Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz. Rua Leopoldo Bulhões 1480, Manguinhos. 21041-210 Rio de Janeiro RJ Brasil.
Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro. Rio de Janeiro RJ Brasil.
Cien Saude Colet. 2022 Mar;27(3):1157-1170. doi: 10.1590/1413-81232022273.47092020. Epub 2021 Feb 24.
This study aimed to analyze the role of period, geographic and socio demographic factors in cancer-related mortality by prostate, breast, cervix, colon, lung and esophagus cancer in Brazilians capitals (2000-2015). Ecological study using data of Brazilian Mortality Information. Multilevel Poisson models were used to estimate the adjusted risk of cancer mortality. Mortality rate levels were higher in males for colon, lung and esophageal cancers. Mortality rates were highest in the older. Our results showed an increased risk of colon cancer mortality in both sexes from 2000 to 2015, which was also evidenced for breast and lung cancers in women. In both genders, the highest mortality risk for lung and esophageal cancers was observed in Southern capitals. Midwestern, Southern and Southeastern capitals showed the highest mortality risk for colon cancer both for males and females. Colon cancer mortality rate increased for both genders, while breast and lung cancers mortality increased only for women. The North region showed the lowest mortality rate for breast, cervical, colon and esophageal cancers. The Midwest and Northeast regions showed the highest mortality rates for prostate cancer.
本研究旨在分析巴西各州(2000-2015 年)前列腺癌、乳腺癌、宫颈癌、结肠癌、肺癌和食管癌相关死亡率的时期、地理和社会人口因素的作用。采用巴西死亡率信息数据进行生态研究。使用多水平泊松模型来估计癌症死亡率的调整风险。结肠癌、肺癌和食管癌的男性死亡率水平较高。死亡率随着年龄的增长而增加。我们的研究结果表明,2000 年至 2015 年间,男性结肠癌的死亡率风险增加,女性乳腺癌和肺癌的死亡率风险也有所增加。在两性中,南部各州的肺癌和食管癌死亡率风险最高。中南部和东南部各州男性和女性的结肠癌死亡率风险最高。结肠癌死亡率在两性中均有所上升,而乳腺癌和肺癌的死亡率仅在女性中上升。北部地区的乳腺癌、宫颈癌、结肠癌和食管癌死亡率最低。中西部和东北部地区的前列腺癌死亡率最高。