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2007, Number 2

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Rev Med Inst Mex Seguro Soc 2007; 45 (2)

Verbal Autopsy in Cervico-Uterine Cancer

Chávez-García VM, Zonana-Nacach A, Duarte ME

Language: Spanish
References: 23
Page: 199-204
PDF size: 65.53 Kb.


ABSTRACT

Background: verbal autopsy (VA) is a standardized method for investigating causes of death. Currently, the Mexican Ministry of Health uses officially VA to reconstruct the history of women who died of cervical cancer.
Objective: to describe the findings of the VA of dead women due to cervical cancer in Tijuana, Baja California, Mexico.
Methodology: all death certificates issued in the years 2001 and 2001 in which cervical cancer was the main cause of death were reviewed. The VA included forty-five questions exploring six domains: subjects’ personal information, sociodemographic characteristics, history of the disease, timely medical care, risk factors, affiliation to social security, and information registered in the death certificate.
Results: seventy-nine women out of 97 had VA. The mean age was 54 years; 33 % completed elementary school; 32 % had smoking history; 50 % had more than five pregnancies; 42 % started sexual activity before the age of 17, 52 % have had 2 to 3 sexual partners. 60% had Papanicolau test; 90 % knew about her condition; 86 % received medical care and 34 % knew they had cancer one year before her death.
Conclusions: verbal autopsy revealed that 40 % of women who died of cervical cancer did not have Papanicolau test before being diagnosed.


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