title: [Barriers to implementation of cervical cancer screening: a household survey in the coverage area of the Family Health Program in Nova Iguaçu, Rio de Janeiro State, Brazil].
abstract: The aim of this study was to analyze barriers to access to cervical cancer screening under the Family Health Program in Nova Iguacu, Rio de Janeiro State, Brazil. Through a household survey, we interviewed 281 women 20 to 59 years of age. To assess barriers to the Pap smear, a Portuguese version of the Champion's Health Belief Model Scale was used. Fear related to the test results (39.85%, 95%CI: 34.09-45.61) and the professional examiner (31.31%, 95%CI: 25.86-36.77), shame (39.85%, 95%CI: 34.09-45.61), and forgetting to schedule the test (32.02%, 95%CI: 26.53-37.51) were reported as the main barriers to access. Since the constraints varied according to the population's socio-demographic characteristics, organization of cervical cancer screening should be tailored accordingly.
authors.affiliation: Programa de Mestrado em Saúde da Família, Universidade Estácio de Sá, Universidade Estácio de Sá, Rio de Janeiro, Brazil. ricko.mattos@hotmail.com
authors.forename: Ricardo de Mattos Russo
authors.initials: Rde M
authors.lastname: Rafael
authors.forename: Anna Tereza Miranda Soares de
authors.initials: AT
authors.lastname: Moura
mesh_terms: D000328:Adult; D001938:Brazil; D003127:Colposcopy / Q000523:psychology / Q000706:statistics & numerical data*; D055088:Early Detection of Cancer / Q000523:psychology / Q000706:statistics & numerical data; D005192:Family Health; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D006306:Health Surveys; D006801:Humans; D008403:Mass Screening / Q000706:statistics & numerical data; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D012959:Socioeconomic Factors; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis / Q000517:prevention & control*