Faculdade de Medicina, Universidade de São Paulo (USP). Av. Dr. Arnaldo 455, Cerqueira César. 01246-903 São Paulo SP Brasil.
Instituto Pólis. São Paulo SP Brasil.
Cien Saude Colet. 2024 Mar;29(3):e05202023. doi: 10.1590/1413-81232024293.05202023. Epub 2023 Jul 28.
This ecological study examined time series, from 2002 to 20121, of age-adjusted coefficients of cervical cancer mortality, in Brazil, in women aged 20 years or more, by race. The information sources were Brazil's mortality information system (Sistema de Informação sobre Mortalidade - SIM) and the official bureau of statistics (Instituto Brasileiro de Geografia e Estatística - IBGE). Annual changes in age-adjusted mortality rates were calculated using the Prais-Winsten linear regression method. Black women die more and the rate is decreasing less. Racial inequality has increased over the years. In 2002, there were 0.08 more deaths per 100,000 women in the black population than among white women; in 2021, the number was one death. Health policymaking should consider racial differences in the implementation of strategies and goals.
本生态研究调查了 2002 年至 2012 年期间,巴西 20 岁及以上女性按种族划分的宫颈癌死亡率的年龄调整系数的时间序列。信息来源为巴西死亡率信息系统(Sistema de Informação sobre Mortalidade-SIM)和官方统计局(Instituto Brasileiro de Geografia e Estatística-IBGE)。使用普赖斯-温斯坦线性回归法计算年龄调整死亡率的年变化。黑人女性死亡更多,死亡率下降幅度更小。种族不平等现象多年来一直在加剧。2002 年,黑人女性每 10 万人的死亡人数比白人女性多 0.08;到 2021 年,这一数字达到了 1 人。制定卫生政策时应考虑实施策略和目标中的种族差异。