Rocha Thiago Augusto Hernandes, Silva Núbia Cristina da, Thomaz Erika Bárbara Abreu Fonseca, Queiroz Rejane Christine de Sousa, Souza Marta Rovery de, Lein Adriana, Rocha João Victor Muniz, Alvares Viviane, Almeida Dante Grapiuna de, Barbosa Allan Claudius Queiroz, Thumé Elaine, Staton Catherine, Vissoci João Ricardo Nickenig, Facchini Luiz Augusto
School of Economics, Center of Post-graduate and Research in Administration (Mr Rocha), Observatory of Human Resources in Health, Faculty of Economics (Dr da Silva and Messrs Rocha and de Almeida, and Ms Alvares), and Department of Administrative Sciences, Faculty of Economics (Dr Barbosa), Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil; Department of Public Health, Federal University of Maranhão, São Luís, Maranhão, Brazil (Drs Thomaz and de Sousa Queiroz); Department of Public Health, Federal University of Goiás, Goiânia, Goiás, Brazil (Dr de Souza); Duke Global Health Institute, Duke University, Durham, North Carolina (Ms Lein and Drs Staton and Vissoci); and Department of Social Medicine, Faculty of Medicine, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil (Drs Thumé and Facchini).
J Ambul Care Manage. 2017 Apr/Jun;40 Suppl 2 Supplement, The Brazilian National Program for Improving Primary Care Access and Quality (PMAQ)(2 Suppl):S24-S34. doi: 10.1097/JAC.0000000000000185.
Cervical cancer is a common neoplasm that is responsible for nearly 230 000 deaths annually in Brazil. Despite this burden, cervical cancer is considered preventable with appropriate care. We conducted a longitudinal ecological study from 2002 to 2012 to examine the relationship between the delivery of preventive primary care and cervical cancer mortality rates in Brazil. Brazilian states and the federal district were the unit of analysis (N = 27). Results suggest that primary health care has contributed to reducing cervical cancer mortality rates in Brazil; however, the full potential of preventive care has yet to be realized.
宫颈癌是一种常见肿瘤，在巴西每年导致近23万人死亡。尽管负担如此沉重，但宫颈癌被认为通过适当护理是可预防的。我们在2002年至2012年开展了一项纵向生态学研究，以考察巴西预防性初级保健服务的提供与宫颈癌死亡率之间的关系。分析单位为巴西各州和联邦区（N = 27）。结果表明，初级卫生保健有助于降低巴西的宫颈癌死亡率；然而，预防性护理的全部潜力尚未实现。
