Associação multivariada entre alterações citológicas do colo uterino e comportamento de risco em mulheres profissionais do sexo Multivariate association between the cervix cytological abnormalities and the risk behavior female sex workers

This study aimed at identifying the multivariate associations between the cervical cytological abnormalities and the risk behavior of sex workers (SW) enrolled at CRESSER – Sumare, Sao Paulo. The study included 90 PS, and the uterine cervix samples were collected for performing Pap smear, and also the socio-behavioral data through a questionnaire. Hierarchical Cluster Analysis (AHA) was used as statistical test. Atypical cytology were found in 33 PS (36.7%), being 18 (20.0%) ASC-US, four (4.4%) ASC-H, seven (7.8%) LSIL and four (4.4%) HSIL. By comparing the SW with normal and abnormal cytology, significant differences were detected regarding smoking habit, early sexual activity, sexual intercourse with the members of the same sex, and Gardnerella vaginalis detection. According to the AHA classification , the group with the highest prevalence of atypical cells showed highest proportion of STD, HIV and low condom use. The group with the lowest average age showed lower prevalence of atypical cells, STD, HIV negative, and no early sexual activity.