Determinantes sociales que influyen en la realización del Papanicolaou en las mujeres: revisión sistemática

Abstract

Background. - Cervical cancer, the second most prevalent cancer in women living in low-income countries, can be detected in early stages by Papanicolaou, but the coverage of this test remains low in these countries despite being offered in public health centers. Objective. - To analyze the influence of structural social determinants on the performance of Papanicolaou. Methodology. - Search of articles in electronic databases: Pubmed, ScienceDirect, Scopus, LILACS, Scielo, in women over 18 years of age, in English and Spanish, quartiles Q1-Q4, published from 2016 to 2021, 237 articles were found, evaluated using the STROBE guide, 16 suitable studies were obtained, as synthesis methods a matrix was used. Results. - Most of the participants were married, aged between 30 and 49 years. Women with more adherence to Pap smears were between 30 and 39 years old. The structural determinants influencing Pap smear performance were low academic level and lower income, while ethnicity and occupation showed no association with Pap smear adherence. Conclusions. - There was a correlation between the level of schooling, economic income and adherence to Papanicolaou. This research emphasizes that women's sexual and reproductive health should be addressed biopsychosocially. Limitations. - Limited literature on ethnicity and occupation. Dispersion of the studies in terms of the age of the participants