Socioeconomic changes in Brazil impacted breast cancer indexes at the beginning of the 21st century?

Figueiredo, Francisco Winter dos Santos; Cardial, Débora Terra; Almeida, Tábata Cristina do Carmo; Cardial, Caetano da Silva; Carvalho, Luís Eduardo Werneck de; Adami, Fernando

doi:10.1016/j.jcpo.2018.04.005

Cited by 7 publications

(6 citation statements)

References 18 publications

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“…These issues, in a broader context, may also be related to income inequality, as reported by Figueiredo et al [6]. Our results are useful for the formulation of public health policies, and demonstrate that the epidemiological profile and issues related to income inequality [33,34] affect the equality of access to health services [35].…”

Section: Discussionsupporting

confidence: 74%

Waiting Time between Breast Cancer Diagnosis and Treatment in Brazilian Women: An Analysis of Cases from 1998 to 2012

Ferreira

Schoueri

Sorpreso

et al. 2020

IJERPH

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Brazilian law requires that treatment for breast cancer begin within 60 days of diagnosis. This waiting time is an indicator of accessibility to health services. The aim of this study was to analyze which factors are associated with waiting times between diagnosis and treatment of breast cancer in women in Brazil between 1998 and 2012. Information from Brazilian women diagnosed with breast cancer between 1998 and 2012 was collected through the Hospital Registry of Cancer (HRC), developed by the National Cancer Institute (INCA). We performed a secondary data analysis, and found that the majority of women (81.3%) waited for ≤60 days to start treatment after being diagnosed. Those referred by the public health system, aged ≥50 years, of nonwhite race, diagnosed at stage I or II, and with low levels of education waited longer for treatment to start. We observed that only 18.7% experienced a delay in starting treatment, which is a positive reflection of the quality of the care network for the diagnosis and treatment of breast cancer. We also observed inequalities in access to health services related to age, region of residence, stage of the disease, race, and origin of referral to the health service.

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Section: Discussionsupporting

confidence: 74%

Waiting Time between Breast Cancer Diagnosis and Treatment in Brazilian Women: An Analysis of Cases from 1998 to 2012

Ferreira

Schoueri

Sorpreso

et al. 2020

IJERPH

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“…CHAs are individuals who reside in communities and gain greater access to the most vulnerable populations, rural populations and those with the lowest socioeconomic conditions. CHAs are the members of the team that make the most regular visits to the population, mainly to low-educated populations, prioritising vulnerable populations and access to the health service[ 24 ], mainly in places with high-income inequality and by impact of the income inequality to breast cancer in Brazil [ 5 , 6 , 38 ].…”

Section: Resultsmentioning

confidence: 99%

Association between primary care coverage and breast cancer mortality in Brazil

et al. 2018

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Breast cancer early detection is the major strategy for mortality rates reduction. In Brazil, Primary Health Care is an important strategy for public health promotion. To analyse the association between breast cancer mortality and primary health care indicators in Brazilian municipalities, data on breast cancer mortality and primary healthcare coverage of the 5,700 Brazilian municipalities were collected from the Department of Informatics of the Brazilian Unified Health System. We collected data on the deaths of women living in Brazil in 2010 with breast cancer. Breast cancer mortality was calculated by 100,000 women and age-standardised from the World Health Organisation population. We studied the coverage of primary health care, family health team and community health agents. We found that increase of both primary care indexes was related to increasing of the breast cancer mortality. Additionally, improving the scholarly and reducing the income inequality was related to reducing the breast cancer mortality. Strategies to improve the quality of primary care, reduce the income inequality and improve elementary scholarly should be taken into account in the development of public policies in the Brazilian municipalities to reduce breast cancer in Brazilian municipalities.

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“…This is further supported by studies finding a relationship between socioeconomic status and health outcomes [ 40 , 41 ]. People with low socioeconomic status tended to have poorer access to health services [ 42 ]. The internal variation in time to treatment in Brazil ranged from 54 to 127 days across four studies, could also be associated with the country's marked socioeconomic inequality.…”

Section: Discussionmentioning

confidence: 99%

Factors influencing the time to diagnosis and treatment of breast cancer among women in low- and middle-income countries: A systematic review

Subedi,

Houssami,

Nickson

et al. 2024

The Breast

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Socioeconomic changes in Brazil impacted breast cancer indexes at the beginning of the 21st century?

Cited by 7 publications

References 18 publications

Waiting Time between Breast Cancer Diagnosis and Treatment in Brazilian Women: An Analysis of Cases from 1998 to 2012

Waiting Time between Breast Cancer Diagnosis and Treatment in Brazilian Women: An Analysis of Cases from 1998 to 2012

Association between primary care coverage and breast cancer mortality in Brazil

Factors influencing the time to diagnosis and treatment of breast cancer among women in low- and middle-income countries: A systematic review

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