title: [Factors associated with lack of Pap smear screening in a group of postmenopausal Brazilian women].
abstract: This study aimed to analyze risk factors for lack of Pap smear screening among menopausal women. This population-based study evaluated 456 women 45-69 years of age (mean 58.7; SD 5.7), with age at menopause 48.0 years (SD 5.0) living in the urban area of Maringá, Paraná State, Brazil. Most reported having 7 years of schooling or less, were married or living with a partner, had paid work, were sedentary, and were not on hormone replacement therapy. Coverage of Pap smear screening was 84.5%. After adjustment by multivariate analysis, the 45-69-year age bracket, paid work, no visit to the gynecologist in the previous year, and no mammogram in the two previous years were statistically associated with lack of Pap smear screening. Efforts to improve cervical cancer screening should focus on women's knowledge and reduce the factors that hinder women from performing Pap smear tests.
authors.affiliation: Universidade Estadual de Maringá, Rua Nossa Senhora da Glória 56-A, Maringá, Brazil.
authors.forename: Sheila Cristina Rocha
authors.initials: SC
authors.lastname: Brischiliari
authors.forename: Cátia Millene
authors.initials: CM
authors.lastname: Dell'Agnolo
authors.forename: Laís Moraes
authors.initials: LM
authors.lastname: Gil
authors.forename: Tiara Cristina
authors.initials: TC
authors.lastname: Romeiro
authors.forename: Angela Andréia França
authors.initials: AA
authors.lastname: Gravena
authors.forename: Maria Dalva de Barros
authors.initials: MD
authors.lastname: Carvalho
authors.forename: Sandra Marisa
authors.initials: SM
authors.lastname: Pelloso
mesh_terms: D000368:Aged; D001938:Brazil; D055088:Early Detection of Cancer; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008403:Mass Screening; D008875:Middle Aged; D065006:Papanicolaou Test; D017698:Postmenopause / Q000502:physiology; D012307:Risk Factors; D012959:Socioeconomic Factors; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000517:prevention & control; D014626:Vaginal Smears / Q000706:statistics & numerical data*