{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:45:33Z","timestamp":1786977933632,"version":"build-2736575974"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,10,7]],"date-time":"2020-10-07T00:00:00Z","timestamp":1602028800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001807","name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado de S\u00e3o Paulo","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001807","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate factors associated with colposcopy attendance in HPV\u2010positive women in S\u00e3o Paulo, Brazil.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analyzed data from a prospective cohort of women positive for high\u2010risk HPV (hr\u2010HPV) undergoing cervical cancer screening in primary care services in S\u00e3o Paulo, Brazil. Non\u2010pregnant women attending routine screening between December 2014 and March 2016 were offered an hr\u2010HPV test, and those testing positive and aged 25\u00a0years or older were invited for colposcopy. Sociodemographic information was recorded at study enrollment. We compared variables between women who did and did not attend colposcopy within a logistic regression framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 1537\u00a0hr\u2010HPV\u2010positive women, 1235 (80.4%) attended for colposcopy, with a median time from primary test to colposcopy of 132\u00a0days. Younger age (\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.001) and concurrent negative cytology results (\n                      <jats:italic>P<\/jats:italic>\n                      =0.025) were associated with lower attendance. Women registered at units providing both the primary test and colposcopy were more likely to attend than those at units making external referrals (788\/862 [91.4%] versus 447\/675 [66.2%],\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Non\u2010attendance for colposcopy may limit the success of future screening programs based on hr\u2010HPV testing in Brazil. Transfer of colposcopy services to primary care is a simple and effective facilitator of attendance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.13362","type":"journal-article","created":{"date-parts":[[2020,10,7]],"date-time":"2020-10-07T10:55:32Z","timestamp":1602068132000},"page":"72-77","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Attendance for diagnostic colposcopy among high\u2010risk human papillomavirus positive women in a Brazilian feasibility study"],"prefix":"10.1002","volume":"152","author":[{"given":"Lewis F.","family":"Buss","sequence":"first","affiliation":[{"name":"Faculdade de Medicina Universidade de S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 E.","family":"Levi","sequence":"additional","affiliation":[{"name":"Virology Laboratory (LIM 52) Instituto de Medicina Tropical da Universidade de S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adhemar","family":"Longatto\u2010Filho","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina Universidade de S\u00e3o Paulo S\u00e3o Paulo Brazil"},{"name":"ICVS\/3B\u2019s\u2014PT Government Associate Laboratory Braga\/Guimar\u00e3es Portugal"},{"name":"Life and Health Sciences Research Institute (ICVS) School of Medicine University of Minho Braga Portugal"},{"name":"Molecular Oncology Research Center Barretos Cancer Hospital S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diane D.","family":"Cohen","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oncocentro de S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lise","family":"Cury","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oncocentro de S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toni R.","family":"Martins","sequence":"additional","affiliation":[{"name":"Virology Laboratory (LIM 52) Instituto de Medicina Tropical da Universidade de S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luiz M.","family":"Fuza","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oncocentro de S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luisa L.","family":"Villa","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina Universidade de S\u00e3o Paulo S\u00e3o Paulo Brazil"},{"name":"Instituto do C\u00e2ncer do Estado de S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9","family":"Eluf\u2010Neto","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina Universidade de S\u00e3o Paulo S\u00e3o Paulo Brazil"},{"name":"Funda\u00e7\u00e3o Oncocentro de S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,10,7]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21492"},{"key":"e_1_2_7_3_1","unstructured":"Instituto Nacional de C\u00e2ncer Jos\u00e9 Alencar Gomes da Silva.Diretrizes brasileiras para o rastreamento do c\u00e2ncer do colo do \u00fatero.Rio de Janeiro:INCA 2016.https:\/\/www.inca.gov.br. 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