Magnitude da mortalidade por câncer do colo do útero na Região Nordeste do Brasil e fatores socioeconômicos
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Gamarra, C. J., Valente, J. G., & Silva, G. A. e. (2010). Magnitude da mortalidade por câncer do colo do útero na Região Nordeste do Brasil e fatores socioeconômicos [Journal articles]. http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892010000800005
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2010
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OBJETIVO: Analisar a tendência temporal da mortalidade por câncer do colo do útero segundo dados de óbito corrigidos ou não e verificar a associação entre essas informações e indicadores socioeconômicos selecionados em mulheres com 20 anos ou mais residentes no Nordeste do Brasil (capital e interior) no período de 1996 a 2005. MÉTODOS: Foram incluídos no estudo os óbitos por câncer do colo do útero captados do Sistema de Informações sobre Mortalidade (SIM) e aqueles identificados como sendo decorrentes dessa neoplasia após processo de correção. Através de regressão linear simples, foram analisadas as tendências temporais da mortalidade e as correlações com os indicadores socioeconômicos selecionados através de correlação de Pearson (r). RESULTADOS: As maiores taxas de mortalidade por câncer do colo do útero sem correção corresponderam às capitais e as menores foram observados no interior dos estados. Por outro lado, os maiores coeficientes de mortalidade corrigidos foram observados para o interior dos estados e os menores para as capitais, invertendo o quadro. Da mesma forma, as menores taxas de mortalidade sem correção foram observadas nos estados com maior pobreza, analfabetismo, fecundidade e mortalidade infantil, enquanto as maiores taxas de mortalidade sem correção foram observadas nas regiões com melhores indicadores sociais. As taxas corrigidas mostraram associação negativa com os indicadores que assinalam melhores condições de vida, e positiva com os indicadores que descrevem piores condições de vida. CONCLUSÕES: A utilização de dados não corrigidos de mortalidade pode levar à subestimação do câncer do colo de útero e comprometer as interpretações de análises comparativas sobre a magnitude, distribuição e fatores associados a essa doença. A magnitude desse câncer merece ser reavaliada, pelo menos no Nordeste do Brasil. Contudo, os resultados demonstram que já há resultados positivos da detecção precoce na região.(AU)
OBJECTIVE: To analyze the time trend of cervical cancer mortality based on adjusted or unadjusted mortality data and to investigate the association between these data and socioeconomic indicators in women aged 20 years or older in the Brazilian Northeast (in capitals and non-capital cities) during the period from 1996 to 2005. METHODS: All deaths from cervical cancer recorded in the Brazilian Health Ministry's Mortality Data System (SIM) were included in the study. Also included were the cervical cancer deaths identified after the adjustment process. Simple linear regression was used to analyze the time trends for mortality and their correlations (Pearson) with selected socioeconomic indicators. RESULTS: The highest mortality coefficients with unadjusted data were observed in capitals and the lowest were observed in non-capital cities. Conversely, the highest mortality coefficients with adjusted data were observed in non-capital cities. Similarly, the lowest unadjusted mortality rates were observed in the states with the most poverty, illiteracy, fertility, and child mortality, whereas the highest unadjusted mortality rates were observed in the regions with the best social indicators. Adjusted mortality rates showed a negative association with the indicators describing better living conditions, and a positive association with the indicators describing worse living conditions. CONCLUSIONS: The use of unadjusted mortality data may lead to underestimation of cervical cancer rates and compromise the interpretations of comparative analyses of the magnitude, distribution, and factors associated with this disease. The magnitude of cervical cancer should be reassessed at least in the Brazilian Northeast. However, the findings show that positive results have been obtained with early detection efforts in Brazil.(AU)
OBJECTIVE: To analyze the time trend of cervical cancer mortality based on adjusted or unadjusted mortality data and to investigate the association between these data and socioeconomic indicators in women aged 20 years or older in the Brazilian Northeast (in capitals and non-capital cities) during the period from 1996 to 2005. METHODS: All deaths from cervical cancer recorded in the Brazilian Health Ministry's Mortality Data System (SIM) were included in the study. Also included were the cervical cancer deaths identified after the adjustment process. Simple linear regression was used to analyze the time trends for mortality and their correlations (Pearson) with selected socioeconomic indicators. RESULTS: The highest mortality coefficients with unadjusted data were observed in capitals and the lowest were observed in non-capital cities. Conversely, the highest mortality coefficients with adjusted data were observed in non-capital cities. Similarly, the lowest unadjusted mortality rates were observed in the states with the most poverty, illiteracy, fertility, and child mortality, whereas the highest unadjusted mortality rates were observed in the regions with the best social indicators. Adjusted mortality rates showed a negative association with the indicators describing better living conditions, and a positive association with the indicators describing worse living conditions. CONCLUSIONS: The use of unadjusted mortality data may lead to underestimation of cervical cancer rates and compromise the interpretations of comparative analyses of the magnitude, distribution, and factors associated with this disease. The magnitude of cervical cancer should be reassessed at least in the Brazilian Northeast. However, the findings show that positive results have been obtained with early detection efforts in Brazil.(AU)
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Subject
Neoplasias do colo uterino
Mortalidade
Fatores Socioeconômicos
Brasil
Uterine cervical neoplasms
Mortality
Socioeconomic factors
Brazil
Neoplasias do Colo do Útero
Brasil
Diagnóstico Precoce
Escolaridade
Pobreza
História Reprodutiva
Estudos Retrospectivos
Fatores Socioeconômicos
População Urbana
Neoplasias do Colo do Útero
Adulto Jovem
Mortalidade
Fatores Socioeconômicos
Brasil
Uterine cervical neoplasms
Mortality
Socioeconomic factors
Brazil
Neoplasias do Colo do Útero
Brasil
Diagnóstico Precoce
Escolaridade
Pobreza
História Reprodutiva
Estudos Retrospectivos
Fatores Socioeconômicos
População Urbana
Neoplasias do Colo do Útero
Adulto Jovem
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Gamarra, Carmen Justina,Valente, Joaquim Gonçalves,Silva, Gulnar Azevedo e (2010) Magnitude da mortalidade por câncer do colo do útero na Região Nordeste do Brasil e fatores socioeconômicos. Rev Panam Salud Publica;28(2) 100-106,ago. 2010. Retrieved from http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892010000800005
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Item Using focus groups to plan culturally acceptable primary cervical cancer screening in Grenada, West Indies(2023)[ABSTRACT]. Objective. To document Grenadian women’s knowledge about cervical cancer and human papillomavirus (HPV) infection, as well as their attitudes towards primary cervical cancer screening methods. Methods. In this qualitative study, we used focus groups in Grenada to gather information concerning women’s knowledge about, attitudes towards and perceptions of screening for cervical cancer and general knowledge about HPV. Ten focus groups comprising 73 participants representing 5 of the 6 parishes in Grenada were conducted with women aged 19–59. Participants were asked about pelvic exams, Pap smears, HPV, reasons for seeking or avoiding cervical cancer screening and how different modalities of testing might affect their decision-making. Responses were then coded and organized into common themes. Results. While many respondents had heard of HPV, far fewer knew about its causative role in cervical can- cer, how to prevent HPV infection or testing for the high-risk HPV types that cause almost all cases of cervical cancer. Many participants were aware that cervical cancer screening was beneficial, but numerous barriers to obtaining that screening were noted, including concerns about privacy and stigma, potential discomfort, and the cost and inconvenience involved. Conclusions. Our findings have implications for future cervical cancer screening efforts in Grenada. Central to these efforts should be a focus on educating Grenadians about the role of HPV infection in cervical cancer and the importance of early detection through screening. In addition, addressing issues of stigma and privacy are key to eliminating cervical cancer in Grenada.Item Systematic literature review of pri- mary and secondary cervical cancer prevention programs in South America(2023)[ABSTRACT]. Objective. To identify the 2022 recommendations made by ministries of health in the 13 countries and areas of South America for human papillomavirus (HPV) vaccination and cervical cancer screening. Methods. A systematic review of scientific literature and official documents was conducted between July 7 and October 17, 2022. The review included an initial search on official websites (e.g. ministries of health, national cancer institutes and health departments) of South American countries to identify current guidelines or recommendations for HPV vaccination and cervical cancer screening. Results. Recommendations for HPV vaccination were found for 11 countries, with the exceptions of French Guiana and the Bolivarian Republic of Venezuela. Recommendations were found for cervical cancer screening in official documents from 11 countries, with the exceptions of the Bolivarian Republic of Venezuela, where one article was found that was not an official recommendation, and Suriname, for which no documents were found on websites or in other publications. A total of 12 countries use cytology to screen for cervical cancer. Four countries (Bolivia [Plurinational State of], Colombia, Guyana and Peru) use visual inspection with acetic acid and the screen-and-treat strategy. Six countries (Argentina, Chile, Colombia, Ecuador, Paraguay and Peru) are transitioning from cytology to HPV testing. Conclusions. No documents were found about a national HPV vaccination program in French Guiana and Venezuela, and no official guidelines for cervical cancer screening were found for Suriname and Venezuela; thus, it will be difficult to eliminate this public health problem in these countries. Countries in South America must update their guidelines for HPV vaccination and cervical cancer screening as new evidence emerges. Official websites with information about HPV vaccination and cervical cancer screening are important sources that can be accessed by health professionals and the population.