Perfil sociodemográfico e clínico de mulheres acometidas por câncer de colo do útero no estado da Paraíba.

Abstract

Cervical cancer (CC) is considered a global health problem, being responsible for the highest number of deaths among gynecological cancers. Morbidity and mortality from this neoplasm affects all regions of Brazil, with emphasis on the Northeast, which has been showing increasing values in mortality rates and the prospect of an increase in the coming decades, with emphasis on the mesoregions of the state of Paraíba. Although it can be treated, this pathology can have a poor prognosis if diagnosed late, making it necessary to understand the epidemiological data to support health decision-making. The objective was to evaluate hospital mortality and morbidity due to CC in the state of Paraíba and investigate the clinical profile of women from Paraíba who underwent prevention of this neoplasm. This is an ecological time series study, with secondary data collected in the Online Atlas of the National Cancer Institute; and in the Information Technology Department of the Unified Health System. Data were collected regarding mortality and incidence of women affected by CC and the physiological and clinical history of women in Paraíba. It was possible to observe variations between morbidity and mortality in the period from 2010 to 2019, with the highest number of deaths recorded in 2017 (152 deaths), and the lowest value in 2010 (75 deaths). Regarding incidence, the highest number of hospitalizations occurred in 2010 (377 hospitalizations) and the lowest number in 2016 (241 hospitalizations). It was observed that the majority of women from Paraíba in the study, who underwent the preventive test, had the level of education “Incomplete primary education”, in addition, it was found that women with some level of education tend to undergo cytopathology more frequently. It was found that the majority of women in the study underwent the exam less than 1 year ago and that the highest percentage regarding the waiting time to receive the result was recorded in the “less than 1 month” category. In view of this, it is concluded that the temporal profile of morbidity and mortality due to CC did not appear to have interdependence or linearity, however, the correlation between socio-demographic conditions and the disposition to risk conditions, such as whether or not to undergo the exam, is fateful. cytopathology.