www.ssoar.info Factors associated to uterine-cervix changes in women assisted in a pole town in western Santa Catarina

Objective: To identify the cervical-uterine abnormalities in cervical screening and associated factors. Methods: A retrospective study conducted by analysis of cervical screening recorded in the Cancer Information System, in the South of the country, in 2014. The final sample included 1.157 reports. For data analysis the SSPP software was used. The study was approved by the Research Ethics Committee on human subjects at the Federal University of Southern Frontier under CAAE no 46421815.0. 0000.5564. Results: Predominated in the samples lactobacilli as microbiological agents and Gardnerella vaginalis as infectious agent. changed cervix, presence of metaplastic cells associated with the diagnosis of metaplasia was prevalent in women 25-34 years. Inflammation (18.9%), followed by cytological findings (11.8%), were the most frequent changes. Conclusion: The age of 25 to 64 years old, use of the contraceptive pill, Hormonal Replacement Therapy and metaplastic epithelium were associated with the risk of cellular changes occurring. Descriptors: Papanicolau test, Screening programs, Sexual and reproductive health. 1 Nurse graduate at the Federal University of Fronteira Sul (UFFS). Member of the Research Group Study Group and Interdisciplinary Research and Health Care (GEPISC). E-mail: rafaela_ml@hotmail.com. 2 Nurse graduate at the Federal University of Fronteira Sul (UFFS). Member of the Research Group Study Group and Interdisciplinary Research and Health Care (GEPISC). E-mail: vane-gasparin@hotmail.com. 3 Nurse: Professor Graduate Course Assistant at the Federal University of Fronteira Sul (UFFS) and PhD Student of the Graduate Program in Nursing at the Federal University of São Paulo (UNIFESP/SP). Member of the Core Research Group of the Research Multidisciplinary Policies, Evaluation and Health Care (NEPEMAAS) and Group Study and Research Interdisciplinary Health and Care (GEPISC). E-mail: erica.pitilin@gmail.com. ISSN 2175-5361. DOI: 10.9789/2175-5361.2017. v9i1.167-174 Bedin R; Gasparin VA; Pitilin EB Factors associated to uterine-cervix changes. J. res.: fundam. care. online 2017. jan./mar. 9(1): 167-174 168 RESUMO Objetivo: Identificar as alterações cérvico-uterinas nos exames citopatológicos e seus fatores associados. Métodos: Estudo retrospectivo realizado pela análises dos exames citopatológicos registrados no Sistema de Informação do Câncer no sul do país em 2014. A amostra final resultou em 1.157 laudos. Para a análise dos dados foi utilizado o software SSPP. O estudo foi aprovado pelo Comitê de Ética e Pesquisa com seres humanos da Universidade Federal da Fronteira Sul sob CAAE no 46421815.0. 0000.5564. Resultados: Predominou nas amostras os lactobacilos como agentes microbiológicos e a Gardnerella vaginalis como agente infeccioso. O colo uterino alterado, a presença de células metaplásicas associado ao diagnóstico de metaplasia foi prevalente nas mulheres de 25 a 34 anos. As inflamações (18,9%), seguido dos achados citológicos (11,8%), foram as alterações mais frequentes. Conclusão: Associaram-se ao risco de ocorrência das alterações celulares idade entre 25 a 64 anos, uso da pílula anticoncepcional, Terapia de Reposição Hormonal e epitélio metaplásico. Descritores: Teste de papanicolau, Programas de rastreamento, Saúde sexual e reprodutiva.