Prevalência e fatores de risco associados à infecção pelo Papilomavírus Humano em mulheres privadas de liberdade no Mato Grosso do Sul

Abstract

The human papillomavirus has a worldwide distribution and induces the appearance of benign and malignant lesions, among them cervical cancer, which is the third in frequency in the Brazilian female population and the fourth cause ofdeath in women in Brazil. The Brazilian female population liberty deprived went from 5,601 to 37,380 teeth between 2000 and 2014, and there are few data on the frequency of cell changes and infection caused by HPV, as well as the risk behavior in this population. The healthconditions of women liberty deprived are different from the general population. The relationship between HPV and cervical cancer was characterized by the onset of lesions associated with certain viral strains and their interaction with the immune system, however the progression andseverity of the disease is proportional to the early diagnosis. This research is a descriptive, cross-sectional, double-blind study with a qualitative and quantitative approach. To characterize the prevalence: HPV infection, uterine cytologic alterations and cervical cancer risk factors are described in the Population of the state of Mato Grosso do Sul, Central West region of Brazil. Through we collected of socio-demographic information, collection of preventive, collection of material for research of HPV and realization of visual inspection after the application of acetic acid and of Lugol. We found a young population with mean age of 30.9 years and early sexual initiation with a mean of 14.9 years, mostly single and with low schooling. The prevalence was 6.2% for HPV and 8.5% for cytologic abnormalities. The use of aceticacid and lugol did not contribute to the diagnosis. Among the studied aspects, the use of illicit drugs by the partners, the presence of genital discharge and an inverse relationship with age correlated with the presence of HPV, whereas personal use of illicit drugs and multiplicity of sexual partners correlated with cytological alterations. With the results obtained,it was possible to conclude that in women deprived of their liberty, it would be prudent to perform the cytology combined with HPV screening, since these remain in the establishmentsfor a limited time, optimizing in this way the screening.