Association of cervical and breast cancer mortality with socioeconomic indicators and availability of health services

Oliveira, Nayara Priscila Dantas de; Siqueira, Camila Alves dos Santos; Lima, Kálya Yasmine Nunes de; Cancela, Marianna de Camargo; Souza, Dyego Leandro Bezerra de

doi:10.1016/j.canep.2019.101660

Cited by 23 publications

(16 citation statements)

References 15 publications

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“…In more developed regions, with a better offer of health services and technology, the number of breast cancer diagnoses is higher. Consequently, there is a higher mortality burden for the disease [ 48 ].…”

Section: Discussionmentioning

confidence: 99%

“…The study of Rocha-Brischialiri et al shows a positive spatial correlation between breast cancer mortality and access to chemotherapy and radiotherapy in Brazil [ 7 ]. The recent study by Oliveira et al, who evaluated breast cancer mortality in Brazilian IRUA, evidences that the areas with a higher offer of specialized cancer services and higher density of general practitioners presented high adjusted mortality rates for this neoplasm [ 48 ].…”

Section: Discussionmentioning

confidence: 99%

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Spatial distribution of advanced stage diagnosis and mortality of breast cancer: Socioeconomic and health service offer inequalities in Brazil

et al. 2021

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Breast cancer presents high incidence and mortality rates, being considered an important public health issue. Analyze the spatial distribution pattern of late stage diagnosis and mortality for breast cancer and its correlation with socioeconomic and health service offer-related population indicators. Ecological study, developed with 161 Intermediate Region of Urban Articulation (IRUA). Mortality data were collected from the Mortality Information System (MIS). Tumor staging data were extracted from the Hospital Cancer Registry (HCR). Socioeconomic variables were obtained from the Atlas of Human Development in Brazil; data on medical density and health services were collected from the National Registry of Health Institutions (NRHI) and Supplementary National Health Agency. Global Moran's Index and Local Indicator of Spatial Association (LISA) were utilized to verify the existence of territorial clusters. Multivariate analysis used models with global spatial effects. The proportion of late stage diagnosis of breast cancer was 39.7% (IC 39.4–40.0). The mean mortality rate for breast cancer, adjusted by the standard world population was 10.65 per 100,000 women (± 3.12). The proportion of late stage diagnosis presented positive spatial correlation with Gini’s Index (p = 0.001) and negative with the density of gynecologist doctors (p = 0.009). The adjusted mortality rates presented a positive spatial correlation with the Human Development Index (p<0.001) and density of gynecologist doctors (p<0.001). Socioeconomic and health service offer-related inequalities of the Brazilian territory are determinants of the spatial pattern of breast cancer morbimortality in Brazil.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Spatial distribution of advanced stage diagnosis and mortality of breast cancer: Socioeconomic and health service offer inequalities in Brazil

et al. 2021

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“…In regions where the delay in accessing the diagnosis and treatment of breast cancer is greater, it is more evident as high mortality rates [8,37]. Between 2004 and 2014, there were 135,432 deaths and 475,339 hospitalizations for breast cancer in Brazilian women.…”

Section: Discussionmentioning

confidence: 99%

Regional disparities in the flow of access to breast cancer hospitalizations in Brazil in 2004 and 2014

et al. 2020

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Background: Access to the diagnosis and treatment of breast cancer in Brazil is marked by immense inequalities in the provision of specialized assistance, which leads patients to seek treatment outside the place of residence. To evaluate the variations between 2004 and 2014 in the distribution of flow between place of residence and care, and the average distance traveled for treatment of breast cancer in the administrative regions and federal states of Brazil. Method: Analysis of secondary data from the years 2004 and 2014, extracted from the Department of Informatics of the Unified Health System through the Hospital Information System. Data from Hospitalization Release Authorizations were collected, and the maps were created with TabWin 3.6 software. Descriptive analysis was performed on Stata® (StataCorp, LC) 11.0. Results: In the total flow, it was observed that there was a decrease in referrals between 2004 and 2014 in most regions. In 2004 the main direction of flow was in the Midwest and Southeast regions. In 2014, however, the intensity of these admissions was centralized in the Southeast region. In relation to the average distance traveled, the North, Northeast, and Midwest regions had the highest values of displacement. Of the 27 federative units, 17 presented an increase in average distance between these periods. Conclusion: Despite the improvement in the hospitalization of residents, in most regions and federal units, Brazilians still travel great distances when they require treatment for breast cancer.

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“…Regions with the highest rates of social inequality and the lowest levels of human development presented the highest standardized mortality rates for cervical cancer, without a relationship with the distribution of health services offered to the population in a recent publication [39].…”

Section: Discussionmentioning

confidence: 93%

Health Services, Socioeconomic Indicators, and Primary Care Coverage in Mortality by Lower Genital Tract and Breast Neoplasias in Brazilian Women during Reproductive and Non-Reproductive Periods

Ramos

Figueiredo

Zuchelo

et al. 2020

IJERPH

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Women’s health assistance at the low-complexity level is focused on the most common diseases and can be affected by primary health care coverage, particularly in areas far away from large urban centers. Thus, in this work, we aim to analyze the relationship between socioeconomic status, health care indicators, and primary care coverage in mortality from neoplasms of the lower genital tract and breast in Brazilian women during reproductive and non-reproductive periods. We conducted an ecological study at the Gynecology Discipline, Medicine School, University of São Paulo. Secondary data were collected from women according to reproductive periods and mortality data from the Mortality Information System based on International Classification of Disease—10th edition regarding breast and lower genital tract neoplasms in 2017. The health service and socioeconomic indicators were obtained from the Informatics Department of the Unified Health System and Brazilian Institute of Geography and Statistics. Our results showed that primary care coverage and health service indicators were not associated with mortality from breast cancer and the female lower genital tract, both in reproductive and non-reproductive periods. Sociodemographic indicators were found to be associated with mortality from breast cancer and the female lower genital tract, with income being associated with reproductive period (β = −0.4; 95% CI, −0.8 to −0.03) and educational level in the non-reproductive period (β = 9.7; 95% CI, 1.5 to 18.0).

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Association of cervical and breast cancer mortality with socioeconomic indicators and availability of health services

Cited by 23 publications

References 15 publications

Spatial distribution of advanced stage diagnosis and mortality of breast cancer: Socioeconomic and health service offer inequalities in Brazil

Spatial distribution of advanced stage diagnosis and mortality of breast cancer: Socioeconomic and health service offer inequalities in Brazil

Regional disparities in the flow of access to breast cancer hospitalizations in Brazil in 2004 and 2014

Health Services, Socioeconomic Indicators, and Primary Care Coverage in Mortality by Lower Genital Tract and Breast Neoplasias in Brazilian Women during Reproductive and Non-Reproductive Periods

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