Risk Factors for Cervical Cancer and Papanicolaou Test in Marginalized Adolescents in Bogotá, Colombia

Introduction: Cervical cancer is rare in young women, so screening in women under 21 years is not recommended. However, early and intense exposure to risk factors could increase the likelihood of early pre-neoplastic lesions. Currently, particular social conditions in adolescents can favor exposure,...

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Fecha de publicación:
2020
Institución:
Universidad del Rosario
Repositorio:
Repositorio EdocUR - U. Rosario
Idioma:
eng
spa
OAI Identifier:
oai:repository.urosario.edu.co:10336/29512
Acceso en línea:
https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.8746
https://repository.urosario.edu.co/handle/10336/29512
Palabra clave:
Adolescentes
Citología
Tamizaje
Cáncer de cuello uterino
Medicina social
Ginecología
Adolescents
Cytology
Screening
Cervical cancer
Social medicine
Gynecology
Ginecologia
Triagem
Càncer de colo uterino
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License
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dc.title.eng.fl_str_mv Risk Factors for Cervical Cancer and Papanicolaou Test in Marginalized Adolescents in Bogotá, Colombia
dc.title.TranslatedTitle.spa.fl_str_mv Factores de riesgo para cáncer de cuello uterino y resultados de prueba de Papanicolaou en adolescentes marginadas de Bogotá, Colombia
dc.title.TranslatedTitle.por.fl_str_mv Fatores de risco para càncer de colo uterino e prova de Papanicolau em adolescentes marginadas. Bogotá, Colômbia
title Risk Factors for Cervical Cancer and Papanicolaou Test in Marginalized Adolescents in Bogotá, Colombia
spellingShingle Risk Factors for Cervical Cancer and Papanicolaou Test in Marginalized Adolescents in Bogotá, Colombia
Adolescentes
Citología
Tamizaje
Cáncer de cuello uterino
Medicina social
Ginecología
Adolescents
Cytology
Screening
Cervical cancer
Social medicine
Gynecology
Ginecologia
Triagem
Càncer de colo uterino
title_short Risk Factors for Cervical Cancer and Papanicolaou Test in Marginalized Adolescents in Bogotá, Colombia
title_full Risk Factors for Cervical Cancer and Papanicolaou Test in Marginalized Adolescents in Bogotá, Colombia
title_fullStr Risk Factors for Cervical Cancer and Papanicolaou Test in Marginalized Adolescents in Bogotá, Colombia
title_full_unstemmed Risk Factors for Cervical Cancer and Papanicolaou Test in Marginalized Adolescents in Bogotá, Colombia
title_sort Risk Factors for Cervical Cancer and Papanicolaou Test in Marginalized Adolescents in Bogotá, Colombia
dc.subject.spa.fl_str_mv Adolescentes
Citología
Tamizaje
Cáncer de cuello uterino
Medicina social
Ginecología
topic Adolescentes
Citología
Tamizaje
Cáncer de cuello uterino
Medicina social
Ginecología
Adolescents
Cytology
Screening
Cervical cancer
Social medicine
Gynecology
Ginecologia
Triagem
Càncer de colo uterino
dc.subject.keyword.eng.fl_str_mv Adolescents
Cytology
Screening
Cervical cancer
Social medicine
Gynecology
dc.subject.keyword.por.fl_str_mv Ginecologia
Triagem
dc.subject.keyword.ca.fl_str_mv Càncer de colo uterino
description Introduction: Cervical cancer is rare in young women, so screening in women under 21 years is not recommended. However, early and intense exposure to risk factors could increase the likelihood of early pre-neoplastic lesions. Currently, particular social conditions in adolescents can favor exposure, generate changes in lifestyles, and affect their immediate and future health. This work describes the frequency of risk factors and Pap results in adolescents of a child protection center. Materials and Methods: This paper presents a retrospective cross-sectional study that measured the frequency of exposure to risk factors for cervical cancer and Pap results of 889 adolescents exposed to critical social conditions. It used information from the cytology report files made between 2011 and 2016. Results: Normal Pap smear was found in 85 % of the cases. The risk factors had a very high prevalence, especially the early age of onset of sexual relations with 75 % before age 14, the number of sexual partners with more than one in 66.7 %, no use of a condom 95 % and high cigarette consumption. Discussion: The frequency of pre-malignant cervical lesions was very low; however, in women under 21 years old with premature and intense exposure to risk factors, an early-onset conservative screening accompanied by gynecological consultation for prevention, diagnosis, or treatment can be considered. The marginalized adolescent's social problem requires interdisciplinary and intersectoral management.
publishDate 2020
dc.date.accessioned.none.fl_str_mv 2020-09-09T15:38:49Z
dc.date.available.none.fl_str_mv 2020-09-09T15:38:49Z
dc.date.created.spa.fl_str_mv 2020-03-09
dc.type.eng.fl_str_mv article
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dc.type.spa.spa.fl_str_mv Artículo
dc.identifier.doi.none.fl_str_mv https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.8746
dc.identifier.issn.none.fl_str_mv 2145-4507
1692-7273
dc.identifier.uri.none.fl_str_mv https://repository.urosario.edu.co/handle/10336/29512
url https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.8746
https://repository.urosario.edu.co/handle/10336/29512
identifier_str_mv 2145-4507
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dc.language.iso.none.fl_str_mv eng
spa
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spa
dc.relation.citationEndPage.none.fl_str_mv 51
dc.relation.citationIssue.none.fl_str_mv No. 1
dc.relation.citationStartPage.none.fl_str_mv 37
dc.relation.citationTitle.none.fl_str_mv Revista Ciencias de la Salud
dc.relation.citationVolume.none.fl_str_mv Vol. 18
dc.relation.ispartof.eng.fl_str_mv Revista Ciencias de la Salud; Vol. 18 No. 1 (2020); 37-51
dc.relation.ispartof.spa.fl_str_mv Revista Ciencias de la Salud; Vol. 18 Núm. 1 (2020); 37-51
dc.relation.ispartof.por.fl_str_mv Revista Ciencias de la Salud; v. 18 n. 1 (2020); 37-51
dc.relation.uri.spa.fl_str_mv https://revistas.urosario.edu.co/index.php/revsalud/article/view/8746
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dc.rights.acceso.spa.fl_str_mv Abierto (Texto Completo)
rights_invalid_str_mv Abierto (Texto Completo)
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dc.publisher.spa.fl_str_mv Universidad del Rosario
dc.publisher.department.none.fl_str_mv Escuela de Medicina y Ciencias de la Salud
dc.source.spa.fl_str_mv Revista Ciencias de la Salud
institution Universidad del Rosario
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dc.source.reponame.none.fl_str_mv reponame:Repositorio Institucional EdocUR
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spelling 6cc8c26c-e773-4182-be20-ea816706489d0c669c9b-e6b9-4bf9-a463-c77584b891912020-09-09T15:38:49Z2020-09-09T15:38:49Z2020-03-09Introduction: Cervical cancer is rare in young women, so screening in women under 21 years is not recommended. However, early and intense exposure to risk factors could increase the likelihood of early pre-neoplastic lesions. Currently, particular social conditions in adolescents can favor exposure, generate changes in lifestyles, and affect their immediate and future health. This work describes the frequency of risk factors and Pap results in adolescents of a child protection center. Materials and Methods: This paper presents a retrospective cross-sectional study that measured the frequency of exposure to risk factors for cervical cancer and Pap results of 889 adolescents exposed to critical social conditions. It used information from the cytology report files made between 2011 and 2016. Results: Normal Pap smear was found in 85 % of the cases. The risk factors had a very high prevalence, especially the early age of onset of sexual relations with 75 % before age 14, the number of sexual partners with more than one in 66.7 %, no use of a condom 95 % and high cigarette consumption. Discussion: The frequency of pre-malignant cervical lesions was very low; however, in women under 21 years old with premature and intense exposure to risk factors, an early-onset conservative screening accompanied by gynecological consultation for prevention, diagnosis, or treatment can be considered. The marginalized adolescent's social problem requires interdisciplinary and intersectoral management.Introducción: el cáncer de cuello uterino es poco frecuente en mujeres jóvenes, por lo cual no se recomienda el tamizaje en menores de 21 años. Sin embargo, la exposición temprana e intensa a factores de riesgo podría aumentar la probabilidad de aparición de lesiones preneoplásicas tempranas. Ciertas condiciones sociales en las adolescentes pueden favorecer dicha exposición, generar cambios en los estilos de vida y afectar su salud inmediata y futura. Este trabajo describe la frecuencia de los factores de riesgo y los resultados de Papanicolaou en adolescentes de un centro de protección de menores. Materiales y métodos: estudio retrospectivo de corte transversal que midió la frecuencia de exposición a factores de riesgo para el cáncer de cuello uterino y los resultados de Papanicolaou de 889 adolescentes marginadas. Utilizó información de los archivos de reporte de citologías realizadas entre 2011 y 2016. Resultados: se encontró Papanicolaou normal en el 85% de los casos. Los factores de riesgo tuvieron una muy alta prevalencia, especialmente la edad temprana de inicio de relaciones sexuales, con el 75 % antes de los 14 años, más de un compañero sexual (66.7 %), no uso de preservativo 95 % y alto consumo de cigarrillo. Discusión: la frecuencia de lesiones cervicales premalignas fue muy baja; sin embargo, en mujeres menores de 21 años con exposición prematura e intensa a factores de riesgo, podría considerarse un tamizaje conservador de inicio temprano, acompañado de consulta ginecológica para prevención, diagnóstico o tratamiento. El problema social de las adolescentes marginadas requiere un manejo interdisciplinario e intersectorial.Introdução: o câncer de colo uterino é pouco frequente em mulheres jovens, pelo qual não se recomenda o rastreio em menores de 21 anos. No entanto, exposição precoce e intensa a fatores de risco poderia aumentar a probabilidade de aparição de lesões pré-neoplásicas precoces. Atualmente condições sociais particulares nas adolescentes podem favorecer a exposição, gerar mudanças nos estilos de vida e afetar sua saúde imediata e futura. Este trabalho descreve a frequência de fatores de risco e resultados de Papanicolau em adolescentes de um centro de proteção de menores. Materiais e métodos: estudo retrospectivo de corte transversal que mediu a frequência de exposição a fatores de risco para o cancro de colo uterino e os resultados de Papanicolau de 889 adolescentes marginadas. Utilizou informação dos ficheiros de reporte de citologias realizadas entre 2011 e 2016. Resultados: se encontrou Papanicolau normal em 85 % dos casos. Os fatores de risco tiveram uma prevalência muito alta, especialmente em idade temporã de início de relações sexuais com um 75 % antes dos 14 anos, mais de um parceiros sexual no 66.7 %, não uso de preservativo 95 % e alto consumo de cigarro. Discussão: a frequência de lesões cervicais pré-malignas foi muito baixa, no entanto, em mulheres menores de 21 anos com exposição precoce e intensa a fatores de risco, se poderia considerar um rastreio conservador de início temporão acompanhado de consulta ginecológica para prevenção, diagnóstico ou tratamento. O problema social das adolescentes marginadas requere uma gestão interdisciplinar e intersetorial.application/pdfhttps://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.87462145-45071692-7273https://repository.urosario.edu.co/handle/10336/29512engspaUniversidad del RosarioEscuela de Medicina y Ciencias de la Salud51No. 137Revista Ciencias de la SaludVol. 18Revista Ciencias de la Salud; Vol. 18 No. 1 (2020); 37-51Revista Ciencias de la Salud; Vol. 18 Núm. 1 (2020); 37-51Revista Ciencias de la Salud; v. 18 n. 1 (2020); 37-51https://revistas.urosario.edu.co/index.php/revsalud/article/view/8746Abierto (Texto Completo)http://purl.org/coar/access_right/c_abf2Revista Ciencias de la Saludinstname:Universidad del Rosarioreponame:Repositorio Institucional EdocURAdolescentesCitologíaTamizajeCáncer de cuello uterinoMedicina socialGinecologíaAdolescentsCytologyScreeningCervical cancerSocial medicineGynecologyGinecologiaTriagemCàncer de colo uterinoRisk Factors for Cervical Cancer and Papanicolaou Test in Marginalized Adolescents in Bogotá, ColombiaFactores de riesgo para cáncer de cuello uterino y resultados de prueba de Papanicolaou en adolescentes marginadas de Bogotá, ColombiaFatores de risco para càncer de colo uterino e prova de Papanicolau em adolescentes marginadas. Bogotá, ColômbiaarticleArtículohttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_6501Sarmiento Medina, María InésPuerto de Amaya, MiryamORIGINALRisk-Factors-for-Cervical-Cancer.pdfRisk-Factors-for-Cervical-Cancer.pdfapplication/pdf367988https://repository.urosario.edu.co/bitstreams/19e090ba-7454-41db-8be3-bd656ca69b93/download4c2b45bea1bedf6b0dc294fdcf08b5bbMD51TEXTRisk-Factors-for-Cervical-Cancer.pdf.txtRisk-Factors-for-Cervical-Cancer.pdf.txtExtracted texttext/plain42927https://repository.urosario.edu.co/bitstreams/4ade30c9-3b66-4f44-8170-2817deafa3cd/download02aa9e256de3139ea40efa12d894b8b7MD52THUMBNAILRisk-Factors-for-Cervical-Cancer.pdf.jpgRisk-Factors-for-Cervical-Cancer.pdf.jpgGenerated Thumbnailimage/jpeg4220https://repository.urosario.edu.co/bitstreams/e2e3e81e-4c4e-4f58-bbee-259ba9af65dd/download282c53bee9cba6770e3bc24852aaedb4MD5310336/29512oai:repository.urosario.edu.co:10336/295122022-08-24 11:20:21.238269https://repository.urosario.edu.coRepositorio institucional EdocURedocur@urosario.edu.co