title: [Opportunistic screening versus missed opportunities: non-adherence to Pap smear testing in women attending prenatal care].
abstract: The objectives were to estimate the prevalence of non-adherence to Pap smear testing in women attending prenatal care and to identify associated factors. This was a cross-sectional population-based study in 308 women from a rural municipality (county) in Minas Gerais State, Brazil. Complex stratified cluster sampling was used. Statistical analysis used the chi-square test and logistic regression model with the variables that presented p-value ≤ 0.05 in the bivariate model. Prevalence of lack of Pap smear test was 21.3%. Among women 25 years or older, prevalence was 15.1%. Non-adherence was more common in young, single women and those with low schooling. Low schooling remained associated with non-performance of Pap smear (OR = 0.41), indicating that women with more schooling enjoyed higher odds of testing. Contact with the prenatal clinic did not determine guaranteed access to the test, thus indicating missed opportunities when opportunistic screening is employed.
authors.affiliation: Universidade Federal de Viçosa, Viçosa, Brasil., Universidade Federal de Viçosa, Universidade Federal de Viçosa, Viçosa , Brazil.
authors.forename: Luciane
authors.initials: L
authors.lastname: Ribeiro
authors.affiliation: Universidade Federal de Juiz de Fora, Juiz de Fora, Brasil., Universidade Federal de Juiz de Fora, Universidade Federal de Juiz de Fora, Juiz de Fora , Brazil.
authors.forename: Ronaldo Rocha
authors.initials: RR
authors.lastname: Bastos
authors.affiliation: Universidade Federal de Juiz de Fora, Juiz de Fora, Brasil., Universidade Federal de Juiz de Fora, Universidade Federal de Juiz de Fora, Juiz de Fora , Brazil.
authors.forename: Marcel de Toledo
authors.initials: Mde T
authors.lastname: Vieira
authors.affiliation: Universidade Federal de Juiz de Fora, Juiz de Fora, Brasil., Universidade Federal de Juiz de Fora, Universidade Federal de Juiz de Fora, Juiz de Fora , Brazil.
authors.forename: Luiz Cláudio
authors.initials: LC
authors.lastname: Ribeiro
authors.affiliation: Universidade Federal de Juiz de Fora, Juiz de Fora, Brasil., Universidade Federal de Juiz de Fora, Universidade Federal de Juiz de Fora, Juiz de Fora , Brazil.
authors.forename: Maria Teresa Bustamante
authors.initials: MT
authors.lastname: Teixeira
authors.affiliation: Universidade Federal de Juiz de Fora, Juiz de Fora, Brasil., Universidade Federal de Juiz de Fora, Universidade Federal de Juiz de Fora, Juiz de Fora , Brazil.
authors.forename: Isabel Cristina Gonçalves
authors.initials: IC
authors.lastname: Leite
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D001938:Brazil; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D065006:Papanicolaou Test / Q000706:statistics & numerical data*; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D011247:Pregnancy; D011295:Prenatal Care; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control*; D014626:Vaginal Smears / Q000706:statistics & numerical data*; D055815:Young Adult