{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T13:50:00Z","timestamp":1770990600582,"version":"3.50.1"},"reference-count":23,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,9,6]],"date-time":"2020-09-06T00:00:00Z","timestamp":1599350400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004586","name":"Funda\u00e7\u00e3o Carlos Chagas Filho de Amparo \u00e0 Pesquisa do Estado do Rio de Janeiro","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004586","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cytopathology"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Papanicolaou test (Pap smear) is the standard screening test of pre\u2010neoplastic lesions and cervical cancer. This study aimed to investigate cervical cancer screening results and risk factors such as age, reason for the examination, the epithelia detected in the sample, microbiota and signs of sexually transmitted infection (STIs) of women in a maternity school in Fortaleza, Cear\u00e1, Brazil.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this cross\u2010sectional study, data were retrieved of 353 women who underwent Pap smear between April 2016 and January 2017 at the Federal University of Cear\u00e1.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of all Pap smear samples retrieved, 54.1% (191\/353) had glandular epithelium and 40.2% (142\/353) had metaplastic epithelium. After statistical analyses adjusted for the final model, age\u00a0\u226551\u00a0years (odds ratio =\u00a03.47) and signs of STIs (odds ratio =\u00a04.95) remained as risk factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The diagnosis of high\u2010grade lesions and carcinomas in patients older than 50\u00a0years indicates a deficiency in cervical screening. Women with signs and symptoms of STIs and candidiasis sought medical services more frequently than asymptomatic women, and presence of these signs and symptoms contributes to the diagnosis of cervical cancer. We highlight the importance of obtaining a correct smear sampling to allow prompt detection of all preneoplastic lesions; moreover, the implementation of human papillomavirus vaccination and an efficient routine Pap screening are necessary in low\u2010resource settings.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cyt.12883","type":"journal-article","created":{"date-parts":[[2020,7,7]],"date-time":"2020-07-07T03:08:40Z","timestamp":1594091320000},"page":"586-592","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Evaluation of cytopathological screening results and risk factors of women who underwent Papanicolaou test in a maternity school in Fortaleza, Cear\u00e1, Brazil"],"prefix":"10.1111","volume":"31","author":[{"given":"Maria do Carmo","family":"Tavares","sequence":"first","affiliation":[{"name":"Laboratory of Molecular Virology Oswaldo Cruz Foundation FIOCRUZ Rio de Janeiro Brazil"},{"name":"University Hospital Walter Cant\u00eddio Fortaleza Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7221-5666","authenticated-orcid":false,"given":"Alcina F.","family":"Nicol","sequence":"additional","affiliation":[{"name":"National Institute of Infectious Disease INI\u2010Fiocruz Rio de Janeiro Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth Ribeiro","family":"Yokobatake","sequence":"additional","affiliation":[{"name":"Maternity School Assis Chateaubriand Fortaleza Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mayara Magna Lima","family":"Melo","sequence":"additional","affiliation":[{"name":"Maternity School Assis Chateaubriand Fortaleza Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruna Ferreira","family":"Vitoriano","sequence":"additional","affiliation":[{"name":"Maternity School Assis Chateaubriand Fortaleza Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filipe Anibal","family":"Carvalho\u2010Costa","sequence":"additional","affiliation":[{"name":"Laboratory of Epidemiology and Systematic Molecular Oswaldo Cruz Foundation Rio de Janeiro Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katrini Guidolini","family":"Martinelli","sequence":"additional","affiliation":[{"name":"Laboratory of Epidemiology and Systematic Molecular Oswaldo Cruz Foundation Rio de Janeiro Brazil"},{"name":"Post\u2010graduate Program in Public Health Federal University of Espirito Santo (UFES) Vit\u00f3ria Brazil"},{"name":"Laboratory of Cancer Cytogenetics Fortaleza Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanessa Salete","family":"de Paula","sequence":"additional","affiliation":[{"name":"Laboratory of Molecular Virology Oswaldo Cruz Foundation FIOCRUZ Rio de Janeiro Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,9,6]]},"reference":[{"issue":"11","key":"e_1_2_9_2_1","first-page":"5011","article-title":"Spatial and temporal analyses of cervical cancer patients in upper Northern Thailand","volume":"17","author":"Thongsak N","year":"2016","journal-title":"Asian Pac J Cancer Prev"},{"key":"e_1_2_9_3_1","unstructured":"Instituto Nacional do C\u00e2ncer \u2013 INCA(2020). 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