Objective: To identify the factors associated with the interference of gynecological cancer screening in women aged 25-69 years, according to the Demographic and Family Health Survey (ENDES) for the years 2019 and 2020. Materials and methods: Quantitative, observational, analytical cross- sectional study. It was a secondary database analysis obtained by ENDE for the years 2019 and 2020. Generalized linear Poisson family crude and adjusted models were used to estimate the association. The measure of association. The measure of association used was the adjusted prevalence ratio (Rpa) with 95% confidence interval (95% CI). Results: We worked with a total of 18,113 women aged 25-69 who were interviewed at the ENDES 2019-2020. In the descriptive analysis, it is observed that 19.3% did not take a PAP smear (PAP) and 53.6% did not perform “screening for breast cancer”. Women with a primary education level have 19% and 58% more opportunities to present interference for taking PAP and screening for breast cancer respectively (RPa: 1,19, 95% CI 1.08-1,31 and RPa:1.58, 95% CI 1:51 – 1:64). Living in the jungle increases 56%and 20%more chance of presenting interference for taking PAP and screening for breast cancer respectively (RPa: 1.46, 95% CI 1.42-1.71 and RPa: 1.20, 95% CI: 1.15- 1.25). The level of knowledge increases the interference for taking PAP and screening for breast cancer by 43% and 3% respectively (RPa: 1.43, 95% CI: 1.34- 1.54 and RPa: 1.03, 95% CI:1.00 -1.06) Conclusions: Sociodemographic, sociocultural and economic factors have a marked influence on the performance of gynecological cancers such as cervical cancer and breast cancer, so it is necessary to implement strategies to promote the prevention of these pathologies.
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Una tormenta llamada COVID-19 lleva desestabilizando los sistemas de salud de casi todo el mundo. En casi 8 meses ha pasado de ser un reporte de neumonía atípica con etiología desconocida a ser la pandemia del siglo XXI (1) . En el Perú, el primer caso confirmado fue el 06 de marzo, y hasta inicios de julio lleva cobrando la vida de más de 10 000 personas (2) .Por otro lado, la Tuberculosis(Tbc), ha recuperado recientemente el primer lugar como la enfermedad infecciosa que mata a más personas en el mundo (3) . En Perú, no es la excepción, ya que se encuentra dentro de las 15 primeras causas de muerte, siendo considerada una enfermedad endémica. Evidentemente, la Tbc no ha desaparecido, sin embargo esta vez se ha llevado el protagonismo el COVID-19, que ha concentrado los esfuerzos del sistema, incluyendo la detención de la atención primaria, sustancial para el control y prevención de la tuberculosis en nuestro medio (4) .
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