Triagem e disparidades na prevalência do câncer do colo do útero em Sergipe (2015–2025)
DOI:
https://doi.org/10.34119/bjhrv8n6-195Keywords:
câncer do colo do útero, prevalência, mulheres, SergipeAbstract
O Câncer de Colo do Útero (CCU), é o terceiro câncer mais comum entre mulheres, está ligado ao HPV (Papilomavirus Humano) e pode evoluir sem sintomas. A prevenção inclui o exame Papanicolau a cada três anos e testes moleculares a cada cinco anos, além da vacinação contra HPV para meninas entre 9 e 14 anos. Entre os fatores de riscos incluem atividade sexual precoce, tabagismo e uso prolongado de anticoncepcionais. Em Sergipe, o CCU foi o segundo mais comum entre 2014 a 2019, com 220 novos casos previstos em 2025. Sendo assim entende-se que é indispensável que mulheres acima de 30 anos estejam cientes da necessidade de prevenção e detecção precoce. Desta forma, o objetivo deste estudo foi analisar a prevalência e os fatores associados ao Carcinoma Epidermoide Invasor do colo do útero (CEI) no estado de Sergipe, entre 2015 a 2025, considerando variáveis de idade, raça/cor e adesão à triagem. Para isto, foi realizado um levantamento abrangendo o período da década citada a cima, para identificar mulheres a partir de 30 anos ou mais diagnosticadas com CEI. Os dados foram obtidos por meio do SISCAN. Analisou o perfil das mulheres em relação ao resultado de citologia anterior no ano correspondente, sua etnia e faixa etária. Este estudo enfatiza a importância de exames regulares para detecção precoce do CEI. Observou-se que mulheres que nunca realizaram o exame têm maior incidência de CEI, enquanto aquelas que o fizeram apresentaram maior prevalência. A triagem regular do câncer cervical é essencial para reduzir a incidência do CEI, mais prevalente em mulheres sem rastreamento, de cor amarela e em faixas etárias mais avançadas, reforçando a necessidade de políticas públicas de prevenção.
References
Carnazza, G. et al.. Monetary flows for inter-regional health mobility: The case of Italy. Papers in Regional Science, 2025.
Casanova, F.; Knaul, F.; Rodriguez, N. Harvesting Health Knowledge: Breast Cancer Perceptions in the South Florida Latinx Farmworker Community. Qualitative Health Research, v. 31, p. 1423-1436, 2021.
Chauhan, S. et al. Prevailing racial, regional, and income-based disparities in cardiovascular outcomes in postmenopausal women hospitalized with SARS-CoV-2 in 2020. Circulation, 2023.
Costa, R. S. et al. A correlação do HPV com o câncer no colo do útero. Revista Contemporânea, v. 4, n. 12, p. e7100–e7100, 2024.
Da Silva Filho, A. et al. Exploring cervical cancer mortality in Brazil: an ecological study on socioeconomic and healthcare factors. International Journal of Gynecological Cancer, 2024.
Da Silva, J. et al. Constraints related to the cytopathological examination that favor the late diagnosis of cervical cancer. Health and Society, 2023.
Dlangalala, T. et al. Accessibility of TB diagnostic services at primary healthcare clinics in the eThekwini district, South Africa: a geospatial analysis. BMJ Open, v. 14, 2024.
Esmaeilzadeh, A. A.; Nasirzadeh, F. Uterus Cancer. Eurasian Journal of Chemical, Medicinal and Petroleum Research, v. 2, n. 5, p. 63-83, 2023.
Feyisa, J. et al. Cervical cancer progression in patients waiting for radiotherapy treatment at a referral center in Ethiopia: a longitudinal study. JCO Global Oncology, v. 9, 2023.
Figueiredo, A. et al. Notification of cytopathological exams in the Unaí, Minas Gerais, Brazil. Brazilian Journal of Health Review, 2023.
George, M. et al. Barriers to accessing, commencing and completing cancer treatment among geriatric patients in rural Australia: a qualitative perspective. International Journal of General Medicine, v. 15, p. 1583-1594, 2022.
Girda, E. et al. Cervical cancer treatment update: a Society of Gynecologic Oncology clinical practice statement. Gynecologic Oncology, v. 179, p. 115-122, 2023.
Gómez, E. Confronting health inequalities in the BRICS: Political institutions, foreign policy aspirations and state-civil societal relationships. Global Policy, v. 7, p. 500-509, 2016.
GUO, Y. et al. Absence of high-grade cervical intraepithelial neoplasia in conization specimens from patients with colposcopic biopsy-confirmed high-grade cervical intraepithelial neoplasia: retrospective study of 1695 cases. Frontiers in Oncology, v. 12, 2022.
Habeshian, T. et al. Rising incidence and racial disparities of early-onset endometrial cancer in the United States, 1995-2018. Cancer Epidemiology, Biomarkers & Prevention, 2023.
Hall, J.; Dornan, M. Patient sociodemographic characteristics as predictors of satisfaction with medical care: a meta-analysis. Social Science & Medicine, v. 30, n. 7, p. 811-818, 1990.
Herrero, M.; Loza, J. Building a regional health agenda: a rights-based approach to health in South America. Global Public Health, v. 13, p. 1179-1191, 2018.
Islami, F.; Fedewa, S.; Jemal, A. Trends in cervical cancer incidence rates by age, race/ethnicity, histological subtype, and stage at diagnosis in the United States. Preventive Medicine, v. 123, p. 316-323, 2019.
Koca, B.; Acikgoz, A. Cervical cancer risk levels among women aged 30–65 and factors affecting compliance with the national cervical cancer screening standards. Medicine Science | International Medical Journal, 2023.
Lee, D.; Lee, T. The association between metabolic syndrome and epithelial cell abnormalities detected on Pap smear: a nationwide population-based study. Journal of Clinical Medicine, v. 12, 2023.
LI, Y. et al. Interaction between genetic risks and socioeconomic factors on thyroid cancer: evidence from 0.5 million UK Biobank participants. Cancers, v. 15, 2023.
Lugo-Salazar, D. et al. Conventional cytology scheme: adherence and associated factors. Public Health, v. 236, p. 459-465, 2024.
Markowitz, L. E.; Unger, E. R. Human papillomavirus vaccination. New England Journal of Medicine, v. 388, n. 19, p. 1790-1798, 2023.
Mathur, R.; Swaminathan, S. National ethical guidelines for biomedical & health research involving human participants, 2017: a commentary. The Indian Journal of Medical Research, v. 148, p. 279-283, 2018.
Milner, K. et al. National evaluation of DNP students' use of the PICOT method for formulating clinical questions. Worldviews on Evidence-Based Nursing, 2024.
Mutmainnah, M.; Arifin, I. Analysis of socioeconomic factors affecting community access to public health services in rural areas. Journal of Public Health Indonesian, 2025.
Novais, I. et al. Cervical cancer screening in Brazilian Amazon Indigenous women: towards the intensification of public policies for prevention. PLOS ONE, v. 18, 2023.
Okunade, K. S. Human papillomavirus and cervical cancer. Journal of Obstetrics and Gynaecology, v. 40, n. 5, p. 602-608, 2020.
Oliveira Macedo, E. N. De; Souza, M. R. De; Borges, C. J.; Silva, L. A. Avaliação do conhecimento, atitude e prática sobre o papilomavírus humano e a prevenção do câncer cervical. Advances in Nursing and Health, v. 7, p. 1–17, 2025.
Perkins, R. B. et al. Cervical cancer screening: a review. JAMA, v. 330, n. 6, p. 547-558, 2023.
Rahmawati, D. L.; Rahayu, D. E.; Hardjito, K. Correlation between oral contraceptive use and the incidence of cervical cancer. Poltekita: Jurnal Ilmu Kesehatan, v. 16, n. 4, p. 497-504, 2023.
Rodríguez-Pose, A.; Ketterer, T. Institutional change and the development of lagging regions in Europe. Regional Studies, v. 54, p. 974-986, 2019
Rotarius, T.; Liberman, A. Regional interrelationships: a leadership opportunity for health care. The Health Care Manager, v. 35, p. 9-20, 2016.
Shi, F. et al. Sociodemographics and their impacts on risk factor awareness and beliefs about cancer and screening: results from a cross-sectional study in Newfoundland and Labrador. BMC Public Health, v. 20, 2020.
Silva, A. B. M.; Santos, F. P. dos. Reflexos da pandemia do COVID-19 no rastreamento do câncer de colo de útero no município de Ilhéus. Revista Ibero-Americana de Humanidades, Ciências e Educação, v. 10, n. 11, p. 7118–7136, 2024.
Tesfaye, B. et al. Associated factors of positive visual inspection of cervix with acetic acid test among women screened for cervical cancer at public health facilities in Woliso town, Southwest Shoa, Ethiopia: a case–control study. SAGE Open Medicine, v. 10, 2022.
Vayre, E.; Vonthron, A. Relational and psychological factors affecting exam participation and student achievement in online college courses. Internet and Higher Education, v. 43, 2019.
Viveros-Carreño, D.; Fernandes, A.; Pareja, R. Updates on cervical cancer prevention. International Journal of Gynecologic Cancer, v. 33, n. 3, 2023.
Xiao, J. et al. Clinical diagnostic value of atypical glandular cells in cervical cytology: a single center experience from China. Journal of Lower Genital Tract Disease, v. 27, p. 202-206, 2023.
Yang, M. et al. Global trends and age-specific incidence and mortality of cervical cancer from 1990 to 2019: an international comparative study based on the Global Burden of Disease. BMJ Open, v. 12, 2022.


