Prevalence of cervical cytological alterations in indigenous women from the city of Aracruz/ES: a preliminary study

Abstract

Introduction: The morbidity and mortality profile of indigenous peoples in Brazil has changed from infectious and parasitic diseases to chronic degenerative diseases, including cervical cancer. Studies with behavioral analysis and cancer screening are needed to guide the public health system. Objective: To analyze the prevalence of cervical cytological alterations resulting from HPV (Human papillomavirus) infection by tracking indigenous women from the Aracruz/ES community. Methods: Cross-sectional, a prospective study carried out in Vitória – ES with the application of a standard questionnaire for clinical data collection followed by cervical cytology collection during medical consultation. Results: 95% (N = 190) of the patients had results without cytological alterations - Within normal limits. Of the others, 9 had atypia of indeterminate significance, possibly non-neoplastic (ASCUS), and only 1 had glandular atypia of indeterminate significance, possibly non-neoplastic (AGC). No other cervical cytological changes or invasive cancer were found. Conclusion: Cervical cancer is the 4th most prevalent globally. Therefore, the indigenous population has been considered vulnerable to screening and diagnosis of this disease due to its high prevalence. However, the screening carried out in the indigenous peoples of the Community of Aracruz / ES shows a different and favorable scenario, with a low prevalence of cervical cytological alterations.