The Elderly Women’s Perception of Cervical Cancer Prevention Examination / A Percepção das Mulheres Idosas Sobre o Exame de Prevenção de Câncer do Colo de Útero

Abstract

Objetivo: Descrever a percepção das mulheres idosas sobre o exame preventivo do câncer de colo de útero-PCCU. Método: Trata se de um estudo descritivo, de abordagem qualitativa com doze idosas residentes em uma área de abrangência da Estratégia Saúde da Família (ESF). Os dados foram coletados no ano de 2015, por entrevista semiestruturada, transcritas na íntegra e analisadas pela técnica de Análise de Conteúdo Temática. Resultados: Exame de prevenção do câncer de colo de útero: importância atribuída à saúde da mulher idosa; Sentimentos e vivências da mulher idosa sobre o exame de Prevenção de câncer de colo de útero- PCCU e Novos padrões da sexualidade da mulher Idosa: uma questão a ser considerada pelas Políticas Públicas de saúde da mulher nas ESF. Conclusão: Torna-se de grande relevância repensar as políticas públicas para a saúde da mulher, no tocante à prevenção do câncer de colo de útero na população idosa.

Patient-Reported Factors Associated With Older Adults’ Cancer Screening Decision-making

“…Nine of the included studies were quantitative, 14,[21][22][23][24][25][26][27][28] 8 were qualitative, 13,[29][30][31][32][33][34][35] and 4 used mixed methods. [36][37][38][39] Ten studies examined breast cancer screening, 21,22,24,25,[29][30][31][32]36,39 3 assessed cervical cancer, 26,28,34 1 assessed prostate cancer, 23 and 7 assessed some combination of breast, prostate, cervical, and colorectal cancer screening. 13,14,27,33,35,37,38 Thirteen studies included women only, 21,22,[24][25][26][28][29][30]…”

“…[36][37][38][39] Ten studies examined breast cancer screening, 21,22,24,25,[29][30][31][32]36,39 3 assessed cervical cancer, 26,28,34 1 assessed prostate cancer, 23 and 7 assessed some combination of breast, prostate, cervical, and colorectal cancer screening. 13,14,27,33,35,37,38 Thirteen studies included women only, 21,22,[24][25][26][28][29][30][31][32]34,36,39 1 included men only, 23 and 7 included a combination of men and women. 13,14,27,33,35,37,38 Most studies were conducted in the US (17 of 21 studies), 2 in the United Kingdom, 21,36 1 in Germany, 37 and 1 in Brazil.…”

“…13,14,27,33,35,37,38 Most studies were conducted in the US (17 of 21 studies), 2 in the United Kingdom, 21,36 1 in Germany, 37 and 1 in Brazil. 34 Five studies analyzed factors associated with screening intention 21,22,24,26 or willingness to stop, 28 1 assessed decisions within a discrete choice experiment for a hypothetical patient, 14 and 1 examined factors associated with the decision process (eg, goals, concerns, and knowledge). 27 Two studies asked closed questions about screening, 23,25 9 asked open questions about screening 29,31,32,34,39 or specifically about stopping, 13,30,33,35 and 3 asked both open and closed questions.…”

“…Most studies included adults aged 65 years or older (17 of 21 studies), 13,14,21,22,25,26,[28][29][30][31][32][34][35][36][37][38][39] 3 included a subgroup of adults aged 65 years or older, 23,24,27 and 1 study reported a mean or median age 65 years or older and targeted recruitment via a senior health center. 33 Most had representation from younger (65-74 years) and older (Ն75 years) age ranges, 13,14,[21][22][23]25,26,[28][29][30][32][33][34][35][36][37][38][39] except for 3 studies: 2 included only adults aged 75 years or older 27 or 80 years or older, 31 and 1 did not report an age range. 24 Many studies also included participants with self-reported fair to poor health, 13,23,28,30,31,…”

“…21 Two studies included mostly healthy participants, 29,37 and 6 did not report health characteristics. 22,24,26,27,34,35 Four studies included participants with a personal history of cancer (see Table 1 for reasons for inclusion). 25,33,36,38 Risk of bias assessment is reported in the eAppendix in the Supplement and is incorporated throughout the results for studies that report conflicting or stand-alone findings.…”