Disparities in cervical and breast cancer mortality in Brazil

Detalhes bibliográficos
Autor(a) principal: Girianelli, Vania Reis
Data de Publicação: 2014
Outros Autores: Gamarra, Carmen Justina, Silva, Gulnar Azevedo e
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/31868
Resumo: Artigo disponível em acesso aberto no SciELO.
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spelling Girianelli, Vania ReisGamarra, Carmen JustinaSilva, Gulnar Azevedo e2019-02-26T12:40:44Z2019-02-26T12:40:44Z2014GIRIANELLI, Vania Reis et al. Disparities in cervical and breast cancer mortality in Brazil. Revista de Saúde Pública, v. 48, n. 3, p. 459-467, 2014.0034-8910https://www.arca.fiocruz.br/handle/icict/3186810.1590/S0034-8910.20140480052141518-8787Artigo disponível em acesso aberto no SciELO.OBJETIVO: Analisar a evolução da mortalidade por câncer do colo uterino e de mama no Brasil, segundo indicadores socioeconômicos e assistenciais. MÉTODOS: Foram analisados dados agregados de 30 anos (1980-2010) de mortalidade por câncer de mama e colo uterino. Os dados de óbitos foram extraídos do Sistema de Informações sobre Mortalidade, os denominadores populacionais, do Instituto Brasileiro de Geografia e Estatística, e os indicadores socioeconômicos e assistenciais do Instituto de Pesquisa Econômica e Aplicada. Foram calculadas as médias móveis desagregadas por capitais e municípios do interior dos estados. O percentual de mudança anual das taxas foi estimado a partir da regressão linear segmentada por joinpoint. Foi feita correlação de Pearson entre as taxas médias trienais do final do período e os indicadores selecionados das capitais e de cada estado brasileiro. RESULTADOS: Houve queda da mortalidade por câncer do colo uterino em todo o período, exceto em municípios das regiões Norte e Nordeste fora das capitais. Houve declínio na mortalidade por câncer de mama nas capitais a partir do final da década de 1990. Os indicadores socioeconômicos positivos correlacionaram-se inversamente com a mortalidade de câncer do colo uterino. Observou-se forte correlação direta entre indicadores positivos e inversa com a taxa de fecundidade e a mortalidade por câncer de mama nos municípios do interior dos estados. CONCLUSÕES: Encontra-se em curso um mecanismo dinâmico entre aumento de risco por câncer de mama e do colo uterino com atenuação da mortalidade em função da expansão de oferta e acesso ao rastreamento, diagnóstico e tratamento, porém de forma desigual.OBJECTIVE: To analyze cervical and breast cancer mortality in Brazil according to socioeconomic and welfare indicators. METHODS: Data on breast and cervical cancer mortality covering a 30-year period (1980-2010) were analyzed. The data were obtained from the National Mortality Database, population data from the Brazilian Institute of Geography and Statistics database, and socioeconomic and welfare information from the Institute of Applied Economic Research. Moving averages were calculated, disaggregated by capital city and municipality. The annual percent change in mortality rates was estimated by segmented linear regression using the joinpoint method. Pearson's correlation coefficients were conducted between average mortality rate at the end of the three-year period and selected indicators in the state capital and each Brazilian state. RESULTS There was a decline in cervical cancer mortality rates throughout the period studied, except in municipalities outside of the capitals in the North and Northeast. There was a decrease in breast cancer mortality in the capitals from the end of the 1990s onwards. Favorable socioeconomic indicators were inversely correlated with cervical cancer mortality. A strong direct correlation was found with favorable indicators and an inverse correlation with fertility rate and breast cancer mortality in inner cities. CONCLUSIONS: There is an ongoing dynamic process of increased risk of cervical and breast cancer and attenuation of mortality because of increased, albeit unequal, access to and provision of screening, diagnosis and treatment. Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Plataforma de Pesquisa Clínica. Rio de Janeiro, RJ, BrasilUniversidade Federal da Integração Latino-americana. Instituto Latino-americano de Ciências da Vida e da Natureza. Foz do Iguaçu, PR, Brasil.Universidade do Estado do Rio de Janeiro. Departamento de Epidemiologia. Instituto de Medicina Social. Rio de Janeiro, RJ, Brasil.engUniversidade de São PauloNeoplasias da MamaNeoplasias do colo do úteroMortalidadeAcesso aos serviços de saúdeEstudos de séries temporaisBreast neoplasmsUterine cervical neoplasmsMortalityHealth services accessibilityTime series studiesDisparities in cervical and breast cancer mortality in BrazilOs grandes contrastes na mortalidade por câncer do colo uterino e de mama no Brasilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo: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/31868/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALve_ Girianelli_Vania_etal_INI_2014.pdfve_ 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dc.title.pt_BR.fl_str_mv Disparities in cervical and breast cancer mortality in Brazil
dc.title.alternative.pt_BR.fl_str_mv Os grandes contrastes na mortalidade por câncer do colo uterino e de mama no Brasil
title Disparities in cervical and breast cancer mortality in Brazil
spellingShingle Disparities in cervical and breast cancer mortality in Brazil
Girianelli, Vania Reis
Neoplasias da Mama
Neoplasias do colo do útero
Mortalidade
Acesso aos serviços de saúde
Estudos de séries temporais
Breast neoplasms
Uterine cervical neoplasms
Mortality
Health services accessibility
Time series studies
title_short Disparities in cervical and breast cancer mortality in Brazil
title_full Disparities in cervical and breast cancer mortality in Brazil
title_fullStr Disparities in cervical and breast cancer mortality in Brazil
title_full_unstemmed Disparities in cervical and breast cancer mortality in Brazil
title_sort Disparities in cervical and breast cancer mortality in Brazil
author Girianelli, Vania Reis
author_facet Girianelli, Vania Reis
Gamarra, Carmen Justina
Silva, Gulnar Azevedo e
author_role author
author2 Gamarra, Carmen Justina
Silva, Gulnar Azevedo e
author2_role author
author
dc.contributor.author.fl_str_mv Girianelli, Vania Reis
Gamarra, Carmen Justina
Silva, Gulnar Azevedo e
dc.subject.other.pt_BR.fl_str_mv Neoplasias da Mama
Neoplasias do colo do útero
Mortalidade
Acesso aos serviços de saúde
Estudos de séries temporais
topic Neoplasias da Mama
Neoplasias do colo do útero
Mortalidade
Acesso aos serviços de saúde
Estudos de séries temporais
Breast neoplasms
Uterine cervical neoplasms
Mortality
Health services accessibility
Time series studies
dc.subject.en.pt_BR.fl_str_mv Breast neoplasms
Uterine cervical neoplasms
Mortality
Health services accessibility
Time series studies
description Artigo disponível em acesso aberto no SciELO.
publishDate 2014
dc.date.issued.fl_str_mv 2014
dc.date.accessioned.fl_str_mv 2019-02-26T12:40:44Z
dc.date.available.fl_str_mv 2019-02-26T12:40:44Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.citation.fl_str_mv GIRIANELLI, Vania Reis et al. Disparities in cervical and breast cancer mortality in Brazil. Revista de Saúde Pública, v. 48, n. 3, p. 459-467, 2014.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/31868
dc.identifier.issn.pt_BR.fl_str_mv 0034-8910
dc.identifier.doi.none.fl_str_mv 10.1590/S0034-8910.2014048005214
dc.identifier.eissn.none.fl_str_mv 1518-8787
identifier_str_mv GIRIANELLI, Vania Reis et al. Disparities in cervical and breast cancer mortality in Brazil. Revista de Saúde Pública, v. 48, n. 3, p. 459-467, 2014.
0034-8910
10.1590/S0034-8910.2014048005214
1518-8787
url https://www.arca.fiocruz.br/handle/icict/31868
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Universidade de São Paulo
publisher.none.fl_str_mv Universidade de São Paulo
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
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