<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2504-3145</journal-id>
<journal-title><![CDATA[Portuguese Journal of Public Health]]></journal-title>
<abbrev-journal-title><![CDATA[Port J Public Health]]></abbrev-journal-title>
<issn>2504-3145</issn>
<publisher>
<publisher-name><![CDATA[Escola Nacional de Saúde Pública]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2504-31452022000200061</article-id>
<article-id pub-id-type="doi">10.1159/000522666</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Use of cervical cancer screening among patients of primary healthcare services: Northeast Portugal]]></article-title>
<article-title xml:lang="pt"><![CDATA[Utilização do rastreio de cancro do colo do útero em utentes dos cuidados de saúde primários: Nordeste de Portugal]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Teixeira]]></surname>
<given-names><![CDATA[Cristina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Antão]]></surname>
<given-names><![CDATA[Celeste]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Anes]]></surname>
<given-names><![CDATA[Eugénia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gomes]]></surname>
<given-names><![CDATA[Maria José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Versos]]></surname>
<given-names><![CDATA[Ana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tomé]]></surname>
<given-names><![CDATA[Conceição]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade do Porto Instituto de Saúde Pública ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Politécnico de Bragança Campus de Santa Apolónia ]]></institution>
<addr-line><![CDATA[Bragança ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Escola Superior de Saúde de Bragança Núcleo UICISA ]]></institution>
<addr-line><![CDATA[Bragança ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Unidade Local de Saúde do Nordeste  ]]></institution>
<addr-line><![CDATA[Bragança ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>08</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>08</month>
<year>2022</year>
</pub-date>
<volume>40</volume>
<numero>2</numero>
<fpage>61</fpage>
<lpage>68</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2504-31452022000200061&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2504-31452022000200061&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2504-31452022000200061&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background:  Understanding the overuse and underuse of cervical cancer (CC) screening plays a role in preventing such behaviours, allowing to maximize the CC screening uptake. Aim: To assess the predictors of being over-screened and never/under-screened in CC screening in Northeast Portugal.  Methods:  This is a part of a larger cross-sectional survey carried out in two public health centres in Northeast Portugal (October 2017 to June 2018). Data collection was based on a face-to-face interview. This analysis included 764 women (aged 25-60 years) classified according to the use of CC screening into guideline-consistent screened, over-screened and unscreened/under-screened. Multivariate logistic regression models were conducted to assess predictors of being over-screened and never/under-screened. Adjusted odds ratio (OR) and respective 95% confidence interval (95% CI) were obtained.  Results:  One-fourth (n = 197) of participants were unscreened/under-screened and 50.0% (n = 382) of them were classified as over-screened. Regular visits with primary care physicians (OR = 0.44; 95% CI: 0.26-0.76) and higher age (OR = 0.98; 95% CI: 0.96-1.00) reduced the odds of being unscreened/under-screened. Women who received prescription/recommendation for CC screening from primary care physician (OR = 1.89; 95% CI: 1.09-3.29) or both primary care physician and nurse (OR = 2.62; 95% CI: 1.10-6.22) were more likely to be over-screened. Higher level of CC health literacy decreases the odds of being over-screened (OR = 0.95; 95% CI: 0.90-1.00) and unscreened/under-screened (OR = 0.87; 95% CI: 0.82-0.92). The majority of over-screened (52.2%) and of under-screened (44.2%) women reported that their screening frequency was based on healthcare provider prescription. Among never-screened women, 60.2% reported that no one prescribed screening.  Conclusion:  The increase in CC health literacy can maximize CC screening uptake. Primary healthcare providers could play a role in preventing the overuse and underuse of CC screening.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  É importante compreender a sobreutilização e a subutilização do rastreio do cancro do colo do útero (CCU) para prevenir estes comportamentos e otimizar a utilização do rastreios.  Objetivo:  Avaliar os fatores associados à sobreutilização e à não-utilização/subutilização do rastreio do CCU na região Nordeste de Portugal. Métodos: Esta análise é parte de um estudo transversal conduzido em dois centros de saúde localizados no Nordeste de Portugal (Outubro/2017-Junho/2018). Os dados foram obtidos através de uma entrevista. Esta análise incluiu 764 mulheres (idade entre 25 e 60 anos) classificadas de acordo com a utilização de rastreio do CCU em: utilização segundo o recomendado, sobreutilização e não utilização/subutilização. Foram utilizados modelos de regressão logística multivariada para avaliar quais os fatores associados à sobreutilização e à não utilização/subutilização do rastreio do CCU. Obtiveram-se as estimativas de odds ratio ajustado (OR) e respetivo intervalo de confiança a 95% (IC 95%).  Resultados:  Um quarto (n = 197) das participantes nunca utilizaram ou subutilizaram e 50.0% (n = 382) sobreutilizaram o rastreio do CCU. As consultas regulares com o médico de família (OR = 0.44; IC 95%: 0.26-0.76) e o aumento da idade (OR = 0.98; IC 95%: 0.96-1.00) reduziram o risco de não utilização/subutilização do rastreio. As participantes que receberam recomendação/prescrição de rastreio de CCU do médico de família (OR = 1.89; IC 95%: 1.09-3.29) ou do médico e enfermeiro de família (OR = 2.62; IC 95%: 1.10-6.22) apresentaram maior probabilidade de sobreutilização. O aumento do nível de literacia sobre CCU leva a redução do risco de sobreutilização (OR = 0.95; IC 95%: 0.90-1.00) e de não utilização/subutilização (OR = 0.87; IC 95%: 0.82-0.92) do rastreio do CCU. A maioria de participantes que sobreutilizam (52.2%) e que subutilizam (44.2%) o rastreio do CCU reportaram que a frequência de utilização se baseia na prescrição do profissional de saúde. Das participantes que nunca utilizaram o rastreio do CCU, 60.2% reportaram que nenhum profissional de saúde prescreveu o rastreio.  Conclusão:  O aumento da literacia sobre CCU pode otimizar a utilização de rastreio do CCU. Os profissionais de saúde dos cuidados de saúde primários podem desempenhar um papel importante na prevenção da sobreutilização e de não-utilização/subutilização do rastreio do CCU.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Cervical cancer · Mass screening]]></kwd>
<kwd lng="en"><![CDATA[Secondary prevention]]></kwd>
<kwd lng="en"><![CDATA[Early diagnosis of disease]]></kwd>
<kwd lng="en"><![CDATA[Women&#8217;s health]]></kwd>
<kwd lng="en"><![CDATA[Health literacy]]></kwd>
<kwd lng="pt"><![CDATA[Cancro do colo do útero]]></kwd>
<kwd lng="pt"><![CDATA[Rastreio oncológico]]></kwd>
<kwd lng="pt"><![CDATA[Prevenção secundária]]></kwd>
<kwd lng="pt"><![CDATA[Diagnóstico precoce]]></kwd>
<kwd lng="pt"><![CDATA[Saúde da mulher]]></kwd>
<kwd lng="pt"><![CDATA[Literacia em saúde]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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