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Sa\u00fade P\u00fablica"],"abstract":"<jats:p>Este artigo avalia o acesso ao exame Papanicolaou na Estrat\u00e9gia Sa\u00fade da Fam\u00edlia (ESF), em munic\u00edpios de uma regi\u00e3o de sa\u00fade. O controle do c\u00e2ncer do colo do \u00fatero depende de uma ESF organizada, portanto, avaliar o acesso ao teste de Papanicolaou revela a qualidade da assist\u00eancia neste n\u00edvel de aten\u00e7\u00e3o. Trata-se de estudo qualitativo, com dados produzidos em 10 grupos focais, perfazendo 70 participantes, em quatro munic\u00edpios. Analisaram-se as dimens\u00f5es organizacional, simb\u00f3lica e t\u00e9cnica do acesso ao exame preventivo, tendo como condi\u00e7\u00e3o marcadora o c\u00e2ncer do colo do \u00fatero. Os resultados indicaram que residir em zona rural era barreira para o acesso ao exame Papanicolaou e refor\u00e7avam as iniquidades. Enfermeiros eram a principal refer\u00eancia para a realiza\u00e7\u00e3o do exame preventivo. A aus\u00eancia de itens necess\u00e1rios \u00e0 coleta de material citopatol\u00f3gico foi uma barreira de acesso em todos os munic\u00edpios. Havia entraves de acesso \u00e0s mulheres com alguma defici\u00eancia e \u00e0s mulheres l\u00e9sbicas, com atendimento fragmentado e descontextualizado das singularidades pessoais. Os in\u00fameros entraves de acesso ao Papanicolaou expuseram a seletividade da ESF na regi\u00e3o de sa\u00fade, visto que reproduzia a invisibilidade das mulheres com maior vulnerabilidade social e acentuava as desigualdades.<\/jats:p>","DOI":"10.1590\/0102-311x00234618","type":"journal-article","created":{"date-parts":[[2019,10,5]],"date-time":"2019-10-05T15:28:30Z","timestamp":1570289310000},"source":"Crossref","is-referenced-by-count":32,"title":["Acesso ao exame citol\u00f3gico do colo do \u00fatero em regi\u00e3o de sa\u00fade: mulheres invis\u00edveis e corpos vulner\u00e1veis"],"prefix":"10.1590","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0713-949X","authenticated-orcid":false,"given":"No\u00eamia Fernanda Santos","family":"Fernandes","sequence":"first","affiliation":[{"name":"Universidade Federal da Bahia,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4131-1393","authenticated-orcid":false,"given":"J\u00f4se Ribas","family":"Galv\u00e3o","sequence":"additional","affiliation":[{"name":"Universidade Federal da Bahia,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0063-6677","authenticated-orcid":false,"given":"Marluce Maria Ara\u00fajo","family":"Assis","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Feira de Santana,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1676-3574","authenticated-orcid":false,"given":"Patty Fidelis de","family":"Almeida","sequence":"additional","affiliation":[{"name":"Universidade Federal Fluminense,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9718-1562","authenticated-orcid":false,"given":"Adriano Maia dos","family":"Santos","sequence":"additional","affiliation":[{"name":"Universidade Federal da Bahia,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2019]]},"reference":[{"key":"ref1","series-title":"Produ\u00e7\u00e3o do cuidado no programa sa\u00fade da fam\u00edlia: olhares analisadores em diferentes cen\u00e1rios","first-page":"13","volume-title":"Dimens\u00f5es te\u00f3ricas e metodol\u00f3gicas da produ\u00e7\u00e3o do cuidado em sa\u00fade","author":"Assis MMA","year":"2010"},{"key":"ref2","series-title":"A produ\u00e7\u00e3o subjetiva do cuidado: cartografias da Estrat\u00e9gia Sa\u00fade da Fam\u00edlia","author":"Franco TB","year":"2009"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1590\/S1020-49892012000300012","article-title":"Conceitos de acesso \u00e0 sa\u00fade","volume":"31","author":"Sanchez RM","year":"2012","journal-title":"Rev Panam Salud P\u00fablica"},{"key":"ref4","series-title":"Pol\u00edticas e sistema de sa\u00fade no Brasil.","first-page":"183","volume-title":"Determinantes e desigualdades sociais no acesso e utiliza\u00e7\u00e3o dos servi\u00e7os de sa\u00fade","author":"Travassos C","year":"2012","edition":"2\u00aa"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"2865","DOI":"10.1590\/S1413-81232012001100002","article-title":"Acesso aos servi\u00e7os de sa\u00fade abordagens, conceitos, pol\u00edticas e modelo de an\u00e1lise","volume":"17","author":"Assis MMA","year":"2012","journal-title":"Ci\u00eanc Sa\u00fade Colet"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1186\/s12939-016-0351-7","article-title":"Equity of access to primary healthcare for vulnerable populations the IMPACT international online survey of innovations","volume":"15","author":"Richard L","year":"2016","journal-title":"Int J Equity Health"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"2097","DOI":"10.1590\/1413-81232017227.02742017","article-title":"Desigualdades em sa\u00fade uma perspectiva global","volume":"22","author":"Barreto ML","year":"2017","journal-title":"Ci\u00eanc Sa\u00fade Colet"},{"key":"ref8","doi-asserted-by":"crossref","DOI":"10.1590\/0102-311x00213816","article-title":"Desigualdade no acesso \u00e0 sa\u00fade entre as \u00e1reas urbanas e rurais do Brasil uma decomposi\u00e7\u00e3o de fatores entre 1998 a 2008","volume":"34","author":"Arruda NM","year":"2018","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref9","series-title":"Diretrizes brasileiras para o rastreamento do c\u00e2ncer do colo do \u00fatero.","year":"2016","edition":"2\u00aa"},{"key":"ref10","series-title":"Cancer control: knowledge into action. 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