Sales-Fonseca Nuria, Otero Ubirani Barros, Koifman Rosalina Jorge, Santos Sabrina da Silva
Programa de Pós-Graduação em Saúde Pública e Meio Ambiente, Escola Nacional de Saúde Pública Sérgio Arouca, Fundação Oswaldo Cruz. Rio de Janeiro RJ Brasil.
Área Técnica Ambiente, Trabalho e Câncer. Coordenação de Prevenção e Vigilância. Instituto Nacional de Câncer - Conprev/INCA. Rio de Janeiro RJ Brasil.
Cien Saude Colet. 2023 Feb;28(2):447-458. doi: 10.1590/1413-81232023282.11532022. Epub 2022 Aug 14.
This article aims to describe the distribution of cancer among the benefits granted by the General Social Security Registry, from 2008 to 2014, in Brazil. Ecological study using data given by the National Social Security Institute. The proportion of accidental (work-related) and social security (general) benefits granted by cancer in Brazil was determined, among the benefits granted for all causes, and a spatial analysis was conducted to assess the geographical distribution of these proportions, with the states Brazilians as a unit of analysis. Cancer was the reason for granting 533,438 benefits (2.9% of the total benefits granted for all causes), with a predominance of females in social security benefits (53.7%) and males in accidental benefits (71.6 %). The highest proportions of social security benefits for cancer occurred in North and Midwest regions. In 19 of the 26 Brazilian states (including all states in the southern region) and in the Federal District, there was no granting of accident benefits for cancer. The analysis of the occurrences of cancer that generated benefit concessions suggests a disproportionality in granting of social security benefits in relation to accident workers, mainly in North, Northeast and South regions of Brazil.
本文旨在描述2008年至2014年巴西综合社会保障登记处发放的福利中癌症患者的分布情况。采用国家社会保障研究所提供的数据进行生态研究。确定了巴西因癌症获得的意外（与工作相关）和社会保障（一般）福利在所有原因导致的福利中所占的比例，并进行了空间分析，以评估这些比例的地理分布，分析单位为巴西各州。癌症是发放533438项福利的原因（占所有原因导致的福利总数的2.9%），在社会保障福利中女性占主导地位（53.7%），在意外福利中男性占主导地位（71.6%）。北部和中西部地区因癌症获得的社会保障福利比例最高。在巴西26个州中的19个州（包括南部地区的所有州）以及联邦区，没有发放因癌症导致的意外福利。对导致福利发放的癌症病例分析表明，在向意外事故工人发放社会保障福利方面存在不均衡现象，主要集中在巴西的北部、东北部和南部地区。
