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Abstract

ABSTRACT Introduction: the cervical cancer is the second most common malignancy worldwide and the most prevalent of colombian women, the screening with the Pap smear has been a key tool for reducing morbidity and mortality. Objective: to determine the prevalence of squamous intraepithelial lesions, atypical squamous cell and inflammation in women of a municipality of Antioquia,Colombia, and its association with health system affiliation and area of residence. Methods: a cross sectional study in 2222 women. The prevalence of positive findings and indeterminate for premalignant lesions and inflammation were determined with Bethesda System-2001, it was compared by health system affiliation, area of residence and age through hypothesis testing and prevalence ratios. We analyzed confounders through multivariate logistic regression. Results: 63.3% live in rural areas, 86.1% are affiliated to the subsidized health system, the prevalence of inflammation was 53.5%, 1.4% of premalignant changes and 3% of undetermined significance results. Conclusion: the prevalence of malignancy was higher in adolescents, rural and subsidized. The study identified the population most at risk for developing cervical cancer in the municipality, relevant information to improve screening and prevention programs. MED.UIS. 2016;29(1):29-36. Keywords: Cervical Intraepithelial Neoplasia. Cervix uteri. Colombia. Prevalence.