%0 Journal Article
%T Motivos de abandono en el proceso de atenci¨®n m¨¦dica de lesiones precursoras de c¨¢ncer cervicouterino
%A Hern¨¢ndez-Alem¨¢n
%A Francisco R.
%A Ornelas-Bernal
%A Laura A.
%A Apresa-Garc¨ªa
%A Teresa
%A S¨¢nchez-Gardu£¿o
%A Sandra
%A Mart¨ªnez-Rodr¨ªguez
%A Osear A.
%A Hern¨¢ndez-Hern¨¢ndez
%A Dulce Ma.
%J Revista de investigaci¨®n cl¨ªnica
%D 2006
%I Scientific Electronic Library Online
%X objective. to determine factors associated with medical care abandon of women with cin. material and methods. a nested case-control study in a cohort was done. patients referred to clinical dysplasia of gyneco-obstetrician services in third level hospitals were considered. cases: patients who abandoned medical care. controls: women who attend their medical appointments during follow-up. all subjects underwent structured interviews focused on social, clinical and health services factors in two different times, applied at the beginning of study and the end of follow-up. clinical records were reviewed to obtain clinical information. analysis: descriptive and inferential statistical was done. non conditional logistic regression analysis was done to obtain adjusted association. results. abandon cumulative incidence rate was 108/525 = 20.7% (i.c 95% = 17.2-24.3); 60.2% happened in diagnosis phase, 17.7% ocured during therapeutic phase and 23.1% happened in surveillance phase. we studied 108 cases and 417 controls to analysis. next adjusted risk factors were obtained: afraid to death (ora = 4.2, i.c.95% = 1.8-9.5), long appointments (ora = 6.6, i.c95% = 3.4-13.0), lack of privacity (ora = 12.5, i.c.95% = 2.6-59.8), reject to treatment (ora = 40.4, i.c.95% = 2.1-785.4), lack of information (ora = 41.9, i.c95% =14.2-124.1) and other factors. conclusions. patient perception, access and barriers in health services were the most important factors associated with medical care abandon.
%K cervical intraepithelial neoplasia
%K cervical cancer
%K compliance
%K treatment.
%U http://www.scielo.org.mx/scielo.php?script=sci_abstract&pid=S0034-83762006000300005&lng=en&nrm=iso&tlng=en