Banca de DEFESA: MARIA APARECIDA PAULO DOS SANTOS

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : MARIA APARECIDA PAULO DOS SANTOS
DATE: 07/02/2022
TIME: 08:30
LOCAL: https://meet.google.com/gzt-oubj-biq
TITLE:

ACCESS TO PAP SMEAR TEST AMONG BLACK WOMEN COMPARED TO OTHER RACES/ETHNICS: A SYSTEMATIC REVIEW WITH META-NALYSIS 

KEY WORDS:

Papanicolaou Test. Women. Race. Health Conditions of Ethnic Groups. Epidemiology. Systematic Review. Meta-analysis.

PAGES: 88
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUBÁREA: Epidemiologia
SUMMARY:

Introduction: Pap smears test are among the most effective measures for screening for cervical cancer. Its widespread use of cytological screening derives from its ease, cost-effectiveness and ability to identify premalignant diseases. Studies show that among racial minorities there is an increase in mortality from cervical cancer, due to disparities in screening, ranging from difficulty in accessing the service to basic health information. Objective: to identify the prevalence of access to Pap smears among black women compared to other races/ethnicities in a systematic review and to identify the magnitude of this association in a meta-analysis. Methodology: The protocol for this review is registered on the PROSPERO platform under number CRD42021251764. Searches were performed in PubMed, Web of Science, Lilacs, Scopus, Cinahl databases, in addition to Google Scholar and Open Grey, using the Mesh terms “ethnic groups”, “race factors”, “papanicolaou test”, “prevalence”, “papanicolaou smear”,“Transversal studies”. For eligibility, cross-sectional studies that showed women's access to the Pap smear were included. Study quality and risk of bias were analyzed using the Joanna Briggs Critical Appraisal Checklist for Analytical Cross-Sectional Studies instrument. The extracted data were tabulated and analyzed qualitatively and quantitatively through meta-analysis (Review Manager). The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) was used as a writing guide. Results: The review resulted in 29 cross-sectional studies that analyzed the prevalence of access to the Pap smear based on the race/ethnicity criterion. The prevalence of access in blacks ranged from 10.3% to 90.60% and among whites ranged from 14% to 89.47%. Among Asian women it ranged from 2.56% to 76.3% and among Hispanic women it ranged from 21.8% to 92.3%. Regarding race, the highest chances of undergoing Pap smears were associated with white women OR=2.49 (95%CI 1.12-4.54) and Hispanic (OR= 2.08; 95%CI 1.96-2) ,21) when compared to black women. The results of the meta-analysis show that access to the Pap smear is lower among black women when compared to white women (OR=0.61; 95% CI 0.43-0.86). However, when compared to other ethnicities (except white), there was no significant difference (OR=1.39; 95% CI 0.82-2.35). Final considerations: Race is still an important factor in determining access to the Pap smear. The results showed disparities in the prevalence of access when comparing black and white women. The difficulty of access, coupled with the lack of knowledge about the need to perform the exam and the lack of guidance for its execution, represent a risk for non-adherence to the preventive program.

BANKING MEMBERS:
Presidente - 2305247 - ISABELLE RIBEIRO BARBOSA MIRABAL
Interna - 1652946 - RAFAELA CAROLINI DE OLIVEIRA TAVORA
Externo à Instituição - ARTHUR DE ALMEIDA MEDEIROS - UFMS