Disparities in female breast cancer mortality rates in Brazil between 1980 and 2009
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/40146 |
Resumo: | OBJECTIVE: To describe the temporal trends in female breast cancer mortality rates in Brazil in its macro-regions and states between 1980 and 2009. METHODS: This was an ecological time-series study using data on breast cancer deaths registered in the Mortality Data System (SIM/WHO) and census data on the resident population collected by the Brazilian Institute of Geography and Statistics (IBGE/WHO). Joinpoint regression analyses were used to identify the significant changes in trends and to estimate the annual percentage change (APC) in mortality rates. RESULTS: Female breast cancer mortality rates in Brazil tended to stabilize from 1994 onward (APC = 0.4%). Considering the Brazilian macro-regions, the annual mortality rates decreased in the Southeast, stabilized in the South and increased in the Northeast, North, and Midwest. Only the states of Sao Paulo (APC = -1.9%), Rio Grande do Sul (APC = -0.8%) and Rio de Janeiro (APC = -0.6%) presented a significant decline in mortality rates. The greatest increases were found in Maranhao (APC=12%), Paraiba (APC=11.9%), and Piaui (APC=10.9%). CONCLUSION: Although there has been a trend toward stabilization in female breast cancer mortality rates in Brazil, when the mortality rate of each macro-region and state is analyzed individually, considerable inequalities are found, with rate decline or stabilization in states with higher socioeconomic levels and a substantial increase in those with lower socioeconomic levels. |
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Disparities in female breast cancer mortality rates in Brazil between 1980 and 2009Breast CancerMortalityTrendsBrazilOBJECTIVE: To describe the temporal trends in female breast cancer mortality rates in Brazil in its macro-regions and states between 1980 and 2009. METHODS: This was an ecological time-series study using data on breast cancer deaths registered in the Mortality Data System (SIM/WHO) and census data on the resident population collected by the Brazilian Institute of Geography and Statistics (IBGE/WHO). Joinpoint regression analyses were used to identify the significant changes in trends and to estimate the annual percentage change (APC) in mortality rates. RESULTS: Female breast cancer mortality rates in Brazil tended to stabilize from 1994 onward (APC = 0.4%). Considering the Brazilian macro-regions, the annual mortality rates decreased in the Southeast, stabilized in the South and increased in the Northeast, North, and Midwest. Only the states of Sao Paulo (APC = -1.9%), Rio Grande do Sul (APC = -0.8%) and Rio de Janeiro (APC = -0.6%) presented a significant decline in mortality rates. The greatest increases were found in Maranhao (APC=12%), Paraiba (APC=11.9%), and Piaui (APC=10.9%). CONCLUSION: Although there has been a trend toward stabilization in female breast cancer mortality rates in Brazil, when the mortality rate of each macro-region and state is analyzed individually, considerable inequalities are found, with rate decline or stabilization in states with higher socioeconomic levels and a substantial increase in those with lower socioeconomic levels.Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2012-07-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/4014610.6061/clinics/2012(07)05Clinics; Vol. 67 No. 7 (2012); 731-737Clinics; v. 67 n. 7 (2012); 731-737Clinics; Vol. 67 Núm. 7 (2012); 731-7371980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/40146/43012Freitas-Junior, RuffoGonzaga, Carolina Maciel ReisFreitas, Nilceana Maya AiresMartins, EdesioDardes, Rita de Cássia de Maioinfo:eu-repo/semantics/openAccess2012-08-23T18:31:27Zoai:revistas.usp.br:article/40146Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2012-08-23T18:31:27Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Disparities in female breast cancer mortality rates in Brazil between 1980 and 2009 |
title |
Disparities in female breast cancer mortality rates in Brazil between 1980 and 2009 |
spellingShingle |
Disparities in female breast cancer mortality rates in Brazil between 1980 and 2009 Freitas-Junior, Ruffo Breast Cancer Mortality Trends Brazil |
title_short |
Disparities in female breast cancer mortality rates in Brazil between 1980 and 2009 |
title_full |
Disparities in female breast cancer mortality rates in Brazil between 1980 and 2009 |
title_fullStr |
Disparities in female breast cancer mortality rates in Brazil between 1980 and 2009 |
title_full_unstemmed |
Disparities in female breast cancer mortality rates in Brazil between 1980 and 2009 |
title_sort |
Disparities in female breast cancer mortality rates in Brazil between 1980 and 2009 |
author |
Freitas-Junior, Ruffo |
author_facet |
Freitas-Junior, Ruffo Gonzaga, Carolina Maciel Reis Freitas, Nilceana Maya Aires Martins, Edesio Dardes, Rita de Cássia de Maio |
author_role |
author |
author2 |
Gonzaga, Carolina Maciel Reis Freitas, Nilceana Maya Aires Martins, Edesio Dardes, Rita de Cássia de Maio |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Freitas-Junior, Ruffo Gonzaga, Carolina Maciel Reis Freitas, Nilceana Maya Aires Martins, Edesio Dardes, Rita de Cássia de Maio |
dc.subject.por.fl_str_mv |
Breast Cancer Mortality Trends Brazil |
topic |
Breast Cancer Mortality Trends Brazil |
description |
OBJECTIVE: To describe the temporal trends in female breast cancer mortality rates in Brazil in its macro-regions and states between 1980 and 2009. METHODS: This was an ecological time-series study using data on breast cancer deaths registered in the Mortality Data System (SIM/WHO) and census data on the resident population collected by the Brazilian Institute of Geography and Statistics (IBGE/WHO). Joinpoint regression analyses were used to identify the significant changes in trends and to estimate the annual percentage change (APC) in mortality rates. RESULTS: Female breast cancer mortality rates in Brazil tended to stabilize from 1994 onward (APC = 0.4%). Considering the Brazilian macro-regions, the annual mortality rates decreased in the Southeast, stabilized in the South and increased in the Northeast, North, and Midwest. Only the states of Sao Paulo (APC = -1.9%), Rio Grande do Sul (APC = -0.8%) and Rio de Janeiro (APC = -0.6%) presented a significant decline in mortality rates. The greatest increases were found in Maranhao (APC=12%), Paraiba (APC=11.9%), and Piaui (APC=10.9%). CONCLUSION: Although there has been a trend toward stabilization in female breast cancer mortality rates in Brazil, when the mortality rate of each macro-region and state is analyzed individually, considerable inequalities are found, with rate decline or stabilization in states with higher socioeconomic levels and a substantial increase in those with lower socioeconomic levels. |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012-07-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/40146 10.6061/clinics/2012(07)05 |
url |
https://www.revistas.usp.br/clinics/article/view/40146 |
identifier_str_mv |
10.6061/clinics/2012(07)05 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/40146/43012 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 67 No. 7 (2012); 731-737 Clinics; v. 67 n. 7 (2012); 731-737 Clinics; Vol. 67 Núm. 7 (2012); 731-737 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1800222758719717376 |