Racial Residential Segregation and Cervical Cancer Mortality in Health Regions of Brazil

Detalhes bibliográficos
Autor(a) principal: Nogueira, Mário Círio
Data de Publicação: 2022
Outros Autores: Costa, Ana Luísa Soares, Reis, Juliana Lopes de Oliveira, Pereira, Ítalo
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista Brasileira de Cancerologia (Online)
Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/2458
Resumo: Introduction: Cervical cancer (CC) is one of the most common cancers in women and has been associated with low levels of development. Objective: To investigate the association between standardized CC mortality rate and racial residential segregation. Method: An ecological study that had as unit of analysis the 438 Health Regions in Brazil in 2010. The outcome was the mortality rate by CC in women, standardized by age, per 100,000 women. The exposure of interest was the Racial Interaction Index (RII), a measure of residential segregation in the uniformity dimension, estimated from 2010 Census data aggregated by census tracts. The Human Development Index (HDI) was a control covariate. The association between variables was analyzed using a linear regression model. Results: The mortality rate due to CC had the highest values in the health regions of the North and Midwest and the lowest in the South and Southeast, a pattern different from the HDI and RII, with lower numbers in the North and Northeast and higher in the South and Southeast. The RII had a negative association with the mortality rate; in the model adjusted by the HDI, each increase of 0.1 in the RII was associated with a decrease of 0.6 deaths per 100,000 women. Conclusion: Residential racial segregation is associated with mortality by CC. Residential segregation indicators should be considered for inclusion in future epidemiological studies outcomes as important contextual determinants of the health-disease process.
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spelling Racial Residential Segregation and Cervical Cancer Mortality in Health Regions of BrazilSegregación Residencial Racial y Mortalidad por Cáncer del Cuello Uterino en las Regiones de Salud de BrasilSegregação Residencial Racial e Mortalidade por Câncer do Colo do Útero nas Regiões de Saúde do Brasilsegregação socialneoplasias do colo do úteroanálise espacialdisparidades nos níveis de saúdesocial segregationuterine cervical neoplasmsspatial analysishealth status disparitiessegregación socialneoplasias del cuello uterinoanálisis espacialdisparidades en el estado de saludIntroduction: Cervical cancer (CC) is one of the most common cancers in women and has been associated with low levels of development. Objective: To investigate the association between standardized CC mortality rate and racial residential segregation. Method: An ecological study that had as unit of analysis the 438 Health Regions in Brazil in 2010. The outcome was the mortality rate by CC in women, standardized by age, per 100,000 women. The exposure of interest was the Racial Interaction Index (RII), a measure of residential segregation in the uniformity dimension, estimated from 2010 Census data aggregated by census tracts. The Human Development Index (HDI) was a control covariate. The association between variables was analyzed using a linear regression model. Results: The mortality rate due to CC had the highest values in the health regions of the North and Midwest and the lowest in the South and Southeast, a pattern different from the HDI and RII, with lower numbers in the North and Northeast and higher in the South and Southeast. The RII had a negative association with the mortality rate; in the model adjusted by the HDI, each increase of 0.1 in the RII was associated with a decrease of 0.6 deaths per 100,000 women. Conclusion: Residential racial segregation is associated with mortality by CC. Residential segregation indicators should be considered for inclusion in future epidemiological studies outcomes as important contextual determinants of the health-disease process.Introducción: El cáncer de cuello uterino (CCU) es uno de los más frecuentes en las mujeres y se ha relacionado con bajos niveles de desarrollo. Objetivo: Investigar la asociación entre la tasa de mortalidad estandarizada de CCU y la segregación racial residencial. Método: Estudio ecológico que tuvo como unidad de análisis las 438 Regiones de Salud de Brasil en 2010. El resultado fue la tasa de mortalidad por CCU en mujeres, estandarizada por edad, por 100.000 mujeres. La exposición de interés fue el Índice de Interacción Racial (IIR), una medida de segregación residencial en la dimensión de uniformidad, estimada a partir de los datos del censo de 2010 agregados por secciones censales. El Índice de Desarrollo Humano (IDH) fue una covariable de control. La asociación entre variables se analizó mediante un modelo de regresión lineal. Resultados: La tasa de mortalidad por CCU tuvo los valores más altos en las Regiones de Salud del Norte y el Medio Oeste y los más bajos en el Sur y el Sudeste, un patrón diferente al del IDH y el IIR, con valores más bajos en el Norte y el Noreste y más altos en el Sur y el Sudeste. El IIR se asoció negativamente con la tasa de mortalidad; en el modelo ajustado por el IDH, cada aumento de 0,1 en el IIR se asoció con una disminución de 0,6 muertes por cada 100.000 mujeres. Conclusión: La segregación racial residencial está asociada con la mortalidad por CCU. Los indicadores de segregación residencial deberían considerarse para su inclusión en futuros estudios epidemiológicos como importantes determinantes contextuales del proceso salud-enfermedad.Introdução: O câncer do colo do útero (CCU) é um dos mais frequentes em mulheres e tem sido relacionado a baixos níveis de desenvolvimento. Objetivo: Investigar a associação entre a taxa de mortalidade padronizada por CCU e a segregação residencial racial. Método: Estudo ecológico que teve como unidade de análise as 438 Regiões de Saúde do Brasil em 2010. O desfecho foi a taxa de mortalidade por CCU em mulheres, padronizada por idade, por 100 mil mulheres. A exposição de interesse foi o Índice de Interação Racial (IIR), uma medida de segregação residencial da dimensão uniformidade, estimada a partir de dados do Censo Demográfico 2010 agregados por setores censitários. O Índice de Desenvolvimento Humano (IDH) foi covariável de controle. A associação entre as variáveis foi analisada por modelo de regressão linear. Resultados: A taxa de mortalidade por CCU teve os maiores valores nas Regiões de Saúde do Norte e do Centro-Oeste, e os menores no Sul e no Sudeste, padrão diferente do IDH e do IIR, com valores menores no Norte e no Nordeste e maiores no Sul e no Sudeste. O IIR teve associação negativa com a taxa de mortalidade; no modelo ajustado pelo IDH, cada aumento de 0,1 no IIR esteve associado à diminuição de 0,6 óbitos por 100 mil mulheres. Conclusão: A segregação residencial racial está associada à mortalidade por CCU. Os indicadores de segregação residencial deveriam ser considerados para inclusão em futuros estudos epidemiológicos como importantes determinantes contextuais do processo saúde-doença.INCA2022-08-16info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfapplication/pdftext/htmlhttps://rbc.inca.gov.br/index.php/revista/article/view/245810.32635/2176-9745.RBC.2022v68n3.2458Revista Brasileira de Cancerologia; Vol. 68 No. 3 (2022): July/Aug./Sept.; e-162458Revista Brasileira de Cancerologia; Vol. 68 Núm. 3 (2022): jul./ago./sept; e-162458Revista Brasileira de Cancerologia; v. 68 n. 3 (2022): jul./ago./set.; e-1624582176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporenghttps://rbc.inca.gov.br/index.php/revista/article/view/2458/2062https://rbc.inca.gov.br/index.php/revista/article/view/2458/2718https://rbc.inca.gov.br/index.php/revista/article/view/2458/2272Copyright (c) 2022 Revista Brasileira de Cancerologiahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessNogueira, Mário CírioCosta, Ana Luísa SoaresReis, Juliana Lopes de OliveiraPereira, Ítalo2023-03-13T19:20:39Zoai:rbc.inca.gov.br:article/2458Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2023-03-13T19:20:39Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Racial Residential Segregation and Cervical Cancer Mortality in Health Regions of Brazil
Segregación Residencial Racial y Mortalidad por Cáncer del Cuello Uterino en las Regiones de Salud de Brasil
Segregação Residencial Racial e Mortalidade por Câncer do Colo do Útero nas Regiões de Saúde do Brasil
title Racial Residential Segregation and Cervical Cancer Mortality in Health Regions of Brazil
spellingShingle Racial Residential Segregation and Cervical Cancer Mortality in Health Regions of Brazil
Nogueira, Mário Círio
segregação social
neoplasias do colo do útero
análise espacial
disparidades nos níveis de saúde
social segregation
uterine cervical neoplasms
spatial analysis
health status disparities
segregación social
neoplasias del cuello uterino
análisis espacial
disparidades en el estado de salud
title_short Racial Residential Segregation and Cervical Cancer Mortality in Health Regions of Brazil
title_full Racial Residential Segregation and Cervical Cancer Mortality in Health Regions of Brazil
title_fullStr Racial Residential Segregation and Cervical Cancer Mortality in Health Regions of Brazil
title_full_unstemmed Racial Residential Segregation and Cervical Cancer Mortality in Health Regions of Brazil
title_sort Racial Residential Segregation and Cervical Cancer Mortality in Health Regions of Brazil
author Nogueira, Mário Círio
author_facet Nogueira, Mário Círio
Costa, Ana Luísa Soares
Reis, Juliana Lopes de Oliveira
Pereira, Ítalo
author_role author
author2 Costa, Ana Luísa Soares
Reis, Juliana Lopes de Oliveira
Pereira, Ítalo
author2_role author
author
author
dc.contributor.author.fl_str_mv Nogueira, Mário Círio
Costa, Ana Luísa Soares
Reis, Juliana Lopes de Oliveira
Pereira, Ítalo
dc.subject.por.fl_str_mv segregação social
neoplasias do colo do útero
análise espacial
disparidades nos níveis de saúde
social segregation
uterine cervical neoplasms
spatial analysis
health status disparities
segregación social
neoplasias del cuello uterino
análisis espacial
disparidades en el estado de salud
topic segregação social
neoplasias do colo do útero
análise espacial
disparidades nos níveis de saúde
social segregation
uterine cervical neoplasms
spatial analysis
health status disparities
segregación social
neoplasias del cuello uterino
análisis espacial
disparidades en el estado de salud
description Introduction: Cervical cancer (CC) is one of the most common cancers in women and has been associated with low levels of development. Objective: To investigate the association between standardized CC mortality rate and racial residential segregation. Method: An ecological study that had as unit of analysis the 438 Health Regions in Brazil in 2010. The outcome was the mortality rate by CC in women, standardized by age, per 100,000 women. The exposure of interest was the Racial Interaction Index (RII), a measure of residential segregation in the uniformity dimension, estimated from 2010 Census data aggregated by census tracts. The Human Development Index (HDI) was a control covariate. The association between variables was analyzed using a linear regression model. Results: The mortality rate due to CC had the highest values in the health regions of the North and Midwest and the lowest in the South and Southeast, a pattern different from the HDI and RII, with lower numbers in the North and Northeast and higher in the South and Southeast. The RII had a negative association with the mortality rate; in the model adjusted by the HDI, each increase of 0.1 in the RII was associated with a decrease of 0.6 deaths per 100,000 women. Conclusion: Residential racial segregation is associated with mortality by CC. Residential segregation indicators should be considered for inclusion in future epidemiological studies outcomes as important contextual determinants of the health-disease process.
publishDate 2022
dc.date.none.fl_str_mv 2022-08-16
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
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status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/2458
10.32635/2176-9745.RBC.2022v68n3.2458
url https://rbc.inca.gov.br/index.php/revista/article/view/2458
identifier_str_mv 10.32635/2176-9745.RBC.2022v68n3.2458
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/2458/2062
https://rbc.inca.gov.br/index.php/revista/article/view/2458/2718
https://rbc.inca.gov.br/index.php/revista/article/view/2458/2272
dc.rights.driver.fl_str_mv Copyright (c) 2022 Revista Brasileira de Cancerologia
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 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
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. 68 No. 3 (2022): July/Aug./Sept.; e-162458
Revista Brasileira de Cancerologia; Vol. 68 Núm. 3 (2022): jul./ago./sept; e-162458
Revista Brasileira de Cancerologia; v. 68 n. 3 (2022): jul./ago./set.; e-162458
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
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