Inequalities in Temporal Effects on Cervical Cancer Mortality in States in Different Geographic Regions of Brazil: An Ecological Study
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
Texto Completo: | https://www.arca.fiocruz.br/handle/icict/55557 |
Resumo: | Health School. Federal University of Rio Grande do Norte. Natal, RN, Brazil. |
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Meira, Karina CardosoMagnago, CarinneMendonça, Angelo BragaDuarte, Stephane Fernanda SoaresFreitas, Pedro Henrique Oliveira deSantos, Juliano DosSouza, Dyego Leandro Bezerra deSimões, Taynãna César2022-11-09T17:50:46Z2022-11-09T17:50:46Z2022MEIRA, Karina Cardoso et al. Inequalities in Temporal Effects on Cervical Cancer Mortality in States in Different Geographic Regions of Brazil: An Ecological Study. Int J Environ Res Public Health, v. 19, n. 9,5591, 2022. doi: 10.3390/ijerph19095591.1660-4601https://www.arca.fiocruz.br/handle/icict/55557engMDPIInequalities in Temporal Effects on Cervical Cancer Mortality in States in Different Geographic Regions of Brazil: An Ecological Studyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleHealth School. Federal University of Rio Grande do Norte. Natal, RN, Brazil.School of Public Health. University of São Paulo. São Paulo, SP, Brazil.Brazilian National Cancer Institute. Rio de Janeiro, RJ, Brazil.Department of Demography and Actuarial Sciences. Federal University of Rio Grande Norte. Natal, RN, Brazil.Department of Demography and Actuarial Sciences. Federal University of Rio Grande Norte. Natal, RN, Brazil.Brazilian National Cancer Institute. Rio de Janeiro, RJ, Brazil.Public Health Department. Federal University of Rio Grande do Norte. Natal, RN, Brazil.René Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil.Cervical cancer is a public health issue with high disease burden and mortality in Brazil. The objectives of the present study were, firstly, to analyze age, period, and cohort effects on cervical cancer mortality in women 20 years old or older from 1980 to 2019 in the North, South, and Southeast Regions of Brazil; and secondly, to evaluate whether the implementation of a national screening program and the expansion of access to public health services impacted the examined period and reduced the risk of death compared with previous years and among younger cohorts. The effects were estimated by applying Poisson regression models with estimable functions. The highest mortality rate per 100,000 women was found in Amazonas (24.13), and the lowest in São Paulo (10.56). A positive gradient was obtained for death rates as women's age increased. The states in the most developed regions (South and Southeast) showed a reduction in the risk of death in the period that followed the implementation of the screening program and in the cohort from the 1960s onwards. The North Region showed a decreased risk of death only in Amapá (2000-2004) and Tocantins (1995-2004; 2010-2019). The findings indicate that health inequities remain in Brazil and suggest that the health system has limitations in terms of decreasing mortality associated with this type of cancer in regions of lower socioeconomic development.Brazilage–period–cohort analysisforecastingmortalityuterine cervical neoplasmsinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/55557/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALInequalities in Temporal Effects on Cervical Cancer.pdfInequalities in Temporal Effects on Cervical Cancer.pdfapplication/pdf3278589https://www.arca.fiocruz.br/bitstream/icict/55557/2/Inequalities%20in%20Temporal%20Effects%20on%20Cervical%20Cancer.pdfae00ac25dc03754c55106c04dc26117bMD52icict/555572022-11-09 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dc.title.en_US.fl_str_mv |
Inequalities in Temporal Effects on Cervical Cancer Mortality in States in Different Geographic Regions of Brazil: An Ecological Study |
title |
Inequalities in Temporal Effects on Cervical Cancer Mortality in States in Different Geographic Regions of Brazil: An Ecological Study |
spellingShingle |
Inequalities in Temporal Effects on Cervical Cancer Mortality in States in Different Geographic Regions of Brazil: An Ecological Study Meira, Karina Cardoso Brazil age–period–cohort analysis forecasting mortality uterine cervical neoplasms |
title_short |
Inequalities in Temporal Effects on Cervical Cancer Mortality in States in Different Geographic Regions of Brazil: An Ecological Study |
title_full |
Inequalities in Temporal Effects on Cervical Cancer Mortality in States in Different Geographic Regions of Brazil: An Ecological Study |
title_fullStr |
Inequalities in Temporal Effects on Cervical Cancer Mortality in States in Different Geographic Regions of Brazil: An Ecological Study |
title_full_unstemmed |
Inequalities in Temporal Effects on Cervical Cancer Mortality in States in Different Geographic Regions of Brazil: An Ecological Study |
title_sort |
Inequalities in Temporal Effects on Cervical Cancer Mortality in States in Different Geographic Regions of Brazil: An Ecological Study |
author |
Meira, Karina Cardoso |
author_facet |
Meira, Karina Cardoso Magnago, Carinne Mendonça, Angelo Braga Duarte, Stephane Fernanda Soares Freitas, Pedro Henrique Oliveira de Santos, Juliano Dos Souza, Dyego Leandro Bezerra de Simões, Taynãna César |
author_role |
author |
author2 |
Magnago, Carinne Mendonça, Angelo Braga Duarte, Stephane Fernanda Soares Freitas, Pedro Henrique Oliveira de Santos, Juliano Dos Souza, Dyego Leandro Bezerra de Simões, Taynãna César |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Meira, Karina Cardoso Magnago, Carinne Mendonça, Angelo Braga Duarte, Stephane Fernanda Soares Freitas, Pedro Henrique Oliveira de Santos, Juliano Dos Souza, Dyego Leandro Bezerra de Simões, Taynãna César |
dc.subject.en.en_US.fl_str_mv |
Brazil age–period–cohort analysis forecasting mortality uterine cervical neoplasms |
topic |
Brazil age–period–cohort analysis forecasting mortality uterine cervical neoplasms |
description |
Health School. Federal University of Rio Grande do Norte. Natal, RN, Brazil. |
publishDate |
2022 |
dc.date.accessioned.fl_str_mv |
2022-11-09T17:50:46Z |
dc.date.available.fl_str_mv |
2022-11-09T17:50:46Z |
dc.date.issued.fl_str_mv |
2022 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
MEIRA, Karina Cardoso et al. Inequalities in Temporal Effects on Cervical Cancer Mortality in States in Different Geographic Regions of Brazil: An Ecological Study. Int J Environ Res Public Health, v. 19, n. 9,5591, 2022. doi: 10.3390/ijerph19095591. |
dc.identifier.uri.fl_str_mv |
https://www.arca.fiocruz.br/handle/icict/55557 |
dc.identifier.issn.en_US.fl_str_mv |
1660-4601 |
identifier_str_mv |
MEIRA, Karina Cardoso et al. Inequalities in Temporal Effects on Cervical Cancer Mortality in States in Different Geographic Regions of Brazil: An Ecological Study. Int J Environ Res Public Health, v. 19, n. 9,5591, 2022. doi: 10.3390/ijerph19095591. 1660-4601 |
url |
https://www.arca.fiocruz.br/handle/icict/55557 |
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eng |
language |
eng |
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info:eu-repo/semantics/openAccess |
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openAccess |
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MDPI |
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MDPI |
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reponame:Repositório Institucional da FIOCRUZ (ARCA) instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
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