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Purpose <p>To analyze the frequency of Pap test use and associated factors among older women (≥ 60 years) residing in the city of São Paulo, Brazil.</p> Methods <p>A cross-sectional study was conducted using data from Wave D (2015) of the SABE study. Pap test use (dependent variable) was assessed using the question: “Have you ever had a Pap test?” A set of independent variables was analyzed to identify factors associated with having undergone the test. Variables with a p-value ≤ 0.10 in the bivariate analysis were included in the multivariate model, in which <i>p</i> ≤ 0.05 was considered statistically significant.</p> Results <p>The sample comprised 796 older women. The overall frequency of Pap test use was 92.9%. Depressive symptoms, age ≥ 80 years, and not having undergone mammography were inversely associated with spontaneous or opportunistic Pap test uptake. Moreover, 54.1% of women aged ≥ 65 years reported having undergone the test within the previous two years, which is inconsistent with Brazilian Ministry of Health recommendations for cervical cancer screening.</p> Conclusion <p>Pap test use among older women was high, even beyond the age recommended by national guidelines. Opportunistic screening—often concomitant with mammography—may explain this pattern. These findings are relevant for informing healthcare administrators and public policies aimed at improving the efficiency and appropriateness of cervical cancer screening, particularly among women aged 60 years and older.</p>

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Frequency and Associated Factors of Pap Test Among Elderly Women from Sabe Study, São Paulo - Brazil

  • 期刊论文

  • 发表日期：

    2026年1月10日

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  • Carlos Eduardo Rossi Barreto,
  • João Marques Batista Junior,
  • Camila Monteiro Faria Araújo,
  • Jair Lício Ferreira Santos,
  • Yeda Aparecida De Oliveira Duarte,
  • Marair Gracio Ferreira Sartori,
  • Rodrigo Aquino Castro,
  • José Tadeu Nunes Tamanini

摘要

Purpose

To analyze the frequency of Pap test use and associated factors among older women (≥ 60 years) residing in the city of São Paulo, Brazil.

Methods

A cross-sectional study was conducted using data from Wave D (2015) of the SABE study. Pap test use (dependent variable) was assessed using the question: “Have you ever had a Pap test?” A set of independent variables was analyzed to identify factors associated with having undergone the test. Variables with a p-value ≤ 0.10 in the bivariate analysis were included in the multivariate model, in which p ≤ 0.05 was considered statistically significant.

Results

The sample comprised 796 older women. The overall frequency of Pap test use was 92.9%. Depressive symptoms, age ≥ 80 years, and not having undergone mammography were inversely associated with spontaneous or opportunistic Pap test uptake. Moreover, 54.1% of women aged ≥ 65 years reported having undergone the test within the previous two years, which is inconsistent with Brazilian Ministry of Health recommendations for cervical cancer screening.

Conclusion

Pap test use among older women was high, even beyond the age recommended by national guidelines. Opportunistic screening—often concomitant with mammography—may explain this pattern. These findings are relevant for informing healthcare administrators and public policies aimed at improving the efficiency and appropriateness of cervical cancer screening, particularly among women aged 60 years and older.