Cervical cancer mortality trends in Brazil: 1980-2009

Abstract

The objective was to describe time trends in cervical cancer mortality rates in Brazil as a whole and in the country's major geographic regions and States from 1980 to 2009. This was an ecological time series study using data recorded in the Mortality Information System (SIM) and census data collected by the Brazilian Institute of Geography and Statistics (IBGE). Analysis of mortality trends was performed using Poisson regression. Cervical cancer mortality rates in Brazil tended to stabilize. In the geographic regions, a downward trend was observed in the South (-4.1%), Southeast (-3.3%), and Central-West (-1%) and an upward trend in the Northeast (3.5%) and North (2.7%). The largest decreases were observed in the States of São Paulo (5.1%), Rio Grande do Sul, Espírito Santo, and Paraná (-4.0%). The largest increases in mortality trends occurred in Paraíba (12.4%), Maranhão (9.8%), and Tocantins (8.9%). Cervical cancer mortality rates stabilized in the country as a whole, but there was a downward trend in three geographic regions and 10 States, while two geographic regions and another 10 States showed increasing rates.

Prioritizing US Cervical Cancer Prevention With Results From a Geospatial Model

“…Regions with the highest burden of disease during the period 2005 to 2009 were largely contained to economically deprived counties within Appalachia, Texas, the lower Mississippi Valley, and the southeastern United States. The limited progress in reducing the incidence of this cancer in areas with slow economic development or an influx of immigrant populations is consistent with findings reported in Mexico, 26 Brazil, 27 and England. 28 …”

Cervical Cancer Trends in Mexico: Incidence, Mortality and Research Output

“…Mortality data were similar to other countries with a middle income, e.g. Korea (Kim et al, 2013), Chile (Vidal et al, 2013), and Brazil (Gonzaga et al, 2013). In this study, cervical cancer incidence and mortality trends remained at same level in all age groups.…”

Racial inequalities in the socioeconomic, demographic and health conditions of elderly from Maranhão State, Legal Amazon, Brazil: a population-based study

“…Although there are differences in the age groups of the women analyzed in these studies, it is possible that the recognition of the importance of mammography among the elderly women from Maranhão state is influenced by local problems related not only to access to medical services and the exam itself but also to the comprehension of the information received by these women (Viacava et al 2009;Barros et al 2011a). However, it should be noted that unlike in other studies, estimates of the performance of Pap smears did not differ among the racial groups surveyed but revealed high estimates of elderly women who had never had this exam in any stage of life, indicating failures in the health system in engaging women and timely diagnosing cervical cancer (Gonzaga et al 2013).…”