Abstract
Objective: To identify and analyze the epidemiological profile of cervical cancer prior to the implementation of the HPV vaccination calendar in the State of Maranhão, from 2006 to 2014. Methods: Epidemiological data found in SISCOLO / DATASUS, and IBGE, were analyzed. eight health macro-regions, with the variables: sociodemographic indexes (education, race / color, HDI); health indicators (number of tests collected, number of FHS, vaccination coverage, number of grade III cervical intraepithelial neoplasms diagnosed). Results: 2825 cases were diagnosed, most of them in the São Luís and Presidente Dutra macroregions, places where there is a higher average of FHS. There was a statistically significant correlation between the number of diagnoses of this neoplasia and HDI (r = -0.646; p = 0.048); number of FHS teams (r = -0.508; p = 0.042); number of cytopathological exams (r = 0.567; p = 0.005). Conclusion: There is a linear trend of decreasing cases in the last 9 years. From the analysis of socio-cultural variables, seven macro-regions did not characterize schooling in more than 70% of the exams. There is a statistically negative and significant relationship between cervical cancer and the HDI (r = -0.646; p = 0.048), and between this neoplasm and the number of FHS (r = -0.508; p = 0.042), and being positive and significant, between the number of cytopathological exams and the number of cervical neoplasms (r = 0.567; p = 0.005).