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Cervical Cancer Screening in the Brazilian National Health System according to Skin Color: Regional Inequalities in Brazil (2021-2023)

2025/12/19 by Édnei César de Arruda Santos Junior, Caroline Madalena Ribeiro, Beatriz Cordeiro Jardim +1

paper · doi:10.32635/2176-9745.rbc.2026v72n1.5430en

published in Revista Brasileira de Cancerologia 72(1), e215430 (Revista Brasileira De Cancerologia (RBC))

crossref issued 2025/12/19 · crossref published 2025/12/19 · crossref published-online 2025/12/19 · crossref created 2026/05/20 · crossref deposited 2026/05/20 · crossref indexed 2026/07/30

Abstract

Introduction: Cervical cancer is a public health problem that can be prevented through HPV vaccination and screening. Objective: To verify the number of cervical cancer screening tests performed and estimate the screening coverage in the National Health System (SUS) according to skin color in Brazil, regions, and state capitals of residence. Method:Descriptive study with data from the Cancer Information System on women aged 25 to 64 years assisted by SUS between 2021 and 2023. Screening coverage was calculated based on the number of women examined in the target age group (25-64 years) registered in this system divided by the population of women who are exclusive users of SUS in the same age group and multiplied by 100 in Brazil, regions, and capitals of residence. Results: There was an increase in the number of exams recorded and an 84.7% reduction in exams without skin color information over the period. Screening coverage among women aged 25 to 64 was 39.03% in Brazil. White women had higher coverage (43.71%) compared to non-white women (36.20%) and indigenous women (37.58%). The highest coverage was observed in the Southeast and South regions for white women, in the North, Northeast, and Southeast regions for non-white women, and in the North, Midwest, and South regions for indigenous women. The capitals reflected the regional pattern. Conclusion: Racial and regional differences to perform screening tests have been observed, being non-white and indigenous women more vulnerable.

Citations