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dc.contributor.authorOtero Garcia, Laura 
dc.contributor.authorSanz-Barbero, Belén 
dc.contributor.authorBlasco-Hernandez, Teresa 
dc.date.accessioned2020-06-05T07:02:27Z
dc.date.available2020-06-05T07:02:27Z
dc.date.issued2011-10
dc.identifier.citationRev Saude Publica . 2011 Oct;45(5):824-30.es_ES
dc.identifier.urihttp://hdl.handle.net/20.500.12105/10279
dc.descriptionTambien en ingléses_ES
dc.description.abstractTo analyze the discourses of primary care midwives on access to and utilization of the Cervical Cancer Prevention Program. A qualitative study was conducted in an area of low population density with a high proportion of rural population in Segovia, Spain, between 2008 and 2009. Semi-structured interviews were carried out. Ten primary care midwives were interviewed covering the 16 basic health districts of the city. Data analysis was based on grounded theory methodology. Access to and utilization of the Cervical Cancer Prevention Program was associated with attendance to midwife visits, women's experiences with cervical smears and their perception of risk of cervical cancer. Geographic distance to the health center, difficult access to immigrant women who have no health insurance, and being unaware of the program offered are some of the perceived barriers. Social exclusion is also perceived as a barrier of access to and utilization of the program. The recommendation to participate in the program made by the primary care physician was identified as the main facilitator. The midwives perceived inequalities in access to and utilization of the Cervical Cancer Prevention Program that are associated to individual characteristics of women, and contextual characteristics such as the geographical environment where they live and Program's infrastructure. There is inequality of access to care of underrepresented groups of women such as immigrant women and those residing in rural areas.es_ES
dc.description.sponsorshipEstudio financiado por el Fondo de Investigaciones Sanitarias, Proyecto SEPY 1366/08.es_ES
dc.language.isospaes_ES
dc.publisherUniversidade de São Paulo (USP) (Brasil) es_ES
dc.type.hasVersionVoRes_ES
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/*
dc.subject.meshEarly Detection of Cancer es_ES
dc.subject.meshHealth Services Accessibility es_ES
dc.subject.meshMidwifery es_ES
dc.subject.meshPrimary Health Care es_ES
dc.subject.meshFemale es_ES
dc.subject.meshHealth Knowledge, Attitudes, Practice es_ES
dc.subject.meshHumans es_ES
dc.subject.meshQualitative Research es_ES
dc.subject.meshRisk Factors es_ES
dc.subject.meshRural Population es_ES
dc.subject.meshSocioeconomic Factors es_ES
dc.subject.meshSpain es_ES
dc.subject.meshUterine Cervical Neoplasms es_ES
dc.titleEarly detection of cervical cancer according to the discourses of primary care midwives in Segovia, Spain.es_ES
dc.typejournal articlees_ES
dc.rights.licenseAttribution-NonCommercial 4.0 International*
dc.identifier.pubmedID21845292es_ES
dc.format.volume45es_ES
dc.format.number5es_ES
dc.format.page824-30es_ES
dc.identifier.doi10.1590/S0034-89102011005000061es_ES
dc.contributor.funderInstituto de Salud Carlos III 
dc.description.peerreviewedes_ES
dc.identifier.e-issn1518-8787es_ES
dc.relation.publisherversionhttps://doi.org/10.1590/S0034-89102011005000061es_ES
dc.identifier.journalRevista de saude publicaes_ES
dc.repisalud.centroISCIII::Escuela Nacional de Sanidades_ES
dc.repisalud.centroISCIII::Centro Nacional de Medicina Tropicales_ES
dc.repisalud.institucionISCIIIes_ES
dc.relation.projectIDinfo:eu_repo/grantAgreement/ES/1366/08es_ES
dc.rights.accessRightsopen accesses_ES


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Attribution-NonCommercial 4.0 International
Este Item está sujeto a una licencia Creative Commons: Attribution-NonCommercial 4.0 International