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(Reference retrieved automatically from SciELO through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Spatial pattern of mortality from breast and cervical cancer in the city of São Paulo

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Author(s):
Patricia Marques Moralejo Bermudi [1] ; Alessandra Cristina Guedes Pellini ; Elizabeth Angélica Salinas Rebolledo [3] ; Carmen Simone Grilo Diniz [4] ; Breno Souza de Aguiar [5] ; Adeylson Guimarães Ribeiro [6] ; Marcelo Antunes Failla [7] ; Oswaldo Santos Baquero [8] ; Francisco Chiaravalloti-Neto [9]
Total Authors: 9
Affiliation:
[1] Universidade de São Paulo. Faculdade de Saúde Pública. Departamento de Epidemiologia - Brasil
[3] Universidade de São Paulo. Faculdade de Saúde Pública. Programa de Pós-Graduação em Saúde Pública - Brasil
[4] Universidade de São Paulo. Faculdade de Saúde Pública. Departamento de Saúde - Brasil
[5] Secretaria Municipal de Saúde de São Paulo. Coordenação de Epidemiologia e Informação. Gerência de Geoprocessamento e Informações Socioambientais - Brasil
[6] Hospital de Câncer de Barretos. Instituto de Ensino e Pesquisa - Brasil
[7] Secretaria Municipal de Saúde de São Paulo. Coordenação de Epidemiologia e Informação. Gerência de Geoprocessamento e Informações Socioambientais - Brasil
[8] Universidade de São Paulo. Faculdade de Medicina Veterinária e Zootecnia. Departamento de Medicina Veterinária Preventiva e Saúde Animal - Brasil
[9] Universidade de São Paulo. Faculdade de Saúde Pública. Departamento de Epidemiologia - Brasil
Total Affiliations: 9
Document type: Journal article
Source: Revista de Saúde Pública; v. 54, 2020-12-16.
Abstract

ABSTRACT OBJECTIVE To verify the spatial pattern of mortality from breast and cervical cancer in areas of primary health care, considering socioeconomic conditions. METHODS This is an ecological study, from January 2000 to December 2016. The study area is the municipality of São Paulo, Brazil, and its 456 coverage areas of primary health units. Information on deaths of women aged 20 years or over were geocoded according to residence address. We calculated mortality rates, standardized by age, and smoothed by the local empirical Bayesian method, and grouped into three or two years to reduce the random fluctuation of the data. In addition, bivariate global and local Moran indexes were calculated to verify the existence of spatial agglomeration of standardized mortality rates with a domain of socioeconomic condition, elaborated based on the Índice Paulista de Vulnerabilidade Social (IPVS – São Paulo Index of Social Vulnerability). RESULTS The success rate of geocoding was 98.9%. Mortality from breast cancer, without stratification by time, showed a pattern with higher rates located in central regions with better socioeconomic conditions. It showed a decrease at the end of the period and a change in spatial pattern, with increased mortality in peripheral regions. On the other hand, mortality from cervical cancer remained with the highest rates in peripheral regions with worse socioeconomic conditions, despite being reduced over time. CONCLUSION The spatial pattern of mortality from the studied cancers, over time, suggests association with the best socioeconomic conditions of the municipality, either as protection (cervical) or risk (breast). This knowledge may direct resources to prevent and promote health in the territories. (AU)

FAPESP's process: 17/25625-4 - Spatial and space-time analysis of deaths due to breast and cervical cancer and distribution of the screening of these neoplasms, in the Municipality of São Paulo, from 2000 to 2016
Grantee:Patricia Marques Moralejo Bermudi
Support Opportunities: Scholarships in Brazil - Master
FAPESP's process: 18/22100-0 - Malignant neoplasms of the 18 cities of Barretos Regional Health District (RhD), Sao Paulo, Brazil: the importance of a population-based cancer registry
Grantee:Adeylson Guimarães Ribeiro
Support Opportunities: Scholarships in Brazil - Post-Doctorate