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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Autores Principales: Sarmiento Medina, María Inés, Puerto de Amaya, Miryam
Formato: Artículo (Article)
Lenguaje:Inglés (English)
Español (Spanish)
Publicado: Universidad del Rosario 2020
Materias:
Acceso en línea:https://repository.urosario.edu.co/handle/10336/29512
https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.8746
id ir-10336-29512
recordtype dspace
institution EdocUR - Universidad del Rosario
collection DSpace
language Inglés (English)
Español (Spanish)
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
spellingShingle Adolescentes
Citología
Tamizaje
Cáncer de cuello uterino
Medicina social
Ginecología
Adolescents
Cytology
Screening
Cervical cancer
Social medicine
Gynecology
Ginecologia
Triagem
Càncer de colo uterino
Sarmiento Medina, María Inés
Puerto de Amaya, Miryam
Risk Factors for Cervical Cancer and Papanicolaou Test in Marginalized Adolescents in Bogotá, Colombia
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.
format Artículo (Article)
author Sarmiento Medina, María Inés
Puerto de Amaya, Miryam
author_facet Sarmiento Medina, María Inés
Puerto de Amaya, Miryam
author_sort Sarmiento Medina, María Inés
title Risk Factors for Cervical Cancer and Papanicolaou Test in Marginalized Adolescents in Bogotá, Colombia
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
publisher Universidad del Rosario
publishDate 2020
url https://repository.urosario.edu.co/handle/10336/29512
https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.8746
_version_ 1743431175489191936
spelling ir-10336-295122022-08-24T16:20:21Z Risk Factors for Cervical Cancer and Papanicolaou Test in Marginalized Adolescents in Bogotá, Colombia Factores de riesgo para cáncer de cuello uterino y resultados de prueba de Papanicolaou en adolescentes marginadas de Bogotá, Colombia Fatores de risco para càncer de colo uterino e prova de Papanicolau em adolescentes marginadas. Bogotá, Colômbia Sarmiento Medina, María Inés Puerto de Amaya, Miryam Adolescentes Citología Tamizaje Cáncer de cuello uterino Medicina social Ginecología Adolescents Cytology Screening Cervical cancer Social medicine Gynecology Ginecologia Triagem Càncer de colo uterino 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. 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. 2020-03-09 2020-09-09T15:38:49Z info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 2145-4507 1692-7273 https://repository.urosario.edu.co/handle/10336/29512 https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.8746 eng spa info:eu-repo/semantics/openAccess application/pdf Universidad del Rosario Escuela de Medicina y Ciencias de la Salud instname:Universidad del Rosario
score 12,131701