<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1817-7433</journal-id>
<journal-title><![CDATA[Revista Científica Ciencia Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cient Cienc Méd]]></abbrev-journal-title>
<issn>1817-7433</issn>
<publisher>
<publisher-name><![CDATA[Facultad de Medicina, Universidad Mayor de San Simón.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1817-74332025000100010</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[FACTORES QUE INTERVIENEN EN LA DECISION DE LAS MUJERES EN REALIZARSE LA PRUEBA PAPANICOLAU]]></article-title>
<article-title xml:lang="en"><![CDATA[FACTORS INFLUENCING WOMEN'S DECISION TU UNDERGO THE PAPANICOLAU TEST]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[PATTY PEÑA]]></surname>
<given-names><![CDATA[BONIE ALEJANDRA]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[PASCUAL ARAOZ]]></surname>
<given-names><![CDATA[DANNY JUNIOR]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[VENTURA CHOQUE]]></surname>
<given-names><![CDATA[PAOLA ANDREA]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Medico Cirujano  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Medico Cirujano  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Medico Cirujano  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>28</volume>
<numero>1</numero>
<fpage>10</fpage>
<lpage>15</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_arttext&amp;pid=S1817-74332025000100010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_abstract&amp;pid=S1817-74332025000100010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_pdf&amp;pid=S1817-74332025000100010&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  El Cáncer Cérvico Uterino es el cuarto tipo de cáncer más común en la población femenina global, teniendo las tasas más elevadas de incidencia y mortalidad en los países de ingreso bajo y mediano; reflejando desigualdades ante falta de acceso a los servicios de vacunación frente al virus del papiloma humano y la escasez de conciencia para llevar a cabo la prueba de Papanicolaou.  Objetivo:  Identificar los factores que influyen en la decisión de realizarse la prueba de Papanicolaou en mujeres del Centro de Salud San Juan de Dios durante octubre a diciembre de la gestión 2023.  Materiales y Métodos: Estudio tipo descriptivo, transversal y cuantitativo, realizado en el Centro de Salud San Juan de Dios del Municipio de Sacaba de octubre a diciembre - 2023, en la muestra total de 61 mujeres.  Resultados:  Un 85.2% afirmaron que si se realizaron la prueba de Papanicolaou durante la última gestión; se determinó que 68.9% de la muestra total si tienen conocimiento de la finalidad de la prueba; los factores que más influyen en la realización de la prueba son la preferencia por personal médico femenino (67,2%) y miedo o ansiedad relacionados con el procedimiento (39.3%).  Conclusión:  Se evidenció que el miedo, ansiedad, género del personal de salud, la falta de información y el tiempo de espera de los resultados del Papanicolaou son barreras que influyen en la decisión de las mujeres para realizarse este examen.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Cervical cancer is the fourth most common type of cancer in women worldwide, with the highest incidence and mortality rates in low- and middle-income countries. This reflects inequalities due to lack of access to human papillomavirus vaccination services and lack of awareness about Pap smear testing.  Objective:  To identify the factors that influence the decision to undergo a Pap smear in women at the San Juan de Dios Health Center from October to December 2023.  Materials and Methods:  A descriptive, cross-sectional, and quantitative study was conducted at the San Juan de Dios Health Center in the Municipality of Sacaba from October to December 2023, with a total sample of 61 woman.  Results:  85.2% stated that they had undergone a Pap smear during their last period, It was determined that 68.9% of the total sample were aware of the purpose of the test. The factors that most influence women's decision to undergo the test are preference for female medical personnel (67.2%) and fear or anxiety related to the procedure (39.3%).  Conclusion:  It was evident that fear, anxiety, the gender of the healthcare personnel, lack of information, and the waiting time for PAP results are barriere that influence women's decision to undergo this test.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Edad]]></kwd>
<kwd lng="es"><![CDATA[Papanicolaou]]></kwd>
<kwd lng="es"><![CDATA[Papiloma virus]]></kwd>
<kwd lng="en"><![CDATA[Age]]></kwd>
<kwd lng="en"><![CDATA[Pap smear]]></kwd>
<kwd lng="en"><![CDATA[Human Papillomavirus]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bravo Polanco]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Águila Rodríguez]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Guerra Villarpanda]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Blanco Vázquez]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cáncer cérvico uterino: prevención y tratamiento]]></article-title>
<source><![CDATA[Medisur]]></source>
<year>2020</year>
<volume>18</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>685-93</page-range></nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alonso]]></surname>
<given-names><![CDATA[TL]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[HJR]]></given-names>
</name>
<name>
<surname><![CDATA[Ugalde]]></surname>
<given-names><![CDATA[PM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factores de riesgo del cáncer cérvico uterino en adolescentes de la Universidad de Ciencias Médicas de Matanzas]]></article-title>
<source><![CDATA[Rev Méd Electrón]]></source>
<year>2021</year>
<volume>43</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Naranjo Hernández]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Villafuerte Reinante]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez Márquez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Alonso Vila]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Condiciones que favorecen el desarrollo del cáncer cervicouterino en la adolescencia]]></article-title>
<source><![CDATA[Rev. Finlay]]></source>
<year>2023</year>
<volume>13</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>209-15</page-range></nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bravo Crespo]]></surname>
<given-names><![CDATA[DI]]></given-names>
</name>
<name>
<surname><![CDATA[Román Collazo]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Métodos diagnósticos de VPH para la prevención del cáncer cérvico uterino en Ecuador]]></article-title>
<source><![CDATA[Vive Rev. Salud]]></source>
<year>2021</year>
<volume>4</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>176-92</page-range></nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Reyes Tamayo]]></surname>
<given-names><![CDATA[AK]]></given-names>
</name>
<name>
<surname><![CDATA[Mejia Urdanigo]]></surname>
<given-names><![CDATA[AN]]></given-names>
</name>
</person-group>
<source><![CDATA[Nivel de conocimiento y actitudes hacia el examen de papanicolaou en gestantes del Hospital Leon Becerra de Milagro. noviembre 2023 - abril 2024]]></source>
<year>2024</year>
<publisher-name><![CDATA[Universidad Técnica de Babahoyo]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Linares Silva]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Suarez Hernandez]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<source><![CDATA["Factores que influyen en la renuencia de la toma de papanicolaou en mujeres de 15 - 65 años: una revision sistematica de la literatura cientifica de los ultimos 5 años"]]></source>
<year>2024</year>
<publisher-name><![CDATA[Universidad Privada del Norte]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Patel]]></surname>
<given-names><![CDATA[DD]]></given-names>
</name>
<name>
<surname><![CDATA[Babaria]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Khandelwal]]></surname>
<given-names><![CDATA[PB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Correlation between Pap smear findings and histopathological diagnosis in abnormal cervical cytology cases]]></article-title>
<source><![CDATA[Eur J Cardiovasc Med]]></source>
<year>2025</year>
<volume>15</volume>
<page-range>572-5</page-range></nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Araujo Jordao]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Santana de Deus]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Azevedo Matos]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Castro Correia]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Razão de Papanicolau na região de saúde de Redenção -PA]]></article-title>
<source><![CDATA[DATASEDREPORTS]]></source>
<year>2024</year>
</nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Reyes Llaure]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
</person-group>
<source><![CDATA[Nivel de satisfacción de las usuarias frente a la toma de papanicolaou en el Centro de Salud Santa, 2018]]></source>
<year>2018</year>
<publisher-name><![CDATA[Universidad Catolica Los Angeles Chimbote]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Heredia Pincay]]></surname>
<given-names><![CDATA[SV]]></given-names>
</name>
</person-group>
<source><![CDATA[Nivel de conocimiento sobre el examen de papanicolaou en mujeres de 18 a 40 años. Barrio General Enríquez Gallo. la libertad, 2022]]></source>
<year>2023</year>
<publisher-name><![CDATA[UNIVERSIDAD ESTATAL PENÍNSULA DE SANTA ELENA]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bendezu Quispe]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Soriano Moreno]]></surname>
<given-names><![CDATA[AN]]></given-names>
</name>
<name>
<surname><![CDATA[Urrunaga Pastor]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Venegas Rodriguez]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Asociación entre conocimientos acerca del cáncer de cuello uterino y realizarse una prueba de Papanicolaou en mujeres peruanas]]></article-title>
<source><![CDATA[Revista Peruana de Medicina Experimental y Salud Publica]]></source>
<year>2020</year>
<volume>37</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Parra Zambrano]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
<name>
<surname><![CDATA[Talavera]]></surname>
<given-names><![CDATA[JE]]></given-names>
</name>
<name>
<surname><![CDATA[Ramírez-Ortega]]></surname>
<given-names><![CDATA[AP]]></given-names>
</name>
<name>
<surname><![CDATA[Suárez Egoávil]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factores socioculturales que influyen en las usuarias de 50 años para la toma de Papanicolaou de un Hospital Nasca]]></article-title>
<source><![CDATA[Revista de la Facultad de Medicina Humana]]></source>
<year>2023</year>
<volume>23</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>88-94</page-range></nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Maleki]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Ahadinezhad]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Alizadeh]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Khosravizadeh]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Barreras y facilitadores de la aceptación de la prueba de Papanicolaou en Asia: una revisión sistemática]]></article-title>
<source><![CDATA[BMC Public Health]]></source>
<year>2025</year>
<volume>25</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Patricia Rojas]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Castillo Viveros]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Representaciones sociales de las mujeres sobre la prueba de Papanicolaou]]></article-title>
<source><![CDATA[Rev Enferm Inst Mex Seguro Soc]]></source>
<year>2020</year>
<volume>28</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>286-300</page-range></nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Guartambel Cajamarca]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Guerrero Cevallos]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Guapisaca Gaona]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
<name>
<surname><![CDATA[Daniel Armijo]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Conocimiento y factores asociados a la detección de cáncer de cuello uterino]]></article-title>
<source><![CDATA[SCT]]></source>
<year>2022</year>
<volume>2</volume>
<numero>S1</numero>
<issue>S1</issue>
</nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chisale Mabotja]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Levin]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Kawonga]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Beliefs and perceptions regarding cervical cancer and screening associated with Pap smear uptake in Johannesburg: A crosssectional study]]></article-title>
<source><![CDATA[PLoS One]]></source>
<year>2021</year>
<volume>16</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hussein]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Kokwaro]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Wafula]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Mitike]]></surname>
<given-names><![CDATA[KG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factores que influyen en la aceptación y utilización de los servicios de detección del cáncer de cuello uterino entre mujeres que asisten a centros de salud públicos en Adís Abeba, Etiopía: estudio de métodos mixtos]]></article-title>
<source><![CDATA[BMC Women's Health]]></source>
<year>2024</year>
<volume>24</volume>
</nlm-citation>
</ref>
<ref id="B18">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chin]]></surname>
<given-names><![CDATA[SS]]></given-names>
</name>
<name>
<surname><![CDATA[Jamonek Jamhuri]]></surname>
<given-names><![CDATA[NA]]></given-names>
</name>
<name>
<surname><![CDATA[Hussin]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Md Zubir]]></surname>
<given-names><![CDATA[NL]]></given-names>
</name>
<name>
<surname><![CDATA[Tan]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
<name>
<surname><![CDATA[Chan]]></surname>
<given-names><![CDATA[SCW]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factors influencing Pap smear screening uptake among women visiting outpatient clinics in Johor]]></article-title>
<source><![CDATA[Malays Fam Physician]]></source>
<year>2022</year>
<volume>17</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>46-55</page-range></nlm-citation>
</ref>
<ref id="B19">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Basagoitia]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Burrowes]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Solis Soto]]></surname>
<given-names><![CDATA[MT]]></given-names>
</name>
<name>
<surname><![CDATA[MacMillan]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Sullivan]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Percepciones y experiencias de la comunidad y los proveedores sobre el tamizaje del cáncer cervicouterino en zonas rurales de Bolivia: un estudio cualitativo]]></article-title>
<source><![CDATA[BMC Womens Health]]></source>
<year>2023</year>
<volume>23</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B20">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Arrivillaga]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Bermúdez]]></surname>
<given-names><![CDATA[PC]]></given-names>
</name>
<name>
<surname><![CDATA[García Cifuentes]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez-López]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Neira]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Vargas-Cardona]]></surname>
<given-names><![CDATA[HD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Women's critical experiences with the pap smear for the development of cervical cancer screening devices]]></article-title>
<source><![CDATA[Heliyon]]></source>
<year>2023</year>
<volume>9</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
