Lesões Intraepiteliais e Neoplasia Cervical Uterina de Mulheres Em Juiz de Fora/Minas Gerais: Estudo Caso-controle

Abstract

ABSTRACT
Objective: To determine factors related to the occurrence of precursor cytological lesions in women from Juiz de Fora/Minas Gerais assisted in primary healthcare. Method: A case-control study conducted between 2017 and 2021. The sample consisted of 222 cases and 231 controls. Analyses were conducted in three dimensions: sociodemographic, sexual/reproductive, and healthcare attention. Odds ratios and 95% confidence intervals were calculated using logistic regression. Result: Precursor lesions decreased with age ≥ 60 years, being married, using injectable contraceptives, age at first intercourse > 15 years, first child > 18 years, having 1 to 3 children, and being assisted by the Family Health Strategy. Protective factors for precursor lesions: women aged 30 to 39 years, not using condoms, having completed high school, ≥ 4 pregnancies, ≥ 4 deliveries, repeat cytology, and being assisted by the traditional healthcare model. Conclusion: Understanding the profile of women susceptible to developing precursor lesions and cervical uterine neoplasia enables healthcare managers and professionals to develop effective strategies for screening, detection, and diagnosis.
DESCRIpTORS: Screening programs; Cervical neoplasms; Cervical squamous intraepithelial lesions; Case-control studies.