Socioeconomic inequalities in breast cancer mortality in microregions of the Brazilian Northeast

Abstract

Objectives: to evaluate the relation between the corrected mortality rates on breast cancer and the indicators of elderly women's living conditions in the Northeast micro-regions of Brazil . Methods: an ecological study was adopted in 2010 and 2015 for 188 micro-regions in the Northeast using structural equation modeling. The data on the population, deaths and indicators on living conditions were extracted from the IBGE, SIM/MS, and SISAP-Idoso (elderly), respectively. The under-registration of death data on breast cancer, badly defined death causes and garbage codes were corrected. The standardized mortality rates were calculated to permit time-space comparison. Results: the recovery of a considerable number of deaths was made possible to obtain a greater accuracy in the mortality rates estimation in micro-regions level. An increase in the mortality rates was observed at the time. The structural equation modeling presented a robust model with significance for some indicators on living conditions. The rates were higher in the micro-regions with lower percentage of illiterate elderly women, lower percentage of elderly women living in poverty, lower dependency ratio, and higher percentage of elderly women living at home with running water. Conclusions: the results showed an increased trend of elderly women dying of breast cancer in the region and with higher levels in the micro-regions with better indicators on living conditions.

Hospitalizations for malignant breast neoplasia in brazilian regions from 2014 to 2018 / Internações por neoplasia maligna da mama nas regiões brasileiras no período de 2014 a 2018

“…13 The knowledge about the situation of breast cancer by region favors the formulation of public policies directed to the health needs of each population. 14 Breast cancer is more prevalent in females, occurring 99% of the time in this population, even though it can also occur in males. Physiological and hormonal factors characteristic of women make them the most affected by this type of cancer.…”

Distribuição da mortalidade por cânceres ginecológicos no estado da Paraíba

“…Na presente pesquisa, observa-se um aumento das médias nas quatros mesorregiões analisadas, com destaque para a Borborema e o Sertão Paraibano. Portanto, esses dados demandam atuações mais contundentes para frear o avanço das mortes pela doença (Carvalho & Paes 2019).…”

O Tratamento de Câncer de Mama em Idosas, uma Revisão Sobre as Limitações e Dificuldades

“…Adicionalmente, tem sido observado que a idade tem influência nas taxas de sobrevida dos pacientes idosos. Em um estudo incluindo os Estados do Norte do Brasil foi observado que os idosos maiores de 80 anos apresentaram uma taxa de mortalidade por câncer de próstata 18 vezes maior que idosos entre 60 a 64 anos, sendo que o CM teve as taxas de mortalidade mais elevadas de acordo com a idade do paciente PAES, 2019).…”