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Clusters of high-risk, low-risk, and temporal trends of breast and cervical cancer-related mortality in São Paulo, Brazil, during 2000-2016.
Bermudi, P M M; Pellini, A C G; Diniz, C S G; Ribeiro, A G; de Aguiar, B S; Failla, M A; Chiaravalloti Neto, F.
Afiliação
  • Bermudi PMM; School of Public Health of University of São Paulo, São Paulo, Brazil. Electronic address: patricia.bermudi@usp.br.
  • Pellini ACG; Nove de Julho University - UNINOVE, São Paulo, Brazil and Sao Caetano do Sul Municipal University Sao Caetano do Sul, Brazil.
  • Diniz CSG; School of Public Health of University of São Paulo, São Paulo, Brazil.
  • Ribeiro AG; Educational and Research Institute, Barretos Cancer Hospital, Barretos, São Paulo, Brazil.
  • de Aguiar BS; Municipal Health Department of São Paulo, Coordination of Epidemiology and Information - São Paulo (SP), Brazil.
  • Failla MA; Center for Geoprocessing and Socioenvironmental Information (GISA) of the Coordination of Epidemiology and Information (CEInfo) of the Municipal Health Department of São Paulo, São Paulo, Brazil.
  • Chiaravalloti Neto F; School of Public Health of University of São Paulo, São Paulo, Brazil.
Ann Epidemiol ; 78: 61-67, 2023 Feb.
Article em En | MEDLINE | ID: mdl-36586458
PURPOSE: Studying breast and cervical cancers in space and time and verifying divergences of different territorially established socioeconomic profiles. METHODS: Ecological study using spatial scanning (with socioeconomic characterization), space-time, and spatial variation of temporal trends, in order to identify significant clusters of high- and low-risk or temporal trends, of deaths from breast cancer and cervical cancer, in the city of São Paulo, Brazil, during 2000-2016. RESULTS: High-risk spatial clusters were identified in the central areas, and low-risk clusters were identified in the peripheral areas, which were associated with better and worse socioeconomic conditions, respectively. As for cervical cancer, the pattern was the opposite. High-risk space-time clusters occurred in the early years of the study, whereas low-risk clusters occurred in the most recent years. For breast cancer, the central areas showed a temporal trend of decreasing mortality and the peripheral areas showed an increasing trend. While for cervical cancer, in general, the temporal trend was for the identified clusters to fall. CONCLUSIONS: It is expected that this study will provide insights for the formulation of public policies to implement prevention and control measures, in order to reduce mortality and inequalities related to breast and cervical cancers.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias da Mama / Neoplasias do Colo do Útero Tipo de estudo: Etiology_studies / Risk_factors_studies Limite: Female / Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Ann Epidemiol Assunto da revista: EPIDEMIOLOGIA Ano de publicação: 2023 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias da Mama / Neoplasias do Colo do Útero Tipo de estudo: Etiology_studies / Risk_factors_studies Limite: Female / Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Ann Epidemiol Assunto da revista: EPIDEMIOLOGIA Ano de publicação: 2023 Tipo de documento: Article País de publicação: Estados Unidos