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巴西被诊断患有乳腺癌的女性无法获得治疗的决定因素。

Determinants of Lack of Access to Treatment for Women Diagnosed with Breast Cancer in Brazil.

机构信息

Observatory of Health-Related Socioeconomic Inequalities, Inequities and Vulnerabilities, Centro Universitário FMABC, Santo André 09060-870, Brazil.

Grupo de Estudos em Direitos da Criança e do Adolescente e Juventude, Universidade Regional do Cariri, Crato 63105-010, Brazil.

出版信息

Int J Environ Res Public Health. 2022 Jun 22;19(13):7635. doi: 10.3390/ijerph19137635.

DOI:10.3390/ijerph19137635
PMID:35805293
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9266036/
Abstract

Access to timely treatment is essential for the probability of the cure and reduction of severe breast cancer cases. In Brazil, legislation states that cancer treatment must start within 60 days of diagnosis. This study analyzed the factors associated with lack of access to breast cancer treatment in women with a confirmed diagnosis inserted in the health system. We collected secondary data from Brazilian women with a diagnosis and without treatment from January to December 2019 through the Cancer Hospital Registers developed by the National Cancer Institute. Our findings indicate that most women (60.11%) are diagnosed with stage II cancer but are without treatment. Most of them are aged 18-70 years, non-white race/color, have a low educational level and are from the Southeast Brazilian region. In addition, social inequalities are determinant in women's lack of access to breast cancer treatment.

摘要

及时治疗是提高治愈率和减少重症乳腺癌病例的关键。在巴西,立法规定癌症治疗必须在确诊后 60 天内开始。本研究分析了与确诊后未接受乳腺癌治疗的女性相关的因素,这些女性被纳入了卫生系统。我们通过国家癌症研究所开发的癌症医院登记系统,收集了 2019 年 1 月至 12 月间巴西女性的二次数据,这些女性已被诊断出患有癌症但尚未接受治疗。研究结果表明,大多数女性(60.11%)被诊断为 II 期癌症,但尚未接受治疗。大多数女性年龄在 18-70 岁之间,非白种人,受教育程度较低,来自巴西东南部地区。此外,社会不平等是导致女性无法获得乳腺癌治疗的决定因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d047/9266036/37cc4c4cb82f/ijerph-19-07635-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d047/9266036/37cc4c4cb82f/ijerph-19-07635-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d047/9266036/37cc4c4cb82f/ijerph-19-07635-g001.jpg

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本文引用的文献

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Waiting Time between Breast Cancer Diagnosis and Treatment in Brazilian Women: An Analysis of Cases from 1998 to 2012.巴西女性乳腺癌诊断与治疗之间的等待时间:1998 年至 2012 年病例分析。
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Eur J Phys Rehabil Med. 2021 Feb;57(1):137-147. doi: 10.23736/S1973-9087.20.06138-9. Epub 2020 May 14.
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