Disparities in cervical and breast cancer mortality in Brazil
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/84395 |
Resumo: | OBJECTIVE To analyze cervical and breast cancer mortality in Brazil according to socioeconomic and welfare indicators. METHODS Data on breast and cervical cancer mortality covering a 30-year period (1980-2010) were analyzed. The data were obtained from the National Mortality Database, population data from the Brazilian Institute of Geography and Statistics database, and socioeconomic and welfare information from the Institute of Applied Economic Research. Moving averages were calculated, disaggregated by capital city and municipality. The annual percent change in mortality rates was estimated by segmented linear regression using the joinpoint method. Pearson’s correlation coefficients were conducted between average mortality rate at the end of the three-year period and selected indicators in the state capital and each Brazilian state. RESULTS There was a decline in cervical cancer mortality rates throughout the period studied, except in municipalities outside of the capitals in the North and Northeast. There was a decrease in breast cancer mortality in the capitals from the end of the 1990s onwards. Favorable socioeconomic indicators were inversely correlated with cervical cancer mortality. A strong direct correlation was found with favorable indicators and an inverse correlation with fertility rate and breast cancer mortality in inner cities. CONCLUSIONS There is an ongoing dynamic process of increased risk of cervical and breast cancer and attenuation of mortality because of increased, albeit unequal, access to and provision of screening, diagnosis and treatment. |
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Disparities in cervical and breast cancer mortality in Brazil Os grandes contrastes na mortalidade por câncer do colo uterino e de mama no Brasil OBJECTIVE To analyze cervical and breast cancer mortality in Brazil according to socioeconomic and welfare indicators. METHODS Data on breast and cervical cancer mortality covering a 30-year period (1980-2010) were analyzed. The data were obtained from the National Mortality Database, population data from the Brazilian Institute of Geography and Statistics database, and socioeconomic and welfare information from the Institute of Applied Economic Research. Moving averages were calculated, disaggregated by capital city and municipality. The annual percent change in mortality rates was estimated by segmented linear regression using the joinpoint method. Pearson’s correlation coefficients were conducted between average mortality rate at the end of the three-year period and selected indicators in the state capital and each Brazilian state. RESULTS There was a decline in cervical cancer mortality rates throughout the period studied, except in municipalities outside of the capitals in the North and Northeast. There was a decrease in breast cancer mortality in the capitals from the end of the 1990s onwards. Favorable socioeconomic indicators were inversely correlated with cervical cancer mortality. A strong direct correlation was found with favorable indicators and an inverse correlation with fertility rate and breast cancer mortality in inner cities. CONCLUSIONS There is an ongoing dynamic process of increased risk of cervical and breast cancer and attenuation of mortality because of increased, albeit unequal, access to and provision of screening, diagnosis and treatment. OBJETIVO Analisar a evolução da mortalidade por câncer do colo uterino e de mama no Brasil, segundo indicadores socioeconômicos e assistenciais. MÉTODOS Foram analisados dados agregados de 30 anos (1980-2010) de mortalidade por câncer de mama e colo uterino. Os dados de óbitos foram extraídos do Sistema de Informações sobre Mortalidade, os denominadores populacionais, do Instituto Brasileiro de Geografia e Estatística, e os indicadores socioeconômicos e assistenciais do Instituto de Pesquisa Econômica e Aplicada. Foram calculadas as médias móveis desagregadas por capitais e municípios do interior dos estados. O percentual de mudança anual das taxas foi estimado a partir da regressão linear segmentada por joinpoint. Foi feita correlação de Pearson entre as taxas médias trienais do final do período e os indicadores selecionados das capitais e de cada estado brasileiro. RESULTADOS Houve queda da mortalidade por câncer do colo uterino em todo o período, exceto em municípios das regiões Norte e Nordeste fora das capitais. Houve declínio na mortalidade por câncer de mama nas capitais a partir do final da década de 1990. Os indicadores socioeconômicos positivos correlacionaram-se inversamente com a mortalidade de câncer do colo uterino. Observou-se forte correlação direta entre indicadores positivos e inversa com a taxa de fecundidade e a mortalidade por câncer de mama nos municípios do interior dos estados. CONCLUSÕES Encontra-se em curso um mecanismo dinâmico entre aumento de risco por câncer de mama e do colo uterino com atenuação da mortalidade em função da expansão de oferta e acesso ao rastreamento, diagnóstico e tratamento, porém de forma desigual. Universidade de São Paulo. Faculdade de Saúde Pública2014-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/8439510.1590/S0034-8910.2014048005214Revista de Saúde Pública; Vol. 48 No. 3 (2014); 459-467Revista de Saúde Pública; Vol. 48 Núm. 3 (2014); 459-467Revista de Saúde Pública; v. 48 n. 3 (2014); 459-4671518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPengporhttps://www.revistas.usp.br/rsp/article/view/84395/87182https://www.revistas.usp.br/rsp/article/view/84395/87183Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessGirianelli, Vania Reis Gamarra, Carmen Justina Azevedo e Silva, Gulnar 2014-09-03T18:50:46Zoai:revistas.usp.br:article/84395Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2014-09-03T18:50:46Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Disparities in cervical and breast cancer mortality in Brazil Os grandes contrastes na mortalidade por câncer do colo uterino e de mama no Brasil |
title |
Disparities in cervical and breast cancer mortality in Brazil |
spellingShingle |
Disparities in cervical and breast cancer mortality in Brazil Girianelli, Vania Reis |
title_short |
Disparities in cervical and breast cancer mortality in Brazil |
title_full |
Disparities in cervical and breast cancer mortality in Brazil |
title_fullStr |
Disparities in cervical and breast cancer mortality in Brazil |
title_full_unstemmed |
Disparities in cervical and breast cancer mortality in Brazil |
title_sort |
Disparities in cervical and breast cancer mortality in Brazil |
author |
Girianelli, Vania Reis |
author_facet |
Girianelli, Vania Reis Gamarra, Carmen Justina Azevedo e Silva, Gulnar |
author_role |
author |
author2 |
Gamarra, Carmen Justina Azevedo e Silva, Gulnar |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Girianelli, Vania Reis Gamarra, Carmen Justina Azevedo e Silva, Gulnar |
description |
OBJECTIVE To analyze cervical and breast cancer mortality in Brazil according to socioeconomic and welfare indicators. METHODS Data on breast and cervical cancer mortality covering a 30-year period (1980-2010) were analyzed. The data were obtained from the National Mortality Database, population data from the Brazilian Institute of Geography and Statistics database, and socioeconomic and welfare information from the Institute of Applied Economic Research. Moving averages were calculated, disaggregated by capital city and municipality. The annual percent change in mortality rates was estimated by segmented linear regression using the joinpoint method. Pearson’s correlation coefficients were conducted between average mortality rate at the end of the three-year period and selected indicators in the state capital and each Brazilian state. RESULTS There was a decline in cervical cancer mortality rates throughout the period studied, except in municipalities outside of the capitals in the North and Northeast. There was a decrease in breast cancer mortality in the capitals from the end of the 1990s onwards. Favorable socioeconomic indicators were inversely correlated with cervical cancer mortality. A strong direct correlation was found with favorable indicators and an inverse correlation with fertility rate and breast cancer mortality in inner cities. CONCLUSIONS There is an ongoing dynamic process of increased risk of cervical and breast cancer and attenuation of mortality because of increased, albeit unequal, access to and provision of screening, diagnosis and treatment. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-06-01 |
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/rsp/article/view/84395 10.1590/S0034-8910.2014048005214 |
url |
https://www.revistas.usp.br/rsp/article/view/84395 |
identifier_str_mv |
10.1590/S0034-8910.2014048005214 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/84395/87182 https://www.revistas.usp.br/rsp/article/view/84395/87183 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 48 No. 3 (2014); 459-467 Revista de Saúde Pública; Vol. 48 Núm. 3 (2014); 459-467 Revista de Saúde Pública; v. 48 n. 3 (2014); 459-467 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
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1800221795816570880 |