Levantamento epidemiológico do uso de contraceptivos hormonais e lesões de colo uterino de mulheres privadas de liberdade no município de Três Lagoas, MS

Abstract

Introduction: Cervical cancer (CC) is the fourth most common cancer among women. It is known that the main factor associated with its development is persistent infection of the lower genital tract by the highly oncogenic human papillomavirus (HPV), which results in the onset of pre-cancerous lesions. Objective: To identify factors associated with the use of hormonal contraceptives as well as cervical lesions in women deprived of liberty in the municipality of Três Lagoas/MS. Casuistics:This is an epidemiological study with a descriptive/exploratory, quantitative and cross-sectional approach, carried out with 89 women from the Female Penal Establishment in the municipality of Três Lagoas /MS between 2021 and 2022. Data were collected on sociodemographic characteristics and behavioral risk factors. Questions were asked about the use, types and time of use of contraceptive methods. Data were analyzed using exploratory and inferential statistics using PythonO and RStudioO. Results: It was observed that 70.17% of the participants had already used contraceptive methods; 68.54% of these using hormonal treatments. There was a positive correlation (OR= 7.91, CI 95%, 1.98-39.70) between the use of contraceptive methods and the presence of cervical lesions. Furthermore, self-employment (p=0.028), family income of up to two minimum wages (p=0.030), not using condoms (p=0.039) and having multiple sexual partners (p=0.028) were also associated. Knowing this incarcerated population's profile is of great importance so that health promotion, prevention, maintenance and rehabilitation actions are consistent with the reality experienced by these women, guaranteeing them the principles of comprehensiveness, universality and equity regarding health care. Conclusions: Therefore, there is a need for further studies with the female incarcerated population to improve the health care of this group and provide guidance on the implementation of new health policies related to the theme. Keywords: Papillomaviridae; Cervix of the Uterus; Contraceptives; Risk factors.