Laboratory of Epidemiology and Data Analysis, FMABC University Center, Santo André 09060-590, Brazil.
Graduate Program in Science and Health Education PPGECS_UFT, Federal University of Tocantins (UFT), Miracema do Tocantins 77650-000, Brazil.
Int J Environ Res Public Health. 2021 Oct 19;18(20):10966. doi: 10.3390/ijerph182010966.
Cervical cancer is the second most common form of cancer in the world among women, and it is estimated to be the third most frequent cancer in Brazil, as well as the fourth leading cause of death from cancer. There is a difference in cervical cancer mortality rates among different administrative regions in Brazil along with an inadequate distribution of cancer centers in certain Brazilian regions. Herein, we analyze the trends in hospital admission and mortality rates for CC between 2000 and 2012. This population-based ecological study evaluated the temporal trend in cervical cancer between the years 2000 and 2012, stratifying by Brazilian administrative regions. The North and Northeast regions had no reduction in mortality in all age groups studied (25 to 64 years); when analyzing hospitalization rates, only the age group of 50 to 64 years from the North Region did not present a reduction. During the years studied, in the South Region, the age group ranging from 50 to 54 years had the greatest reduction in mortality rates (β = -0.59, = 0.001, r = 0.63), and the group ranging from 45 to 49 years had the greatest reduction in hospital admission rates (β = -8.87, = 0.025, r = 0.37). Between the years 2000 and 2012, the greatest reduction in the incidence of UCC was in the South Region (β = -1.43, = 0.236, r = 0.12) followed by the Central-West (β = -1, < 0.001, r = 0.84), the Southeast (β = -0.95, < 0.001, r = 0.88), the Northeast (β = -0.67, = 0.080, r = 0.25), and, finally, by the North (β = -0.42, = 0.157, r = 0.17). There was a greater reduction in mortality rates and global hospitalization rates for CC in Brazil than in the United States during the same period with exceptions only in Brazil's North and Northeast regions.
宫颈癌是全世界女性中第二常见的癌症类型,据估计,它也是巴西第三常见的癌症,也是癌症死亡的第四大原因。巴西不同行政区域的宫颈癌死亡率存在差异,某些巴西地区的癌症中心分布也不足。在此,我们分析了 2000 年至 2012 年期间宫颈癌住院和死亡率的趋势。这项基于人群的生态研究评估了 2000 年至 2012 年期间宫颈癌的时间趋势,按巴西行政区域进行分层。在所有研究年龄组中,北部和东北部地区的死亡率均未降低(25 至 64 岁);在分析住院率时,只有北部地区 50 至 64 岁年龄组没有降低。在所研究的年份中,在南部地区,50 至 54 岁年龄组的死亡率降幅最大(β=-0.59, =0.001,r=0.63),45 至 49 岁年龄组的住院率降幅最大(β=-8.87, =0.025,r=0.37)。在 2000 年至 2012 年期间,宫颈癌发病率降幅最大的是南部地区(β=-1.43, =0.236,r=0.12),其次是中西部地区(β=-1, <0.001,r=0.84)、东南部地区(β=-0.95, <0.001,r=0.88)、东北部地区(β=-0.67, =0.080,r=0.25),最后是北部地区(β=-0.42, =0.157,r=0.17)。与同期美国相比,巴西的宫颈癌死亡率和全球住院率降幅更大,仅巴西的北部和东北部地区除外。