{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T17:14:48Z","timestamp":1774631688452,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2019,4,29]],"date-time":"2019-04-29T00:00:00Z","timestamp":1556496000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002924","name":"Federaci\u00f3n Espa\u00f1ola de Enfermedades Raras","doi-asserted-by":"publisher","award":["POCI\u201001\u20100145\u2010FEDER\u2010006862"],"award-info":[{"award-number":["POCI\u201001\u20100145\u2010FEDER\u2010006862"]}],"id":[{"id":"10.13039\/501100002924","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002924","name":"Federaci\u00f3n Espa\u00f1ola de Enfermedades Raras","doi-asserted-by":"publisher","award":["UID\/DTP\/04750\/2013"],"award-info":[{"award-number":["UID\/DTP\/04750\/2013"]}],"id":[{"id":"10.13039\/501100002924","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Given the disparities across regional cervical cancer screening programs implemented in Portugal, understanding the patterns of cervical cytology use is essential to improve cervical cancer control. We aimed to describe the use of cervical cytology and identify factors associated with its non\u2010 and underuse.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 5884 women aged 25\u201364\u2009years were evaluated as part of the National Health Survey 2014. Previous use of cervical cytology was classified as never or ever, and ever\u2010users having undergone the latest testing more than 5 years before were considered under\u2010users. We computed age\u2010 and education\u2010adjusted prevalence ratios and corresponding 95% confidence intervals for non\u2010 and underuse.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, 13.2 and 12.0% of women reported nonuse and underuse of cervical cytology, respectively. The <jats:italic>Norte<\/jats:italic> region presented the lowest prevalence of nonuse and <jats:italic>R.A. A\u00e7ores<\/jats:italic> the highest. Low socioeconomic status and unhealthy lifestyles were significantly associated with low cervical cytology use, whereas greater use was observed in those having more recent contact with health services.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Cervical cytology use was shown to differ according to sociodemographic characteristics and access to\/use of healthcare services. Large regional variations persist in Portugal despite organized screening programs that cover most of the country.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.13974","type":"journal-article","created":{"date-parts":[[2019,4,30]],"date-time":"2019-04-30T19:37:26Z","timestamp":1556653046000},"page":"1286-1295","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Cervical cytology use in Portugal: Results from the National Health Survey 2014"],"prefix":"10.1111","volume":"45","author":[{"given":"Londa","family":"Rukhadze","sequence":"first","affiliation":[{"name":"EPIUnit \u2010 Instituto de Sa\u00fade P\u00fablica Universidade do Porto  Porto Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nuno","family":"Lunet","sequence":"additional","affiliation":[{"name":"EPIUnit \u2010 Instituto de Sa\u00fade P\u00fablica Universidade do Porto  Porto Portugal"},{"name":"Departamento de Ci\u00eancias da Sa\u00fade P\u00fablica e Forenses e Educa\u00e7\u00e3o M\u00e9dica Faculdade de Medicina da Universidade do Porto  Porto Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B\u00e1rbara","family":"Peleteiro","sequence":"additional","affiliation":[{"name":"EPIUnit \u2010 Instituto de Sa\u00fade P\u00fablica Universidade do Porto  Porto Portugal"},{"name":"Departamento de Ci\u00eancias da Sa\u00fade P\u00fablica e Forenses e Educa\u00e7\u00e3o M\u00e9dica Faculdade de Medicina da Universidade do Porto  Porto Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,4,29]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"GLOBOCAN 2012 v1.0, cancer incidence and mortality worldwide: IARC CancerBase no. 11 [internet]. 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