Analysis of the effects of the age-period-birth cohort on cervical cancer mortality in the Brazilian Northeast
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRN |
Texto Completo: | https://repositorio.ufrn.br/handle/123456789/54941 https://doi.org/10.1371/journal.pone.0226258 |
Resumo: | Cervical cancer (CC) is a public health problem with a high disease burden and mortality in developing countries. In Brazil, areas with low human development index have the highest incidence rates of Brazil and upward temporal trend for this disease. The Northeast region has the second highest incidence of cervical cancer (20.47 new cases / 100,000 women). In this region, the mortality rates are similar to rates in countries that do not have a health system with a universal access screening program, as in Brazil. Thus, this study aimed to analyze the effects of age, period and birth cohorts on mortality from cervical cancer in the Northeast region of Brazil. Estimable functions predicted the effects of age, period and birth cohort. The average mortality rate was 10.35 deaths per 100,000 women during the period analyzed (1980–2014). The highest mortality rate per 100,000 women was observed in Maranhão (24.39 deaths), and the lowest mortality rate was observed in Bahia (11.24 deaths). According to the period effects, only the state of Rio Grande do Norte showed a reduction in mortality risk in the five years of the 2000s. There was a reduction in mortality risk for birth cohorts of women after the 1950s, except in Maranhão State, which showed an increasing trend in mortality risk for younger generations. We found that the high rates of cervical cancer mortality in the states of northeastern Brazil remain constant over time. Even after an increase in access to health services in the 2000s, associated with increased access to the cancer care network, which includes early detection (Pap Test), cervical cancer treatment and palliative care. However, it is important to note that the decreased risk of death and the mortality rates from CC among women born after the 1960s may be correlated with increased screening coverage, as well as increased access to health services for cancer treatment observed in younger women |
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Souza, Dyego Leandro Bezerra deMeira, Karina CardosoSilva, Glauber Weder dos SantosSantos, Juliano dosGuimarães, Raphael MendonçaRibeiro, Gilcilene Pretta CaniDantas, Eder Samuel OliveiraCarvalho, Jovanka Bittencourt Leite deJomar, Rafael TavaresSimões, Taynãna Cesarhttps://orcid.org/0000-0001-8426-31202023-10-09T18:27:22Z2023-10-09T18:27:22Z2020SOUZA, Dyego Leandro Bezerra de; MEIRA, Karina Cardoso; SILVA, Glauber Weder dos Santos; SANTOS, Juliano dos; GUIMARÃES, Raphael Mendonça; RIBEIRO, Gilcilene Pretta Cani; DANTAS, Eder Samuel Oliveira; CARVALHO, Jovanka Bittencourt Leite de; JOMAR, Rafael Tavares; SIMÕES, Taynãna César. Analysis of the effects of the age-period-birth cohort on cervical cancer mortality in the Brazilian Northeast. Plos One, [S.L.], v. 15, n. 2, p. 0226258, 19 fev. 2020. Public Library of Science (PLoS). http://dx.doi.org/10.1371/journal.pone.0226258. Disponível em: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0226258. Acesso em: 06 set. 2023.https://repositorio.ufrn.br/handle/123456789/54941https://doi.org/10.1371/journal.pone.0226258Plos OneAttribution 3.0 Brazilhttp://creativecommons.org/licenses/by/3.0/br/info:eu-repo/semantics/openAccesscohort on cervical cancermortalitybrazilian northeastcâncer colo de úteroAnalysis of the effects of the age-period-birth cohort on cervical cancer mortality in the Brazilian Northeastinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleCervical cancer (CC) is a public health problem with a high disease burden and mortality in developing countries. In Brazil, areas with low human development index have the highest incidence rates of Brazil and upward temporal trend for this disease. The Northeast region has the second highest incidence of cervical cancer (20.47 new cases / 100,000 women). In this region, the mortality rates are similar to rates in countries that do not have a health system with a universal access screening program, as in Brazil. Thus, this study aimed to analyze the effects of age, period and birth cohorts on mortality from cervical cancer in the Northeast region of Brazil. Estimable functions predicted the effects of age, period and birth cohort. The average mortality rate was 10.35 deaths per 100,000 women during the period analyzed (1980–2014). The highest mortality rate per 100,000 women was observed in Maranhão (24.39 deaths), and the lowest mortality rate was observed in Bahia (11.24 deaths). According to the period effects, only the state of Rio Grande do Norte showed a reduction in mortality risk in the five years of the 2000s. There was a reduction in mortality risk for birth cohorts of women after the 1950s, except in Maranhão State, which showed an increasing trend in mortality risk for younger generations. We found that the high rates of cervical cancer mortality in the states of northeastern Brazil remain constant over time. Even after an increase in access to health services in the 2000s, associated with increased access to the cancer care network, which includes early detection (Pap Test), cervical cancer treatment and palliative care. However, it is important to note that the decreased risk of death and the mortality rates from CC among women born after the 1960s may be correlated with increased screening coverage, as well as increased access to health services for cancer treatment observed in younger womenengreponame:Repositório Institucional da UFRNinstname:Universidade Federal do Rio Grande do Norte (UFRN)instacron:UFRNORIGINALCohortCervicaCancer_Souza_2020.pdfCohortCervicaCancer_Souza_2020.pdfapplication/pdf1706434https://repositorio.ufrn.br/bitstream/123456789/54941/1/CohortCervicaCancer_Souza_2020.pdfc0d3f622a70206f4df4084adcbbe19e1MD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8914https://repositorio.ufrn.br/bitstream/123456789/54941/2/license_rdf4d2950bda3d176f570a9f8b328dfbbefMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-81484https://repositorio.ufrn.br/bitstream/123456789/54941/3/license.txte9597aa2854d128fd968be5edc8a28d9MD53123456789/549412023-10-09 15:27:23.394oai:https://repositorio.ufrn.br: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Repositório de PublicaçõesPUBhttp://repositorio.ufrn.br/oai/opendoar:2023-10-09T18:27:23Repositório Institucional da UFRN - Universidade Federal do Rio Grande do Norte (UFRN)false |
dc.title.pt_BR.fl_str_mv |
Analysis of the effects of the age-period-birth cohort on cervical cancer mortality in the Brazilian Northeast |
title |
Analysis of the effects of the age-period-birth cohort on cervical cancer mortality in the Brazilian Northeast |
spellingShingle |
Analysis of the effects of the age-period-birth cohort on cervical cancer mortality in the Brazilian Northeast Souza, Dyego Leandro Bezerra de cohort on cervical cancer mortality brazilian northeast câncer colo de útero |
title_short |
Analysis of the effects of the age-period-birth cohort on cervical cancer mortality in the Brazilian Northeast |
title_full |
Analysis of the effects of the age-period-birth cohort on cervical cancer mortality in the Brazilian Northeast |
title_fullStr |
Analysis of the effects of the age-period-birth cohort on cervical cancer mortality in the Brazilian Northeast |
title_full_unstemmed |
Analysis of the effects of the age-period-birth cohort on cervical cancer mortality in the Brazilian Northeast |
title_sort |
Analysis of the effects of the age-period-birth cohort on cervical cancer mortality in the Brazilian Northeast |
author |
Souza, Dyego Leandro Bezerra de |
author_facet |
Souza, Dyego Leandro Bezerra de Meira, Karina Cardoso Silva, Glauber Weder dos Santos Santos, Juliano dos Guimarães, Raphael Mendonça Ribeiro, Gilcilene Pretta Cani Dantas, Eder Samuel Oliveira Carvalho, Jovanka Bittencourt Leite de Jomar, Rafael Tavares Simões, Taynãna Cesar |
author_role |
author |
author2 |
Meira, Karina Cardoso Silva, Glauber Weder dos Santos Santos, Juliano dos Guimarães, Raphael Mendonça Ribeiro, Gilcilene Pretta Cani Dantas, Eder Samuel Oliveira Carvalho, Jovanka Bittencourt Leite de Jomar, Rafael Tavares Simões, Taynãna Cesar |
author2_role |
author author author author author author author author author |
dc.contributor.authorID.pt_BR.fl_str_mv |
https://orcid.org/0000-0001-8426-3120 |
dc.contributor.author.fl_str_mv |
Souza, Dyego Leandro Bezerra de Meira, Karina Cardoso Silva, Glauber Weder dos Santos Santos, Juliano dos Guimarães, Raphael Mendonça Ribeiro, Gilcilene Pretta Cani Dantas, Eder Samuel Oliveira Carvalho, Jovanka Bittencourt Leite de Jomar, Rafael Tavares Simões, Taynãna Cesar |
dc.subject.por.fl_str_mv |
cohort on cervical cancer mortality brazilian northeast câncer colo de útero |
topic |
cohort on cervical cancer mortality brazilian northeast câncer colo de útero |
description |
Cervical cancer (CC) is a public health problem with a high disease burden and mortality in developing countries. In Brazil, areas with low human development index have the highest incidence rates of Brazil and upward temporal trend for this disease. The Northeast region has the second highest incidence of cervical cancer (20.47 new cases / 100,000 women). In this region, the mortality rates are similar to rates in countries that do not have a health system with a universal access screening program, as in Brazil. Thus, this study aimed to analyze the effects of age, period and birth cohorts on mortality from cervical cancer in the Northeast region of Brazil. Estimable functions predicted the effects of age, period and birth cohort. The average mortality rate was 10.35 deaths per 100,000 women during the period analyzed (1980–2014). The highest mortality rate per 100,000 women was observed in Maranhão (24.39 deaths), and the lowest mortality rate was observed in Bahia (11.24 deaths). According to the period effects, only the state of Rio Grande do Norte showed a reduction in mortality risk in the five years of the 2000s. There was a reduction in mortality risk for birth cohorts of women after the 1950s, except in Maranhão State, which showed an increasing trend in mortality risk for younger generations. We found that the high rates of cervical cancer mortality in the states of northeastern Brazil remain constant over time. Even after an increase in access to health services in the 2000s, associated with increased access to the cancer care network, which includes early detection (Pap Test), cervical cancer treatment and palliative care. However, it is important to note that the decreased risk of death and the mortality rates from CC among women born after the 1960s may be correlated with increased screening coverage, as well as increased access to health services for cancer treatment observed in younger women |
publishDate |
2020 |
dc.date.issued.fl_str_mv |
2020 |
dc.date.accessioned.fl_str_mv |
2023-10-09T18:27:22Z |
dc.date.available.fl_str_mv |
2023-10-09T18:27:22Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
SOUZA, Dyego Leandro Bezerra de; MEIRA, Karina Cardoso; SILVA, Glauber Weder dos Santos; SANTOS, Juliano dos; GUIMARÃES, Raphael Mendonça; RIBEIRO, Gilcilene Pretta Cani; DANTAS, Eder Samuel Oliveira; CARVALHO, Jovanka Bittencourt Leite de; JOMAR, Rafael Tavares; SIMÕES, Taynãna César. Analysis of the effects of the age-period-birth cohort on cervical cancer mortality in the Brazilian Northeast. Plos One, [S.L.], v. 15, n. 2, p. 0226258, 19 fev. 2020. Public Library of Science (PLoS). http://dx.doi.org/10.1371/journal.pone.0226258. Disponível em: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0226258. Acesso em: 06 set. 2023. |
dc.identifier.uri.fl_str_mv |
https://repositorio.ufrn.br/handle/123456789/54941 |
dc.identifier.doi.none.fl_str_mv |
https://doi.org/10.1371/journal.pone.0226258 |
identifier_str_mv |
SOUZA, Dyego Leandro Bezerra de; MEIRA, Karina Cardoso; SILVA, Glauber Weder dos Santos; SANTOS, Juliano dos; GUIMARÃES, Raphael Mendonça; RIBEIRO, Gilcilene Pretta Cani; DANTAS, Eder Samuel Oliveira; CARVALHO, Jovanka Bittencourt Leite de; JOMAR, Rafael Tavares; SIMÕES, Taynãna César. Analysis of the effects of the age-period-birth cohort on cervical cancer mortality in the Brazilian Northeast. Plos One, [S.L.], v. 15, n. 2, p. 0226258, 19 fev. 2020. Public Library of Science (PLoS). http://dx.doi.org/10.1371/journal.pone.0226258. Disponível em: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0226258. Acesso em: 06 set. 2023. |
url |
https://repositorio.ufrn.br/handle/123456789/54941 https://doi.org/10.1371/journal.pone.0226258 |
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eng |
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eng |
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Attribution 3.0 Brazil http://creativecommons.org/licenses/by/3.0/br/ |
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Plos One |
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