Establecer las barreras para el acceso al examen de Papanicolaou. Parroquia Sidcay, Cuenca 2020

Abstract

Background: the difficulties of access for taking Pap test favor a higher mortality rate from cervical cancer in Latin America. In Ecuador in 2017, it represents the second most frequent type of cancer. By reducing barriers to the Pap, this pathology will be better controlled. Objective: to establish the barriers to access the Papanicolaou at Parroquia Sidcay, Cuenca 2020. Methodology: an analytical cross-sectional observational study was conducted in 316 women of childbearing age. The information was obtained using a form. The analysis was performed with frequencies, percentages, average and standard deviation, the association between the barriers with the Pap test was determined with the Odds Ratio with its 95% CI and multivariate logistic regression. Statistical analysis was performed in Excel V. 2016 and SPSS V.22. Results: of 316 women, 11.7% are unaware of the test; more than 60% believe that it is painful, fear, shame and / or reject a professional man. Less than 5% is negatively influenced by the community. Pain perception (OR 1.82, 95% CI 1.16- 2.85), fear (OR 2.50, 95% CI 1.59-3.94), shame (OR 1.77, 95% CI 1.09-2.87), rejection of a male doctor (OR 2.40; 95% CI 1.35-4.27) and poor relationship with staff (OR 2.12; 95% CI 1.12-4.01) are statistically significantly associated with performing the PAP test. Conclusion: the main barriers are the individual factors associated with a low number of Pap tests performed.