title: [Cervical cancer screening: Is active recruitment worth the effort?].
abstract: OBJECTIVE
  To determine the percentage of women who have had a Pap smear in the last 5 years, and the place where it was carried out. To detect cytological abnormalities and precursors of cervical cancer in un-screened or inadequately screened women and the prevalence of HPV-positive determinations.
  
  
  METHODS
  Cross sectional study.
  
  
  METHODS
  Natahoyo Health Centre, Gijón (Spain).
  
  
  METHODS
  Women aged 40-50 years living in the area and assigned to the Health Centre.
  
  
  METHODS
  The information was collected from databases, telephone and home surveys. There was active recruitment of unscreened women or inadequately screened in Primary Care as well as offering to perform cytology and HPV determination.
  
  
  RESULTS
  Of the 1420 women aged 40 to 50 years, 1236 (87%) had cytology in the last 5 years, and 184 women (13%) had no screening or it was inadequate. Of these 184 women, 108 (58.7%) agreed to have cytology and HPV test performed. No high-grade cervical dysplasia was diagnosed. The prevalence of HPV-positive was 8.3%.
  
  
  CONCLUSIONS
  In our population there is a high coverage of opportunistic screening for cervical cancer. The active recruitment of women who were not in the screening program was not useful.
authors.affiliation: Centro de Salud de Natahoyo, Gijón, España. Electronic address: angelesmoralesmartinez@gmail.com.
authors.forename: Ángeles
authors.initials: Á
authors.lastname: Morales Martínez
authors.affiliation: Centro de Salud de Natahoyo, Gijón, España.
authors.forename: Lorena
authors.initials: L
authors.lastname: Blanco Rodríguez
authors.affiliation: Servicio de Ginecología y Obstetricia, Hospital Fundación de Jove, Gijón, España.
authors.forename: Cristina
authors.initials: C
authors.lastname: Morales Martínez
authors.affiliation: Servicio de Ginecología y Obstetricia, Hospital Fundación de Jove, Gijón, España.
authors.forename: Sonia
authors.initials: S
authors.lastname: Tejuca Somoano
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer; D005260:Female; D006801:Humans; D008403:Mass Screening; D008875:Middle Aged; D027383:Papillomaviridae; D030361:Papillomavirus Infections / Q000175:diagnosis*; D013030:Spain; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis*; D014626:Vaginal Smears
keywords: Active recruitment; Captación activa; Cervical cancer; Citología; Cribado oportunista; Cáncer de cérvix; Human papillomavirus; Opportunistic screening; Pap smear; Virus del papiloma humano
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