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Income Inequality and Mortality Owing to Breast Cancer: Evidence From Brazil.
Figueiredo, Francisco Winter Dos Santos; Adami, Fernando.
Afiliação
  • Figueiredo FWDS; Laboratório de Epidemiologia e Análise de Dados, Faculdade de Medicina do ABC, Santo André, Brasil. Electronic address: winterfigueiredo@gmail.com.
  • Adami F; Laboratório de Epidemiologia e Análise de Dados, Faculdade de Medicina do ABC, Santo André, Brasil.
Clin Breast Cancer ; 18(4): e651-e658, 2018 08.
Article em En | MEDLINE | ID: mdl-29239835
BACKGROUND: The relationship between breast cancer and inequality income is unclear. This study analyzed the correlation between income inequality and mortality standardized by age and proportional mortality owing to breast cancer among Brazilian women. PATIENTS AND METHODS: This is an ecological study using data of the federative units and Federal District of Brazil in 2010. The age-standardized mortality owing to breast cancer was estimated using data from the Department of Informatics of Brazil's Unified Health System. Income inequality indicators used included the Gini index, Theil-L index, Palma index, and the ratio of income distribution quintiles obtained from the United Nations Development Program. We used Pearson correlation and linear regression adjusted for income per capita and other variables. RESULTS: An increase of 0.1 in the Gini index was associated with increases of 9.8 deaths per 100,000 women (95% confidence interval [CI], 1.7-17.9); an increase in the Palma index was associated with increases in mortality of 0.7 deaths per 100,000 women (95% CI, 0.1-1.4), an increase in the Theil-L index was associated with increases in mortality of 4.9 deaths per 100,000 women (95% CI, 1.9-7.9), and of 0.8 (95% CI, 0.2-1.5) in the proportional mortality. CONCLUSION: Income inequality, as assessed by the Gini, Palma, and Theil-L indexes, is positively associated with an increase in breast cancer mortality in Brazil.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias da Mama / Renda Tipo de estudo: Prognostic_studies Aspecto: Determinantes_sociais_saude Limite: Female / Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Clin Breast Cancer Assunto da revista: NEOPLASIAS Ano de publicação: 2018 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias da Mama / Renda Tipo de estudo: Prognostic_studies Aspecto: Determinantes_sociais_saude Limite: Female / Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Clin Breast Cancer Assunto da revista: NEOPLASIAS Ano de publicação: 2018 Tipo de documento: Article País de publicação: Estados Unidos