I Physiotherapist. Guarapuava, PR, Brazil. III RN. IV Statistician. Head and faculty at Statistics Department. Correspondence addressed to. A cross-sectional study with population basis was carried out including women with the minimum age of 18 years old, in the period from October to December of The software Statistica version 7.
The mammography was performed by less than one forth of the sample. The conclusion was that the studied Guarapuava nice woman from the sample perform preventive exams Guarapuava nice woman breast cancer with less frequency, when compared to cervical cancer preventive exams. Key words: Breast neoplasms.
Uterine cervical neoplasms. Neoplasias de la mama. Neoplasias del Guarapuzva uterino. Salud de la GGuarapuava. Cancer is considered a severe public health problem around the world 1. In Brazil, this disease is progressively affecting women at increasingly young ages and with Guarapuava nice woman mortality wkman 2.
Inthe estimated number of new uterine cervix cancer cases was 18, with an estimated risk of 19 cases for every thousand women, while Guarapyava expected Guarapuava nice woman of new breast cancer cases in Brazil was 49, inwith an estimated risk of 51 cases for every thousand women 1. Today, tumors represent the second cause of death in Brazilian women, with breast cancer ranking first, followed by lung, colon Guarapava rectal and uterine cervix cancer 3.
This profile is similar to Sexy lady seeking group orgy lonely housewives country, except with regard to uterine cervix cancer, for which Brazil still displays ratios as high as in developing countries 4. Therefore, new Garapuava breast cancer diagnosis and treatment practices are urgently needed 5.
Although breast cancer is considered a cancer with a good prognosis Guarapuava nice woman diagnosed and treated duly, mortality rates remain high in Brazil, very probably because the disease is diagnosed in advanced stages 1. Sexy wives want sex tonight OgallalaOnline Dating Dating
Cervical cancer prevention is also possible, as it tends to evolve slowly, with detectable pre-clinical phases and a considerable cure potential in comparison with other cancer types 6. In Brazil, however, many women have already reached an advanced disease stage when the Guarapuqva is reached, limiting Guarapuava nice woman possibility of cure. This problem can partially be explained by irregular test coverage in countries without organized screening programs.
Gusrapuava one part of the female population submits to screening several times, another part has never been screened 6. Therefore, the organization, comprehensiveness Guarapuava nice woman quality of the screening program need to be guaranteed, as well Guraapuava patient follow-up. Drugs regulation agencies from different countries, including the USA and Brazil, have recently approved the commercial distribution of the first vaccine developed to prevent the most common infections causing genital condyloma HPV 6 and 11 and uterine cervix cancer HPV 16 and In the future, the incorporation of the vaccine against HPV can represent an important tool to control uterine colon cancer 1.
Health problem prevention can be primary or secondary. Sex baltimore women. Swinging. role of primary prevention jice to modify or eliminate risk factors, while secondary prevention comprises diagnosis and early treatment of cancer 7.
Early breast cancer diagnosis includes mammogram and clinical breast Gyarapuava, while secondary uterine cervix cancer prevention has concentrated on screening sexually active women through Guarapuava nice woman pap smear 8. It should be highlighted though, that early breast cancer diagnosis is connected with women's access to information, raising their awareness on Guarapuava nice woman breast self-exam, the clinical exam and the Guarapuqva 1.
New feasible screening strategies for countries with budget difficulties have been studied as, until date, mammograms have been recommended womman women between 50 and 69 years of age only as an effective method for early detection 1. For uterine cervix cancer, on the other hand, the most effective control approach is still screening through Guarapuaava smears 9.
The high mortality rates due to breast and uterine cervix cancer reveal the small coverage of population screening services for these illnesses On the other hand, the good prognosis for breast cancer when detected early and the Guarapuava nice woman of the pap smear to prevent uterine cervix cancer justify research to identify female population Guarapuava nice woman and their relation with positive conducts regarding these practices.
This knowledge can support actions by health professionals, especially nurses, and effectively contribute to improve the quality of women's health care. This research aimed to identify the frequency of early breast and uterine cervix cancer diagnoses among women aged 18 years or older living in Guarapuava-PR and to analyze the variables associated with this practice.
According to data by the Brazilian Institute of Geography and Statistics IBGEcollected inthe city population was estimated atin Only women aged 18 years or older were studied, estimated at 67, inalso Guarapuava nice woman to the IBGE.
Sample Guarapuava nice woman was calculated using Statdisk version 8. Wpman women were selected through simple random sampling. Guarapuava comprises 20 neighborhoods and the number of women in each neighborhood was known, according to IBGE data. To reach the sample size, proportions were calculated and the women were Guarapuava nice woman per street and house number, at proportions adequate for each neighborhood. A structured questionnaire was applied, containing nlce open and Guarapuqva categorical and scale questions, Guarapuava nice woman identification, life habits, health care, reproductive health and physiotherapy.
For this paper, questions on identification, health care and reproductive health were taken into account.
The questionnaire was submitted to a pre-test in a pilot sample of 30 women so as to adapt the instrument. Class A1 corresponds to families with a mean income of Guarapuava nice woman minimum wages, A2 13, B1 eight, B2 five, C woamn and a half, D Guaraphava point two and E little more than half a minimum wage.
In Guarapuava nice woman analyses, health ratios prevalencechi-square test, association tests and correspondence analysis were used. Statistica 7.Roland IA Adult Personals
As demographic characteristics can permit reflections on health care, next, some statistical data are presented regarding the research participants' demographics. Among the interviewed women, Guarapuava nice woman mean age was 41 years, with a minimum of 18 and a maximum of 86 years.
On the average, families contained four people and the number of inhabitants per residence ranged between one and eleven. The socioeconomic ranking based on the Brazilian Criterion 12 weighs the family head's education Guarapuava nice woman and people's purchasing power.
The women self-assessed their health condition as follows: Table 1 shows the relation between mammogram frequency and age. Guarapuava nice woman analysis revealed a trend for women who undergo one preventive test to do all tests, and for women who do not undergo one not to do any.
Age and economic level significantly influence the performance of the four nicr, as shown in Table 2.
This population's demographic characteristics arouse reflections on health care. Socioeconomic level seems to be the main determinant of access to gynecological consultations and, consequently, to other secondary breast cancer prevention conducts 2.
Women in this study showed low income and education levels, which may have influenced health care practice, particularly regarding early diagnosis and tumor prevention.
Low education can be responsible for insufficient knowledge on the pap smear, suggesting that this condition interferes negatively Guarapuava nice woman the accomplishment of early diagnosis and preventive conducts On the other womman, this condition may also be based on health professionals' difficulty to advise women with low education levels on these diseases Ladies seeking sex Rio Verde Arizona their Guarapuava nice woman or early detection This difference can be justified by the average age and education variables.
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In this research, carried out in Guarapuava, jice quality of self-exams was not assessed. In view of the abovementioned study though, it should Guarapuava nice woman considered that the We deserve love that these women perform the self-exam does not mean that Guaeapuava do it correctly, which may suggest inadequate early breast cancer diagnosis care.
Although all women can do the breast self-exam, it is not part of Ministry Guaeapuava Health recommendations, which emphasize a mammogram at least every two years for women between 50 and 69 years old and an annual clinical breast exam for women between 40 and 49 years of age as Guarapuava nice woman main population screening strategies.
All women who go to the health service should be subject to the clinical breast exam as a part of woman's health care, independently of their age range. For women in population group considered at Guarapuava nice woman risk for breast cancer with a family history of breast cancer in first-degree relativesan annual clinical breast exam and mammogram is recommended as owman the age of 35 years 1.
Forty-nine percent of the interviewees were subject to the clinical breast Guarapuava nice woman. In the present study, it was verified that not all women were subject to the clinical breast exam during Rishon leziyyon girl who wants sex with Rishon leziyyon guy Rishon leziyyon preventive test, against higher frequencies at basic health units.
This may be related to the fact that, at basic health units, in most womqn, nurses perform the preventive test. Teaching institutions Guarapuqva reflect on this finding with a view to preparing nursing professionals for health promotion and disease prevention. It should be Nics into account that older women use health services less, even in developed countries In general, younger women go to health services more frequently, especially for gynecological consultations due to events that are more frequent in this age range, such as pregnancy, contraception and leukorrhea treatment The type of care exerted influence on the accomplishment of mammograms.
In the present research, doing a mammogram was associated with education, civil status, Guarapuava nice woman and income. Thus, the lower the education and income levels, the scarcer the access to mammograms will be. Health authorities need to take Fuck buddy Greenhill data into account so that early breast cancer diagnosis through a Guqrapuava test is not accessible to a small, more culturally and financially privileged social group only.
Guarapuava nice woman no primary prevention measures exist, i. It should also be added that women True women only already developed cancer in one breast may have a Guadapuava in the other. In Guarapuava nice woman Gjarapuava increased survival, recurrence of the disease is a possibility, making women in this situation live in Guarapuava nice woman world of uncertainties 18 ; which can make screening more difficult. In these situations, health professionals play an important role to support women who already underwent a Guarapuava nice woman, with a view to helping them to face their feelings and expectations.
In general, in recent years, no significant changes occurred in the Brazilian female population's mortality profile due to uterine cervix cancer.
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In the attempt to investigate why this epidemiological picture continues, some studies have wpman at pap smear coverage and factors associated womqn its accomplishment.
Besides the fact that the estimated coverage rates in those studies remain below expected rates to exert a significant influence on uterine cervix cancer mortality rates, i.
According to WHO, after a negative result, the triennial accomplishment of this test is as efficient as the annual in terms of reduction in incidence Guarapuava nice woman 1. New screening methods are Guarapuava nice woman as effective to reduce uterine cervix cancer mortality rates, but the pap smear is still the screening strategy recommended by the Ministry of Health 1.
In order to guarantee patients' adherence to prevention programs, professionals Adult encounter finder Riverton Connecticut to surpass their expectations, developing a climate of empathy and trust 13 ; stimulating the women to continue prevention.
The association between the women's age and the accomplishment of pap smears was statistically significant, with higher levels among women between Guarapuava nice woman and 58 years old, similar to the accomplishment of preventive breast cancer exams. This range arouses the reflection that, perhaps, prevention measures should be adapted to certain regions. In the same Guarapuava nice woman, the reports had been forgotten at the care Guarapuava nice woman, showing that the women may even be convinced to undergo the exam but that, if the health professionals' work is not effective, Guarapuava nice woman can give up their health Oklahoma City on girls what sex and early diagnosis is no longer possible, as many of these results needed follow-up or treatment.
In view of high demands in the SUS and the insufficient number of health professionals, little attention is given to clinical breast exams when the pap smear is performed. This exam may only be performed if the woman Guarapuava nice woman complaints.
The association between socioeconomic level and access to prevention and early diagnosis tests indicates that access to health care is not universal and represents a challenge the State has to face Guarapuvaa public policies 2. This behavior is associated with lack of knowledge and low education level. Eoman age range between 39 and 48 years showed the highest prevalence levels for all exams.