title: [Factors associated with failure to take a Pap smear test among Quilombola women].
abstract: The objective of this study was to analyze factors associated with failure to take a Pap smear test among quilombola women living in Vitória da Conquista in the state of Bahia. A cross-sectional, population-based study was conducted with women aged 18 to 64. Descriptive analysis and univariate and multivariate analysis using a multinomial logistic model was applied. Women who had never performed the test or had not had one for over three years were compared separately from those who were examined within the preceding three years. Of the 348 women included in the analysis, 27.3%, reported never having a Pap smear test. The following factors were independently associated with never having taken the test: age of 18 to 29 years and 50 to 59 years; lack of education; not having a partner; seeking care in health-related units/establishments other than their place of residence; and having a clinical breast examination three or more years ago or never having one. The findings indicate a need for reflection in order to combat factors that are associated with not having a Pap smear test among quilombola women, since it is important to implement actions for the prevention of cervical cancer.
authors.affiliation: Instituto Multidisciplinar em Saúde, Faculdade de Farmácia, Universidade Federal da Bahia, Vitória da Conquista, Bahia, Brasil, marciomvo@ig.com.br.
authors.forename: Márcio Vasconcelos
authors.initials: MV
authors.lastname: Oliveira
authors.affiliation: Programa de Pós-Graduação em Saúde Pública e Grupo de Pesquisas em Epidemiologia e Avaliação em Saúde, Faculdade de Medicina, Universidade Federal de Minas Gerais.
authors.forename: Mark Drew Crosland
authors.initials: MD
authors.lastname: Guimarães
authors.affiliation: Programa de Pós-Graduação em Saúde Pública e Grupo de Pesquisas em Epidemiologia e Avaliação em Saúde, Faculdade de Medicina, Universidade Federal de Minas Gerais.
authors.forename: Elisabeth Barboza
authors.initials: EB
authors.lastname: França
mesh_terms: D000293:Adolescent; D000328:Adult; D044383:Black People; D001938:Brazil; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008875:Middle Aged; D065006:Papanicolaou Test / Q000706:statistics & numerical data*; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000517:prevention & control; D055815:Young Adult