Fatores para a não adesão das mulheres ao exame de Papanicolaou: em busca de evidências para a prática na Atenção Básica em Saúde da Família

Abstract

Cancer of the cervix of the uterus is a worrying problem of public health in several developing countries. The high rates of incidence and mortality for this type of cancer in Brazil justify the deployment of effective strategies to control these diseases. The main objective of this study scientific literature review was to develop an action plan with a view to compliance among women known as Papanicolaou and preventive seen as an important tool in the early diagnosis of the disease. Its specific objective was to identify, through scientific evidence, factors influencing non-adherence to pap smear for women. Searches were conducted in the databases LILACS, SciELO, Program NESCON, DATASUS, Ministry of Health (Brazil), National Cancer Institute (INCA, Brazil) and Books of Primary Health of Ministry of Health. Were selected articles directly involved with the issue. The prevention is simple to make and is offered free of Basic Health Units for nearly 25 years, but despite this, research shows there is huge number of women who do not receive preventive, and when they do they will not get the results. The lack of knowledge of women in relation to their own body, afraid to detect a possible cancer ashamed to expose the body are some of the reasons alleged by women for not performing the preventive effect through surveys made by several authors . In this context, it is important to show the quest for integration between the health professional and the Family Health Centers through educational awareness and visits to the homes of women within the age for the exam in order to promote a more careful effective in combating these neoplasms.