Gabrielli Ligia, Alvim Matos Sheila M, Luísa Patrão Ana, Góes Emanuelle F, da Conceição C Almeida Maria, M S Menezes Greice, Dos-Santos-Silva Isabel, Azevedo E Silva Gulnar, Teresa Bustamante-Teixeira Maria, Barreto Mauricio L, Vittal Katikireddi Srinivasa, Leyland Alastair H, Ferreira Campos Luana, Maria Dias Fernandes de Novaes Ester, de Almeida Pereira Daniela, Rodrigues Santana Elvira, Rodrigues Gonçalves Zeferino Fernanda, Cleide da Silva Dias Ana, Fernandes Fábio G, Cristina de Oliveira Costa Ana, M L Aquino Estela
Bahia State Centre for Diabetes and Endocrinology, SESAB, Salvador, Brazil.
Collective Health Institute, Federal University of Bahia, Salvador, Brazil.
Health Policy Open. 2024 May 8;6:100122. doi: 10.1016/j.hpopen.2024.100122. eCollection 2024 Dec.
Socioeconomic conditions are strongly associated with breast and cervical cancer incidence and mortality patterns; therefore, social protection programmes (SPPs) might impact these cancers. This study aimed to evaluate the effect of SPPs on breast and cervical cancer outcomes and their risk/protective factors.
Five databases were searched for articles that assessed participation in PPS and the incidence, survival, mortality (primary outcomes), screening, staging at diagnosis and risk/protective factors (secondary outcomes) for these cancers. Only peer-reviewed quantitative studies of women receiving SPPs compared to eligible women not receiving benefits were included. Independent reviewers selected articles, assessed eligibility, extracted data, and assessed the risk of bias. A harvest plot represents the included studies and shows the direction of effect, sample size and risk of bias.
Of 17,080 documents retrieved, 43 studies were included in the review. No studies evaluated the primary outcomes. They all examined the relationship between SPPs and screening, as well as risk and protective factors. The harvest plot showed that in lower risk of bias studies, participants of SPPs had lower weight and fertility, were older at sexual debut, and breastfed their infants for longer.
No studies have yet assessed the effect of SPPs on breast and cervical cancer incidence, survival, or mortality; nevertheless, the existing evidence suggests positive impacts on risk and protective factors.
社会经济状况与乳腺癌和宫颈癌的发病率及死亡率模式密切相关；因此，社会保护计划（SPPs）可能会对这些癌症产生影响。本研究旨在评估社会保护计划对乳腺癌和宫颈癌结局及其风险/保护因素的影响。
检索了五个数据库，以查找评估参与社会保护计划以及这些癌症的发病率、生存率、死亡率（主要结局）、筛查、诊断时分期和风险/保护因素（次要结局）的文章。仅纳入了对接受社会保护计划的女性与未获得福利的符合条件女性进行比较的同行评审定量研究。独立评审人员选择文章、评估 eligibility、提取数据并评估偏倚风险。收获图展示了纳入的研究，并显示了效应方向、样本量和偏倚风险。
在检索到的17,080篇文献中，有43项研究纳入了综述。没有研究评估主要结局。它们都研究了社会保护计划与筛查以及风险和保护因素之间的关系。收获图显示，在偏倚风险较低的研究中，社会保护计划的参与者体重和生育率较低，首次性行为的年龄较大，母乳喂养婴儿的时间较长。
尚无研究评估社会保护计划对乳腺癌和宫颈癌发病率、生存率或死亡率的影响；然而，现有证据表明对风险和保护因素有积极影响。
