Cervical Cancer Mortality in Northeastern Municipalities: Correlation with Sociodemographic Indicators
Autor(a) principal: | |
---|---|
Data de Publicação: | 2023 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por eng spa |
Título da fonte: | Revista Brasileira de Cancerologia (Online) |
Texto Completo: | https://rbc.inca.gov.br/index.php/revista/article/view/3993 |
Resumo: | Introduction: Cervical cancer mortality is considered preventable. High rates and an upward temporal trend and observed in Brazil’s Northeast. Objective: To evaluate the spatial distribution of cervical cancer mortality of municipalities in Brazil’s Northeast in the period 2015-2019 and its correlation with sociodemographic indicators. Method: Mortality data were obtained from DATASUS Mortality Information System. Mortality rates per 100,000 women were calculated and smoothed using the empirical Bayesian estimator. The spatial correlation of mortality rates was evaluated using the global and local Moran index. Moreover, the correlation between mortality rates and sociodemographic indicators was tested using bivariate analysis. Mapping and analyzes were performed using GeoDa and R software, values of p<0.05 were considered statistically significant. Results: Rates ranged from 1.0 to 27.2 deaths per 100,000 women, with the highest rates concentrated in the municipalities of Maranhão, Piauí, Ceará, Alagoas, and Sergipe. Clusters with high mortality were observed in the municipalities of Maranhão and Piauí (close to Maranhão) on the coast of Pernambuco, Alagoas, Sergipe, and Bahia. An association between socioeconomic indicators and mortality by cervical cancer was found. Municipalities with the worst indicators show higher mortality rates by this neoplasm. Conclusion: High mortality rates were observed in municipalities with the worst sociodemographic indicators, indicating the health system’s limitations in reducing these rates in cities with low socioeconomic development. |
id |
INCA-1_3681a446f92556cbb3610eda618b4790 |
---|---|
oai_identifier_str |
oai:rbc.inca.gov.br:article/3993 |
network_acronym_str |
INCA-1 |
network_name_str |
Revista Brasileira de Cancerologia (Online) |
repository_id_str |
|
spelling |
Cervical Cancer Mortality in Northeastern Municipalities: Correlation with Sociodemographic IndicatorsMortalidad por Cáncer de Cuello Uterino en Municipios del Nordeste: Correlación con Indicadores SociodemográficosMortalidade por Câncer do Colo do Útero nos Municípios Nordestinos: Correlação com Indicadores Sociodemográficosneoplasias do colo do útero/mortalidadeanálise espacialindicadores básicos de saúdefatores socioeconômicosneoplasias del cuello uterino/mortalidadanálisis espacialindicadores de saludfactores socioeconómicosuterine cervical neoplasms/mortalityspatial analysishealth status indicatorssocioeconomic factorsIntroduction: Cervical cancer mortality is considered preventable. High rates and an upward temporal trend and observed in Brazil’s Northeast. Objective: To evaluate the spatial distribution of cervical cancer mortality of municipalities in Brazil’s Northeast in the period 2015-2019 and its correlation with sociodemographic indicators. Method: Mortality data were obtained from DATASUS Mortality Information System. Mortality rates per 100,000 women were calculated and smoothed using the empirical Bayesian estimator. The spatial correlation of mortality rates was evaluated using the global and local Moran index. Moreover, the correlation between mortality rates and sociodemographic indicators was tested using bivariate analysis. Mapping and analyzes were performed using GeoDa and R software, values of p<0.05 were considered statistically significant. Results: Rates ranged from 1.0 to 27.2 deaths per 100,000 women, with the highest rates concentrated in the municipalities of Maranhão, Piauí, Ceará, Alagoas, and Sergipe. Clusters with high mortality were observed in the municipalities of Maranhão and Piauí (close to Maranhão) on the coast of Pernambuco, Alagoas, Sergipe, and Bahia. An association between socioeconomic indicators and mortality by cervical cancer was found. Municipalities with the worst indicators show higher mortality rates by this neoplasm. Conclusion: High mortality rates were observed in municipalities with the worst sociodemographic indicators, indicating the health system’s limitations in reducing these rates in cities with low socioeconomic development.Introducción: La mortalidad por cáncer de útero se considera prevenible. Se observan tasas elevadas y una tendencia al alza en el Nordeste de Brasil. Objetivo: Evaluar la distribución espacial de la mortalidad por cáncer de cuello uterino en municipios del Nordeste de Brasil en el período 2015-2019 y su correlación con indicadores sociodemográficos. Método: Los datos de mortalidad se obtuvieron del Sistema de Información de Mortalidad DATASUS. Se calcularon las tasas de mortalidad por 100 000 mujeres, suavizadas mediante el estimador empírico bayesiano. La correlación espacial de las tasas de mortalidad se evaluó mediante el índice de Moran global y local. Y se probó la correlación entre las tasas de mortalidad y los indicadores sociodemográficos mediante análisis bivariado. El mapeo y los análisis se realizaron utilizando los softwares GeoDa y R, y valores de p<0,05 se consideraron estadísticamente significativos. Resultados: Las tasas oscilaron entre 1,0 y 27,2 muertes por 100 000 mujeres, con las mayores tasas concentradas en los municipios de Maranhão, Piauí, Ceará, Alagoas y Sergipe. Se observaron conglomerados con alta mortalidad en los municipios de Maranhão y Piauí (cerca de Maranhão), en el litoral de Pernambuco, Alagoas, Sergipe y Bahia. Hubo una asociación entre los indicadores socioeconómicos y la mortalidad por cáncer de cuello uterino. Las localidades con peores indicadores presentan mayores tasas de mortalidad por esta neoplasia Conclusión: Se observaron altas tasas de mortalidad en los municipios con peores indicadores sociodemográficos, lo que indica las limitaciones del sistema de salud para reducir estas tasas en los municipios con menor desarrollo socioeconómico.Introdução: A mortalidade por câncer do colo do útero é considerada evitável. Altas taxas e tendência ascendente são observadas no Nordeste do Brasil. Objetivo: Avaliar a distribuição espacial da mortalidade por câncer do colo do útero nos municípios do Nordeste do Brasil no período 2015-2019 e sua correlação com indicadores sociodemográficos. Método: Os dados de mortalidade foram obtidos junto ao Sistema de Informação sobre Mortalidade do DATASUS. Calcularam-se as taxas de mortalidade por 100 mil mulheres, suavizadas por meio do estimador bayesiano empírico. Avaliou-se a correlação espacial das taxas de mortalidade por meio do índice de Moran global e local. E testou-se a correlação das taxas de mortalidade com os indicadores sociodemográficos por meio da análise bivariada. O mapeamento e as análises foram realizados nos softwares GeoDa e R, e considerados estatisticamente significativos valores de p<0,05. Resultados: As taxas variaram de 1,0 a 27,2 óbitos por 100 mil mulheres, com as maiores taxas concentradas nos municípios do Maranhão, Piauí, Ceará, Alagoas e Sergipe. Clusters com alta mortalidade foram observados nos municípios do Maranhão e do Piauí (próximo ao Maranhão), no litoral de Pernambuco, Alagoas, Sergipe e Bahia. Verificou-se associação entre os indicadores socioeconômicos e a mortalidade por câncer do colo do útero. Localidades com os piores indicadores mostram maiores taxas de mortalidade por essa neoplasia. Conclusão: Observaram-se altas taxas de mortalidade nos municípios com piores indicadores sociodemográficos, indicando as limitações do sistema de saúde para reduzir essas taxas nas cidades com menor desenvolvimento socioeconômico.INCA2023-07-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfapplication/pdfapplication/pdftext/htmlhttps://rbc.inca.gov.br/index.php/revista/article/view/399310.32635/2176-9745.RBC.2023v69n3.3993Revista Brasileira de Cancerologia; Vol. 69 No. 3 (2023): July/Aug./Sept.; e-063993Revista Brasileira de Cancerologia; Vol. 69 Núm. 3 (2023): jul./ago./sept.; e-063993Revista Brasileira de Cancerologia; v. 69 n. 3 (2023): jul./ago./set.; e-0639932176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporengspahttps://rbc.inca.gov.br/index.php/revista/article/view/3993/3049https://rbc.inca.gov.br/index.php/revista/article/view/3993/3316https://rbc.inca.gov.br/index.php/revista/article/view/3993/3188https://rbc.inca.gov.br/index.php/revista/article/view/3993/3048Copyright (c) 2023 Revista Brasileira de Cancerologiahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessMeira, Karina CardosoFreitas, Pedro Henrique Oliveira deSilva, Pedro Gilson Beserra daPedrosa, Iago Matheus BezerraJomar, Rafael Tavares2024-01-09T19:25:27Zoai:rbc.inca.gov.br:article/3993Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2024-01-09T19:25:27Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false |
dc.title.none.fl_str_mv |
Cervical Cancer Mortality in Northeastern Municipalities: Correlation with Sociodemographic Indicators Mortalidad por Cáncer de Cuello Uterino en Municipios del Nordeste: Correlación con Indicadores Sociodemográficos Mortalidade por Câncer do Colo do Útero nos Municípios Nordestinos: Correlação com Indicadores Sociodemográficos |
title |
Cervical Cancer Mortality in Northeastern Municipalities: Correlation with Sociodemographic Indicators |
spellingShingle |
Cervical Cancer Mortality in Northeastern Municipalities: Correlation with Sociodemographic Indicators Meira, Karina Cardoso neoplasias do colo do útero/mortalidade análise espacial indicadores básicos de saúde fatores socioeconômicos neoplasias del cuello uterino/mortalidad análisis espacial indicadores de salud factores socioeconómicos uterine cervical neoplasms/mortality spatial analysis health status indicators socioeconomic factors |
title_short |
Cervical Cancer Mortality in Northeastern Municipalities: Correlation with Sociodemographic Indicators |
title_full |
Cervical Cancer Mortality in Northeastern Municipalities: Correlation with Sociodemographic Indicators |
title_fullStr |
Cervical Cancer Mortality in Northeastern Municipalities: Correlation with Sociodemographic Indicators |
title_full_unstemmed |
Cervical Cancer Mortality in Northeastern Municipalities: Correlation with Sociodemographic Indicators |
title_sort |
Cervical Cancer Mortality in Northeastern Municipalities: Correlation with Sociodemographic Indicators |
author |
Meira, Karina Cardoso |
author_facet |
Meira, Karina Cardoso Freitas, Pedro Henrique Oliveira de Silva, Pedro Gilson Beserra da Pedrosa, Iago Matheus Bezerra Jomar, Rafael Tavares |
author_role |
author |
author2 |
Freitas, Pedro Henrique Oliveira de Silva, Pedro Gilson Beserra da Pedrosa, Iago Matheus Bezerra Jomar, Rafael Tavares |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Meira, Karina Cardoso Freitas, Pedro Henrique Oliveira de Silva, Pedro Gilson Beserra da Pedrosa, Iago Matheus Bezerra Jomar, Rafael Tavares |
dc.subject.por.fl_str_mv |
neoplasias do colo do útero/mortalidade análise espacial indicadores básicos de saúde fatores socioeconômicos neoplasias del cuello uterino/mortalidad análisis espacial indicadores de salud factores socioeconómicos uterine cervical neoplasms/mortality spatial analysis health status indicators socioeconomic factors |
topic |
neoplasias do colo do útero/mortalidade análise espacial indicadores básicos de saúde fatores socioeconômicos neoplasias del cuello uterino/mortalidad análisis espacial indicadores de salud factores socioeconómicos uterine cervical neoplasms/mortality spatial analysis health status indicators socioeconomic factors |
description |
Introduction: Cervical cancer mortality is considered preventable. High rates and an upward temporal trend and observed in Brazil’s Northeast. Objective: To evaluate the spatial distribution of cervical cancer mortality of municipalities in Brazil’s Northeast in the period 2015-2019 and its correlation with sociodemographic indicators. Method: Mortality data were obtained from DATASUS Mortality Information System. Mortality rates per 100,000 women were calculated and smoothed using the empirical Bayesian estimator. The spatial correlation of mortality rates was evaluated using the global and local Moran index. Moreover, the correlation between mortality rates and sociodemographic indicators was tested using bivariate analysis. Mapping and analyzes were performed using GeoDa and R software, values of p<0.05 were considered statistically significant. Results: Rates ranged from 1.0 to 27.2 deaths per 100,000 women, with the highest rates concentrated in the municipalities of Maranhão, Piauí, Ceará, Alagoas, and Sergipe. Clusters with high mortality were observed in the municipalities of Maranhão and Piauí (close to Maranhão) on the coast of Pernambuco, Alagoas, Sergipe, and Bahia. An association between socioeconomic indicators and mortality by cervical cancer was found. Municipalities with the worst indicators show higher mortality rates by this neoplasm. Conclusion: High mortality rates were observed in municipalities with the worst sociodemographic indicators, indicating the health system’s limitations in reducing these rates in cities with low socioeconomic development. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-07-12 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artigos, Avaliado pelos pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/3993 10.32635/2176-9745.RBC.2023v69n3.3993 |
url |
https://rbc.inca.gov.br/index.php/revista/article/view/3993 |
identifier_str_mv |
10.32635/2176-9745.RBC.2023v69n3.3993 |
dc.language.iso.fl_str_mv |
por eng spa |
language |
por eng spa |
dc.relation.none.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/3993/3049 https://rbc.inca.gov.br/index.php/revista/article/view/3993/3316 https://rbc.inca.gov.br/index.php/revista/article/view/3993/3188 https://rbc.inca.gov.br/index.php/revista/article/view/3993/3048 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Revista Brasileira de Cancerologia https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Revista Brasileira de Cancerologia https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf application/pdf text/html |
dc.publisher.none.fl_str_mv |
INCA |
publisher.none.fl_str_mv |
INCA |
dc.source.none.fl_str_mv |
Revista Brasileira de Cancerologia; Vol. 69 No. 3 (2023): July/Aug./Sept.; e-063993 Revista Brasileira de Cancerologia; Vol. 69 Núm. 3 (2023): jul./ago./sept.; e-063993 Revista Brasileira de Cancerologia; v. 69 n. 3 (2023): jul./ago./set.; e-063993 2176-9745 reponame:Revista Brasileira de Cancerologia (Online) instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) instacron:INCA |
instname_str |
Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
instacron_str |
INCA |
institution |
INCA |
reponame_str |
Revista Brasileira de Cancerologia (Online) |
collection |
Revista Brasileira de Cancerologia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
repository.mail.fl_str_mv |
rbc@inca.gov.br |
_version_ |
1797042238994251776 |