Influência dos índices socioeconômicos municipais nas taxas de mortalidade por câncer de boca e orofaringe em idosos no estado de São Paulo

Sakamoto, Akiko; Brizon, Valéria Silva Cândido; Bulgareli, Jaqueline Vilela; Ambrosano, Gláucia María Bovi; Hebling, Eduardo

doi:10.1590/1980-549720190013

Cited by 17 publications

(13 citation statements)

References 18 publications

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“…When we discuss regional mortality rate differences, variance in regional mortality rate depending on its SES is often of interest for public health practice. Many studies globally investigating the relationships between regional SES and all-cause or cause-specific mortality rate [3][4][5], as well as a disparity among SES, have been shown in several countries. Some studies also indicate association between Japan's individual SES and mortality rates or health in recent years [6,7], and it is meaningful to examine whether there are differences in mortality rate depending on regional SES using recent Japan Vital Statistics data.…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic Disparities in All-Cause and Cause-Specific Mortality Rates among Municipalities in Japan, 1999–2019

Okui

2020

IJERPH

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Differences in all-cause and cause-specific mortality rates depending on municipal socioeconomic status (SES) in Japan have not been revealed over the last 20 years. This study exposes the difference in 1999 and 2019 using the Vital Statistics. All of the municipalities were grouped into five quintiles based on their SES, and standardized mortality ratio (SMR) of each municipal quintile compared with all of Japan was calculated for all-cause mortality and representative cause of deaths. As a result, although SMR for all-cause mortality for women tended to be lower in low SES quintiles in 1999, the reverse phenomenon was observed in 2019. Additionally, although SMR for all-cause of mortality for men was the lowest in the highest SES quintiles already in 1999, the difference in the SMR for all-cause mortality rates between the lowest and highest SES quintiles increased in 2019. The improvement of the SMR in the highest SES quintile and the deterioration in the lowest was also observed in representative types of cancer, heart disease, stroke, pneumonia, liver disease, and renal failure for men and women. Therefore, this study indicates a disparity in mortality depending on municipal SES enlarged in the last 20 years.

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Section: Introductionmentioning

confidence: 99%

Socioeconomic Disparities in All-Cause and Cause-Specific Mortality Rates among Municipalities in Japan, 1999–2019

Okui

2020

IJERPH

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“…In general, larger, and more developed cities have a better structured health service network, with greater encouragement and training of professionals for active disease tracking 15,16 . In addition, the population of those cities has higher life expectancy, which increases the proportion of the risk group for advanced age, in addition to greater access to diagnosis and hospitalization 17,18 . Inverse associations between HDI and oral cancer were found in studies that evaluated mortality rates 9,10,18 .…”

Section: Discussionmentioning

confidence: 99%

“…In addition, the population of those cities has higher life expectancy, which increases the proportion of the risk group for advanced age, in addition to greater access to diagnosis and hospitalization 17,18 . Inverse associations between HDI and oral cancer were found in studies that evaluated mortality rates 9,10,18 . These ndings show that the largest number of oral cancer cases is concentrated in more developed regions.…”

Section: Discussionmentioning

confidence: 99%

Public Oral Health Services Coverage and Socioeconomic Indicators’ Effect on The Number of Hospitalized Cases of Oral Cancer in Brazil

Freire

Araújo

et al. 2020

Preprint

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Background: Oral cancer still representing one of the most frequent neoplasms worldwide, especially in developing countries. Socioeconomic factors and access to health services may be associated with the risk of oral cancer. This study analyzed the frequency of new hospitalized cases of oral cancer in Brazil, according to socioeconomic variables and data on oral health coverage in its public health system. Methods: Observational study, with a retrospective cohort design, whose sampling units was composed of all Brazilian cities that registered at least one hospitalized case of oral cancer in the National Cancer Institute database, between 2002-2017. For each city included, were collected the population size, Municipal Human Development Index (M-HDI), Gini Coefficient, as well as data regarding oral health coverage in primary care and the number of Dental Specialized Center (DSC). The COX regression was used to determine the risk ratio for a city to present a new hospitalized case of oral cancer, and the effect of the predictor variables on the incidence of cases was verified by the Hazard Ratio measure. Accumulated risk curves were obtained for the adjusted model, and for each variable. Results: All predictor variables were considered significant in the regression model (p<0.05). Cities above 50 thousand inhabitants, with high or very high M-HDI, more unequal (Gini>0.4), with less oral health coverage in primary care (<50%) and without the presence of DSC demonstrated a greater accumulated risk of having 1 or more hospitalized cases of oral cancer. Conclusions: The risk of hospitalization for oral cancer in Brazil is greater in cities with a larger population size, more developed, with greater inequality of income distribution and with less availability of public oral health services.

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“…O coeficiente de mortalidade por câncer de boca com correlação positiva para o IDHM pode ser justificado pelo fato da população de capitais populosas e com elevado IDHM apresentar maior suscetibilidade aos fatores de risco para doenças crônicas não-transmissíveis como o câncer, assim como pela maior expectativa de vida e melhor utilização do SIM (CASTRO-SILVA et al, 2012;SAKAMOTO et al 2019). Entretanto, tais achados divergem das taxas de mortalidade por câncer de boca e de orofaringe em idosos nos municípios do estado de São Paulo no período de 2013 a 2015, onde localidades com maiores IDHM apresentaram menores taxas de mortalidade (MOI et al, 2018), sugerindo discrepâncias locorregionais.…”

Section: Métodosunclassified

Mortalidade Por Câncer De Boca Frente Às Desigualdades Sociais E O Desenvolvimento Humano No Brasil: Um Estudo Ecológico

Maciel

Castro-Silva

2021

Hygeia

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O presente estudo tem como objetivo analisar a distribuição espacial da mortalidade por câncer de boca em 2018 e fatores sociais associados no Brasil. Trata-se de um estudo ecológico dos óbitos por câncer de boca agregados em 161 Regiões Intermediárias de Articulação Urbana utilizando como variáveis independentes o Índice de Desenvolvimento Humano Municipal (IDHM) e o Índice de Gini. Foram calculados os coeficientes de mortalidade e utilizado método Bayesiano Empírico Local. A mortalidade por câncer de boca no Brasil possuiu autocorrelação espacial. No modelo de regressão multivariado clássico, índice de Gini apresentou relação inversamente proporcional à mortalidade por câncer de boca. Nos modelos Spatial Lag e Spatial Error, o último apresentou os melhores parâmetros: R2= 0,4319; Log da Verossimilhança = -242,805; AIC = 491,611 e SBC = 500,855. Assim, pode-se concluir que o IDHM e o Índice de Gini são variáveis preditoras para o óbito por câncer de boca no Brasil, possibilitando uma atuação mais direcionada.

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Influência dos índices socioeconômicos municipais nas taxas de mortalidade por câncer de boca e orofaringe em idosos no estado de São Paulo

Cited by 17 publications

References 18 publications

Socioeconomic Disparities in All-Cause and Cause-Specific Mortality Rates among Municipalities in Japan, 1999–2019

Socioeconomic Disparities in All-Cause and Cause-Specific Mortality Rates among Municipalities in Japan, 1999–2019

Public Oral Health Services Coverage and Socioeconomic Indicators’ Effect on The Number of Hospitalized Cases of Oral Cancer in Brazil

Mortalidade Por Câncer De Boca Frente Às Desigualdades Sociais E O Desenvolvimento Humano No Brasil: Um Estudo Ecológico

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