Mortality from cervical cancer in Brazil: an ecological epidemiologic study of a 22-year analysis

Abstract

Mortality data obtained from the mortality information system (SIM) identified a total of 103,094 women with cervical cancer in Brazil. However, associations between mortality and sociodemographic variables in these patients are not fully understood. Therefore, this study aimed to analyse the sociodemographic factors (geographic region, age, race and marital status) that predict cervical cancer mortality in Brazil between 1996 and 2017. A descriptive, analytic and retrospective study was carried out using secondary data on deaths from cervical cancer recorded in the SIM-DATASUS. Deaths reported between 1996 and 2017 in the health information system and classified by the International Classification of Diseases-10 were included. Sociodemographic factors (geographic regions, age, sex and race) were subjected to inferential analysis for a relation with mortality. Mortality increases during the aging process after the third decade of life. However, single women who die are usually diagnosed with cancer in the early stage of the disease. The mortality rate is higher in Black women and women living in the North, South and Southeast regions of Brazil. Yellow women have a lower mortality in the country. Besides, each region has specific characteristics in relation to race and marital status. White women who died had some form of stable union during life, whereas the other races were more associated with single marital status. Thus, the sociodemographic factors that predict mortality in women with cervical cancer in Brazil were identified and can be used to guide the public health policies.

Mortalidade por câncer de colo de útero nas regiões brasileiras: Um estudo ecológico

“…Este estudo identifica uma tendência temporal de aumento na taxa de mortalidade por câncer de colo uterino (CCU) no Ademais, de acordo com Vargas et al (2020), no estudo sobre mortalidade por CCU em mulheres brasileiras no período de 1996 a 2015, o Norte do país também foi a região que demonstrou o maior aumento dos índices de mortalidade, quando comparada às demais regiões. Dantas et al (2020), mostrou que, esse aumento na região Norte, está atrelado aos menores índices de realização de exames de rastreio nos serviços de saúde na região.…”

Impacts of Sociodemographic Factors, Screening, and Organization of Health Services on Breast Cancer Mortality in Brazil: An Ecological Study of 20 Years

“…Such an approach invariably introduces constraints rooted in the integrity of data compilation. Within this context, certain data points remain shrouded in obscurity or elude reporting, exemplified by the conspicuous absence of information pertaining to social, demographic, and economic variables—this constitutes a pronounced drawback afflicting our research [ 47 , 48 ]. Furthermore, it is imperative to acknowledge the emergence of biases or ecological fallacies stemming from the potentiality of engendering causal inferences with respect to individuals, predicated upon observations amassed from collective groupings.…”

Impact of screening on cervical cancer incidence and mortality in a Northern Brazilian city

“…In addition, each region has specific traits regarding race and marital status. White women who died had some form of stable union during their lifetime, while other races are more associated with single marital status [2].…”