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Access and accessibility to cancer screening for Brazilian women with spinal cord injurya a Article extracted from master's thesis “Access and accessibility to cancer screening for Brazilian women with spinal cord injury”. Author: Renata Boer. Programa de Pós-graduação Enfermagem em Saúde Pública da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo. Orientation: Prof. Dr. Thais de Oliveira Gozzo. Defense in 2021.

Abstract

Objective

to identify and analyze the accessibility and accessibility of Brazilian women with spinal cord injury to preventive examinations for breast and cervical cancer.

Method

quantitative and cross-sectional study developed in a virtual platform. Descriptive statistical analysis was performed, as well as association analysis between qualitative variables using Fisher's exact test. When identified the association (p<0.05), logistic regression was performed.

Results

a total of 120 Brazilian women with spinal cord injury, aged between 25 and 67 years participated in the study; 85.83% visited a gynecologist after the spinal cord injury, 79.17% underwent cytology and 52.50% underwent mammography. It was observed that women who used the supplementary health plan were more likely to have visited a gynecologist than those who used the public service. Those who had a partner and were older were more likely to have undergone the cytology exam. For mammography, those who were older and who used supplementary health care were more likely to have had mammography exams after the spinal cord injury.

Conclusion

women with spinal cord injury seek screening tests. However, they encounter difficulties related to the physical structure, equipment, transportation, health professionals, as well as socio-demographic difficulties and difficulties regarding the health service used.

Keyword:
Access to Health Services; Neoplasms; Persons with Disabilities; Screening Programs; Women's Health

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