Idosos com câncer no município de São Paulo: quais fatores determinam o local do óbito?

Abstract

OBJECTIVE Investigate factors associated with death at home among older adults who died of cancer in a large city.METHODS This is a descriptive study, including all cancer deaths (ICD C00-C97) occurring between 2006 and 2012, among residents of the city of São Paulo, 60 years of age or older. The data source was the Mortality Information System, and the proportion of deaths was calculated according to place of occurrence, gender, age, race/skin color, education, marital status, cancer type, hospital bed availability, and year of death. The chi-squared test was used to examine the associations between the place of death and sociodemographic and clinical variables. Logistic regression was used to identify factors associated with home death. Crude and adjusted odds ratios and the corresponding 95% confidence intervals were estimated.RESULTS Most of the deaths occurred in hospitals (88.2%). There was a significant association between the place of death and the following variables: gender, race/skin color, education, age, marital status, cancer type, hospital bed availability, and year of death. In the multivariate analysis, all variables, except the availability of hospital beds, remained as independent predictors of death at home.CONCLUSIONS There was a predominance of hospital deaths, with an increase in frequency in the period. Female gender, higher education, married or widowed status, and black race were associated with a decreased risk of death at home, while increasing age, Asian race, and solid neoplasms were associated with higher risk of dying at home.

Social inequalities and COVID-19 mortality in the city of São Paulo, Brazil

“…This finding could be explained by the fear of seeking medical care in the context of the pandemics (misinterpreting the symptoms) or cultural differences/preferences on facing a severe disease and the risk of death, particularly among elderly persons. 43 …”

Exploring factors and trends in place of death by cancer: a population-based study in Brazil

“… 29 In their study, Leite et al. 36 noted a significant reduction in the proportion of elderly individuals with cancer who passed away at home in the state of São Paulo–the percentage decreased from 10.3% in 2006 to 8.1% in 2012, indicating a notable shift. These collective results point towards a positive trend away from home deaths for cancer patients, suggesting potential improvements in end-of-life care practices within these regions, supposedly taking place in hospital settings.…”

Menos acidentes, mais mortes. A mecanização agrícola nos canaviais brasileiros e seus reflexos sobre os trabalhadores, no período de 2012 a 2020

“…Como exemplo desta intensificação da mecanização agrícola nos canaviais, tem-se o fato de que na safra 2019/2020 o percentual da colheita mecanizada chegou a 91,8% (Gomes;Walter, 2023) Tabela 1 -Força de trabalho, acidentes e taxa de incidência do setor sucroalcooleiro, área agrícola do setor e atividades manuais e mecanizadas da área agrícola no período de 2012 a 2020 No período que compreende os anos de 2012 a 2020, ocorreu uma redução de aproximadamente 55% da força de trabalho que desenvolve atividades manuais nos canaviais, conforme pode ser observado na Tabela 1. O trabalho manual desenvolvido no campo, como apontam Leite et. at.…”