo D, Salinas A, Lazcano EC. Tamizaje en cáncer cervical: conocimiento de la utilidad y uso de citología cervical en México. Rev. Salud Pública. 2003; 37 (1): 100-106. DOI: https://doi.org/10.1590/S0034-89102003000100015

(19). Figueroa NM. Conocimiento, actitudes y prácticas de la citolo-gía cérvico uterina, en mujeres mayores de 15 años en condición de desplazamiento, en el barrio las flores; sector Caguan, Chipi y Tambos; del distrito de Barranquilla. 2010. [Tesis Magíster en salud publica]. Bogotá: Universidad Nacional de Colombia; 2011.

(20). Mogollón AS, Vásquez ML. Opinión de las mujeres desplazadas sobre la repercusión en su salud del desplazamiento forzado. Gaceta Sanitaria 2006; 20 (4):260-5. DOI: https://doi.org/10.1157/13091139

(21). Arias S. Inequidad y cáncer: una revisión conceptual. Rev. Fac. Nac. Salud Pública 2009; 27 (3): 341-348

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Published

2013-09-25

How to Cite

1.
Ramos J. SM, Garcés P. IC. Factors associated with Pap smear among displaced women and host population in a settlement in Antioquia, Colombia, 2011. Rev. Fac. Nac. Salud Pública [Internet]. 2013 Sep. 25 [cited 2025 Jan. 31];31(3):311-8. Available from: https://revistas.udea.edu.co/index.php/fnsp/article/view/13696

Issue

Vol. 31 No. 3 (2013)

Section

Research

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Copyright (c) 2021 Sara M. Ramos J., Isabel C. Garcés P.

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