Institute of Health Sciences, Federal University of Pará (UFPA), Belem 66075-110, Brazil.
Faculty of Medicine of São José do Rio Preto (FAMERP), Sao Jose do Rio Preto 15090-000, Brazil.
Int J Environ Res Public Health. 2022 Oct 14;19(20):13208. doi: 10.3390/ijerph192013208.
To investigate the association between sociodemographic factors and variables related to oral health services in oral and oropharyngeal cancer mortality in Brazil, between 2000 and 2019. This study had an ecological design. Standardized mortality rates were compared between age group, sex, and regions. Age-Period-Cohort analysis was applied. Oral health services variables were analyzed in correlation tests. Survival analysis included Kaplan-Meier estimators, log-rank tests, and Cox regression. The mortality rate increased with age and was higher in men. Southeast and south regions had the highest rates for men, and the northeast and southeast had it for women. Age-Period-Cohort analysis showed a slight increase in female deaths and an increasing trend in the annual percent change in mortality for men over age 55. In survival analysis, males, Black individuals and southern residents were more strongly associated with death. The correlation between oral health teams' coverage was high and negative, while the number of dental specialty centers and soft tissue biopsies had a high and positive correlation. Mortality and survival patterns were dependent on sex, age, geographic region and race/ethnicity. It was observed that preventive and diagnostic procedures were not being performed, which may be related to the increase in mortality.
为了调查巴西口腔和口咽癌死亡率中与社会人口因素和口腔健康服务相关变量之间的关联，本研究采用了生态设计。比较了 2000 年至 2019 年期间年龄组、性别和地区之间的标准化死亡率。应用了年龄-时期-队列分析。对口腔健康服务变量进行了相关测试分析。生存分析包括 Kaplan-Meier 估计、对数秩检验和 Cox 回归。死亡率随年龄增长而增加，男性更高。男性的死亡率在东南部和南部地区最高，而女性的死亡率在东北部和东南部地区最高。年龄-时期-队列分析显示，女性死亡人数略有增加，55 岁以上男性的死亡率年变化百分比呈上升趋势。在生存分析中，男性、黑人个体和南部居民与死亡的相关性更强。口腔健康团队覆盖范围高度负相关，而牙科专业中心数量和软组织活检高度正相关。死亡率和生存模式取决于性别、年龄、地理位置和种族/民族。观察到预防和诊断程序未得到执行，这可能与死亡率的增加有关。
