Use este identificador para citar ou linkar para este item: http://repositorio.bc.ufg.br/handle/ri/15996
Tipo do documento: Artigo
Título: Temporal trends in female breast cancer mortality in Brazil and correlations with social inequalities: ecological time-series study
Autor: Gonzaga, Carolina Maciel Reis
Freitas Júnior, Ruffo
Curado, Maria Paula
Sousa, Ana Luiza Lima
Souza Neto, José Augusto
Souza, Marta Rovery
Resumo: Background: Breast cancer is the most common cause of death from cancer in women in less developed regions. Therefore, the objective of this study was to provide data on the temporal trends in female breast cancer mortality between 1990 and 2011 and to evaluate its association with the social inequalities present in Brazil. Methods: Breast cancer mortality data and estimates for the resident population were obtained from the Brazilian National Health Service database for the 1990–2011 period. Age-standardized mortality rates were calculated (20–39, 40–49, 50–69 and ≥70 years) by direct standardization using the 1960 standard world population. Trends were modeled using joinpoint regression model and linear regression. The Social Exclusion Index and the Human Development Index were used to classify the 27 Brazilian states. Pearson’s correlation was used to describe the association between the Social Exclusion Index and the Human DeveIopment and the variations in mortality rates in each state. Results: Age-standardized mortality rates in Brazil were found to be stable (annual percent change [APC] = 0.3; 95% CI: −0.1 – 0.7) between 1994 and 2011. Considering the Brazilian states, significant decreases in mortality rates were found in Rio Grande do Sul, Rio de Janeiro and São Paulo. Increases in mortality rates were most notable in the states of Maranhão (APC = 11.2; 95 %CI: 5.8 – 16.9), Piauí (APC = 9.8; 95% CI: 7.6 – 12.1) and Paraíba (APC = 9.3; 95% CI: 6.0 – 12.8). There was a statistically significant correlation between Social Exclusion Index and a change in female breast cancer mortality rates in the Brazilian states between 1990 and 2011 and between Human Development Index and mortality between 2001 and 2011. Conclusions: Female breast cancer mortality rates are stable in Brazil. Reductions in these rates were found in the more developed states, possibly reflecting better healthcare.
Palavras-chave: Breast cancer
Mortality
Trends
Brazil
Socioeconomic factors
País: Gra-bretanha
Unidade acadêmica: Faculdade de Enfermagem - FEN (RG)
Citação: GONZAGA, Carolina Maciel Reis et al. Temporal trends in female breast cancer mortality in Brazil and correlations with social inequalities: ecological time-series study. BMC Public Health, London, v. 15, n. 96, p. 1-9, Feb. 2015.
Tipo de acesso: Acesso Aberto
Identificador do documento: 10.1186/s12889-015-1445-7
Identificador do documento: 10.1186/s12889-015-1445-7
URI: http://repositorio.bc.ufg.br/handle/ri/15996
Data de publicação: Fev-2015
Aparece nas coleções:FEN - Artigos publicados em periódicos

Arquivos associados a este item:
Arquivo Descrição TamanhoFormato 
Artigo - Carolina Maciel Reis Gonzaga - 2015.pdf1,24 MBAdobe PDFThumbnail
Baixar/Abrir


Este item está licenciada sob uma Licença Creative Commons Creative Commons