A multilevel assessment of the social determinants associated with the late stage diagnosis of breast cancer
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRN |
Texto Completo: | https://repositorio.ufrn.br/handle/123456789/54783 https://doi.org/10.1038/s41598-021-82047-0 |
Resumo: | The advanced-stage diagnosis of breast cancer reveals the inequalities associated with socioeconomic conditions and the offer of health services. This study analyzes the prevalence of advanced breast cancer and its relationship with individual and contextual socioeconomic indicators and offer of health service. A cross-sectional study is presented herein, on the assessment of malignant breast neoplasms in women diagnosed between 2006 and 2015 (n = 195,201). Data were collected from the Hospital Cancer Registry (HCR), Atlas of Human Development in Brazil, and from the National Registry of Health Institutions (NRHI). A multilevel Poisson Regression was carried out with random intercept. The prevalence of advanced breast cancer diagnosis was 40.0%. Advanced staging was associated with younger age groups (PR 1.41), race/nonwhite (PR 1.13), lower education levels (PR 1.38), and public access to health services (PR 1.25). There was also an association with a low density of mammographic equipment (PR 1.08), and with low indices of local social inequality (PR 1.33) and human development (PR 0.80). This study maps and highlights the causes related to inequalities in the diagnosis of advanced breast cancer in Brazil, and presents essential data to reorient public policies and health-related actions to strengthen the control of breast cancer in Brazil |
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Souza, Dyego Leandro Bezerra deOliveira, Nayara Priscila Dantas deCancela, Marianna de CamargoMartins, Luís Felipe Leitehttps://orcid.org/0000-0001-8426-31202023-09-12T18:14:02Z2023-09-12T18:14:02Z2021SOUZA, Dyego Leandro Bezerra de; OLIVEIRA, Nayara Priscila Dantas de; CANCELA, Marianna de Camargo; MARTINS, Luís Felipe Leite. A multilevel assessment of the social determinants associated with the late stage diagnosis of breast cancer. Scientific Reports, [S.L.], v. 11, n. 1, p. 1, 1 fev. 2021. Springer Science and Business Media LLC. http://dx.doi.org/10.1038/s41598-021-82047-0. Disponível em: https://www.nature.com/articles/s41598-021-82047-0. Acesso em: 04 set. 2023.e2045-2322https://repositorio.ufrn.br/handle/123456789/54783https://doi.org/10.1038/s41598-021-82047-0SpringerAttribution 3.0 Brazilhttp://creativecommons.org/licenses/by/3.0/br/info:eu-repo/semantics/openAccessbreast cancerlate stage diagnosisA multilevel assessment of the social determinants associated with the late stage diagnosis of breast cancerinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleThe advanced-stage diagnosis of breast cancer reveals the inequalities associated with socioeconomic conditions and the offer of health services. This study analyzes the prevalence of advanced breast cancer and its relationship with individual and contextual socioeconomic indicators and offer of health service. A cross-sectional study is presented herein, on the assessment of malignant breast neoplasms in women diagnosed between 2006 and 2015 (n = 195,201). Data were collected from the Hospital Cancer Registry (HCR), Atlas of Human Development in Brazil, and from the National Registry of Health Institutions (NRHI). A multilevel Poisson Regression was carried out with random intercept. The prevalence of advanced breast cancer diagnosis was 40.0%. Advanced staging was associated with younger age groups (PR 1.41), race/nonwhite (PR 1.13), lower education levels (PR 1.38), and public access to health services (PR 1.25). There was also an association with a low density of mammographic equipment (PR 1.08), and with low indices of local social inequality (PR 1.33) and human development (PR 0.80). This study maps and highlights the causes related to inequalities in the diagnosis of advanced breast cancer in Brazil, and presents essential data to reorient public policies and health-related actions to strengthen the control of breast cancer in Brazilengreponame:Repositório Institucional da UFRNinstname:Universidade Federal do Rio Grande do Norte (UFRN)instacron:UFRNORIGINALMultilevelAssessmentSocial_Souza_2021.pdfMultilevelAssessmentSocial_Souza_2021.pdfapplication/pdf1111182https://repositorio.ufrn.br/bitstream/123456789/54783/1/MultilevelAssessmentSocial_Souza_2021.pdfb0c02c2426fef3f2ce1e46d9f12d289fMD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8914https://repositorio.ufrn.br/bitstream/123456789/54783/2/license_rdf4d2950bda3d176f570a9f8b328dfbbefMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-81484https://repositorio.ufrn.br/bitstream/123456789/54783/3/license.txte9597aa2854d128fd968be5edc8a28d9MD53123456789/547832023-09-12 15:14:03.875oai:https://repositorio.ufrn.br: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Repositório de PublicaçõesPUBhttp://repositorio.ufrn.br/oai/opendoar:2023-09-12T18:14:03Repositório Institucional da UFRN - Universidade Federal do Rio Grande do Norte (UFRN)false |
dc.title.pt_BR.fl_str_mv |
A multilevel assessment of the social determinants associated with the late stage diagnosis of breast cancer |
title |
A multilevel assessment of the social determinants associated with the late stage diagnosis of breast cancer |
spellingShingle |
A multilevel assessment of the social determinants associated with the late stage diagnosis of breast cancer Souza, Dyego Leandro Bezerra de breast cancer late stage diagnosis |
title_short |
A multilevel assessment of the social determinants associated with the late stage diagnosis of breast cancer |
title_full |
A multilevel assessment of the social determinants associated with the late stage diagnosis of breast cancer |
title_fullStr |
A multilevel assessment of the social determinants associated with the late stage diagnosis of breast cancer |
title_full_unstemmed |
A multilevel assessment of the social determinants associated with the late stage diagnosis of breast cancer |
title_sort |
A multilevel assessment of the social determinants associated with the late stage diagnosis of breast cancer |
author |
Souza, Dyego Leandro Bezerra de |
author_facet |
Souza, Dyego Leandro Bezerra de Oliveira, Nayara Priscila Dantas de Cancela, Marianna de Camargo Martins, Luís Felipe Leite |
author_role |
author |
author2 |
Oliveira, Nayara Priscila Dantas de Cancela, Marianna de Camargo Martins, Luís Felipe Leite |
author2_role |
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 Oliveira, Nayara Priscila Dantas de Cancela, Marianna de Camargo Martins, Luís Felipe Leite |
dc.subject.por.fl_str_mv |
breast cancer late stage diagnosis |
topic |
breast cancer late stage diagnosis |
description |
The advanced-stage diagnosis of breast cancer reveals the inequalities associated with socioeconomic conditions and the offer of health services. This study analyzes the prevalence of advanced breast cancer and its relationship with individual and contextual socioeconomic indicators and offer of health service. A cross-sectional study is presented herein, on the assessment of malignant breast neoplasms in women diagnosed between 2006 and 2015 (n = 195,201). Data were collected from the Hospital Cancer Registry (HCR), Atlas of Human Development in Brazil, and from the National Registry of Health Institutions (NRHI). A multilevel Poisson Regression was carried out with random intercept. The prevalence of advanced breast cancer diagnosis was 40.0%. Advanced staging was associated with younger age groups (PR 1.41), race/nonwhite (PR 1.13), lower education levels (PR 1.38), and public access to health services (PR 1.25). There was also an association with a low density of mammographic equipment (PR 1.08), and with low indices of local social inequality (PR 1.33) and human development (PR 0.80). This study maps and highlights the causes related to inequalities in the diagnosis of advanced breast cancer in Brazil, and presents essential data to reorient public policies and health-related actions to strengthen the control of breast cancer in Brazil |
publishDate |
2021 |
dc.date.issued.fl_str_mv |
2021 |
dc.date.accessioned.fl_str_mv |
2023-09-12T18:14:02Z |
dc.date.available.fl_str_mv |
2023-09-12T18:14:02Z |
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 |
SOUZA, Dyego Leandro Bezerra de; OLIVEIRA, Nayara Priscila Dantas de; CANCELA, Marianna de Camargo; MARTINS, Luís Felipe Leite. A multilevel assessment of the social determinants associated with the late stage diagnosis of breast cancer. Scientific Reports, [S.L.], v. 11, n. 1, p. 1, 1 fev. 2021. Springer Science and Business Media LLC. http://dx.doi.org/10.1038/s41598-021-82047-0. Disponível em: https://www.nature.com/articles/s41598-021-82047-0. Acesso em: 04 set. 2023. |
dc.identifier.uri.fl_str_mv |
https://repositorio.ufrn.br/handle/123456789/54783 |
dc.identifier.issn.none.fl_str_mv |
e2045-2322 |
dc.identifier.doi.none.fl_str_mv |
https://doi.org/10.1038/s41598-021-82047-0 |
identifier_str_mv |
SOUZA, Dyego Leandro Bezerra de; OLIVEIRA, Nayara Priscila Dantas de; CANCELA, Marianna de Camargo; MARTINS, Luís Felipe Leite. A multilevel assessment of the social determinants associated with the late stage diagnosis of breast cancer. Scientific Reports, [S.L.], v. 11, n. 1, p. 1, 1 fev. 2021. Springer Science and Business Media LLC. http://dx.doi.org/10.1038/s41598-021-82047-0. Disponível em: https://www.nature.com/articles/s41598-021-82047-0. Acesso em: 04 set. 2023. e2045-2322 |
url |
https://repositorio.ufrn.br/handle/123456789/54783 https://doi.org/10.1038/s41598-021-82047-0 |
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Springer |
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Springer |
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