scholarly journals Analysis of cervical cancer mortality rate trends in Natal-RN, Brazil, between 2000 and 2012

2019 ◽  
Vol 21 (2) ◽  
pp. 161-167
Author(s):  
Paulo Roberto Medeiros Azevedo ◽  
Joyce Bezerra Rocha ◽  
Thales Allyrio Araújo de Medeiros Fernandes ◽  
José Veríssimo Fernandes
Keyword(s):  
Cervical Cancer ◽  
Cancer Mortality ◽  
Empirical Bayes ◽  
Family Income ◽  
Screening Program ◽  
Mortality Rates ◽  
P Value ◽  
Average Family ◽  
Historical Series ◽  
Cervical Cancer Mortality

Objective To describe cervical cancer mortality rates and their corresponding trends, and to analyze the spatial correlations of this type of cancer in Natal-RN, Brazil, between 2000 and 2012.Materials and Methods The simple linear regression model, the empirical Bayes method and the Global Moran's index were used for the statistical analysis.Results The mortality coefficient of cervical cancer in Natal, standardized by age range, was 5.5 per 100 000 women. All historical series for the coefficients studied were classifiedas stable. The Global Moran's index obtained was 0.048, with a p-value for the spatial test correlation between neighborhoods of 0.300. The average family income by neighborhood showed no significant correlation to cervical cancer mortality rates.Conclusion This study found a temporal stabilization and spatial independence trend of cervical cancer mortality rates in women from Natal, as well as the absence of correlationbetween these rates and the average family income of the of the participating women distributed by neighborhoods. In view of this, changes in the public policies should be made aimed at preventing the disease; adopting these measures could positively impact the screening program, improving the coverage of Pap smears and immunization campaigns against HPV, in order to reverse this trend and achieve a reduction of mortality rates.

scholarly journals Cervical cancer mortality trends in Brazil: 1980-2009

2013 ◽  
Vol 29 (3) ◽  
pp. 599-608 ◽  
Author(s):  
Carolina Maciel Reis Gonzaga ◽  
Ruffo Freitas-Junior ◽  
Aline Almeida Barbaresco ◽  
Edesio Martins ◽  
Bruno Teixeira Bernardes ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Cancer Mortality ◽  
Census Data ◽  
Mortality Rates ◽  
Downward Trend ◽  
Mortality Trends ◽  
Cervical Cancer Mortality ◽  
Geographic Regions ◽  
Using Data ◽  
Series Study

The objective was to describe time trends in cervical cancer mortality rates in Brazil as a whole and in the country's major geographic regions and States from 1980 to 2009. This was an ecological time series study using data recorded in the Mortality Information System (SIM) and census data collected by the Brazilian Institute of Geography and Statistics (IBGE). Analysis of mortality trends was performed using Poisson regression. Cervical cancer mortality rates in Brazil tended to stabilize. In the geographic regions, a downward trend was observed in the South (-4.1%), Southeast (-3.3%), and Central-West (-1%) and an upward trend in the Northeast (3.5%) and North (2.7%). The largest decreases were observed in the States of São Paulo (5.1%), Rio Grande do Sul, Espírito Santo, and Paraná (-4.0%). The largest increases in mortality trends occurred in Paraíba (12.4%), Maranhão (9.8%), and Tocantins (8.9%). Cervical cancer mortality rates stabilized in the country as a whole, but there was a downward trend in three geographic regions and 10 States, while two geographic regions and another 10 States showed increasing rates.

scholarly journals Disparities in Cervical Cancer Mortality Rates as Determined by the Longitudinal Hyperbolastic Mixed-Effects Type II Model

PLoS ONE ◽  
2014 ◽  
Vol 9 (9) ◽  
pp. e107242 ◽  
Author(s):  
Mohammad A. Tabatabai ◽  
Jean-Jacques Kengwoung-Keumo ◽  
Wayne M. Eby ◽  
Sejong Bae ◽  
Juliette T. Guemmegne ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Cancer Mortality ◽  
Mortality Rates ◽  
Mixed Effects ◽  
Type Ii ◽  
Cervical Cancer Mortality

scholarly journals Cervical Cancer Mortality in Romania: Trends, Regional and Rural–Urban Inequalities, and Policy Implications

Medicina ◽  
2021 ◽  
Vol 58 (1) ◽  
pp. 18
Author(s):  
Florentina Furtunescu ◽  
Roxana Elena Bohiltea ◽  
Adrian Neacsu ◽  
Corina Grigoriu ◽  
Corina Silvia Pop ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Cancer Mortality ◽  
Screening Program ◽  
Direct Method ◽  
Geographical Area ◽  
Public Health Problem ◽  
Policy Implications ◽  
Time Interval ◽  
Cervical Cancer Mortality ◽  
The Eu

Background and Objectives: Despite being largely preventable, cervical cancer mortality still remains an important public health problem globally, in Europe, and in Romania. The European Union member states are urged to implement systematic, population-based screenings for cervical cancer, but the programs developed by the countries remain very heterogeneous. This study aimed to investigate the differences in cervix cancer mortality between Romania and EU and within Romania over the last two decades and to reveal the major sources of inequalities and the policy implications. Materials and Methods: We analyzed the number of deaths and the mortality rates by cervical cancer, standardized using the direct method, over two decades (2001–2016 for the EU, and 2001–2019 for the national and sub-national analyses). Trends, mortality reduction over the years, and mortality differences at the beginning and end of the time interval have been calculated for the EU and Romania, at national and sub-national levels (rural–urban and regions). Results: Our results revealed differences in cervical cancer mortality between Romania and EU and within Romania (among regions and rural–urban areas). These differences used to be very high in the past and are still persisting. Conclusions: The country should revisit its national cervical cancer screening program, which has been implemented for many years, but with a very limited participation rate. Due to the similar problems existing in Central-Eastern Europe, targeted support from the EU for the members from this geographical area could contribute to the minimization of differences in cervical cancer mortality among the EU members.

scholarly journals Cervical cancer mortality in Peru: regional trend analysis from 2008–2017

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
J. Smith Torres-Roman ◽  
Luz Ronceros-Cardenas ◽  
Bryan Valcarcel ◽  
Miguel A. Arce-Huamani ◽  
Janina Bazalar-Palacios ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Spatial Analysis ◽  
Latin American ◽  
Cancer Mortality ◽  
Care Delivery ◽  
Mortality Rates ◽  
Mortality Trends ◽  
Annual Percent Change ◽  
North East ◽  
Cervical Cancer Mortality

Abstract Background Cervical cancer is the third leading cause of cancer-related death among Latin American women. Peru has the sixth highest mortality rate for cervical cancer in the region with regional variations. We aimed to determine overall and regional cervical cancer mortality rates and trends in Peru between 2008 and 2017. Methods We performed an ecological study on the number of deaths by cervical cancer in Peru. Deaths were extracted from the Peruvian Ministry of Health mortality database. Age-standardized mortality rates (ASMR) were estimated per 100,000 women-years using the world standard Segi population. We computed mortality trends using the Joinpoint regression program, estimating the annual percent change (APC). For spatial analysis, GeoDA software was used. Results Peru showed downward trends in the last decade (from 11.62 in 2008 to 9.69 in 2017 (APC = − 2.2, 95% CI: − 4.3, − 0.1, p < 0.05). According to regional-specific analysis, the highest ASMR was in the rainforest region, although this declined from 34.16 in 2008 to 17.98 in 2017 (APC = − 4.3, 95% CI: − 7.2, − 1.3, p < 0.01). Concerning spatial analysis and clustering, the mortality rates from 2008 to 2017 showed a positive spatial autocorrelation and significant clustering (Moran’s I: 0.35, p < 0.001) predominantly in the neighboring North-East departments (Loreto, Ucayali, and San Martin). Conclusions Although mortality trends in the entire population are decreasing, mortality rates remain very high, mainly in the rainforest region. Our results encourage a need for further development and improvement of the current health care delivery system in Peru.

scholarly journals A Comparative Study of Health Disparities in Cervical Cancer Mortality Rates Through Time Between Black and Caucasian Women in Alabama and the US

2021 ◽  
Vol 6 (1) ◽  
pp. 9
Author(s):  
Ehsan Abdalla ◽  
Tsegaye Habtemariam ◽  
Souleymane Fall ◽  
Roberta Troy ◽  
Berhanu Tameru ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Cancer Mortality ◽  
Mortality Rates ◽  
Healthy People ◽  
Screening Tests ◽  
Behavioral Risk ◽  
The Us ◽  
Cervical Cancer Mortality ◽  
Healthy People 2020 ◽  
Caucasian Women

Background: The main purpose of this study was to assess changes in cervical cancer mortality rates through time between Black and Caucasian women residing in Alabama and the US. Methods: Alabama cervical cancer mortality rates (MR), percentage differences, percentage changes and annual percentage changes for trends were compared with the US baseline and target rates. The US Baseline data and target objectives of utilization of cervical cancer screening and MR were obtained from Healthy People 2020. The cervical cancer behavioral risk factors and utilization of screening tests data were obtained from CDC’s Behavioral Risk Factor Surveillance System (BRFSS). The cervical cancer MR data were obtained from the Surveillance, Epidemiology, and End Results (SEER). The analysis was done using SEER*Stat and Linear Trendlines analysis. Results: Although Blacks in Alabama had higher cervical cancer MR through times, a decreasing trend was noted for both races. However, in Alabama, there is no significant change in Blacks aged 65 years and older in cervical cancer MR, despite a high screening rate compared to Whites. In contrast, between 2002 and 2012, Whites in Alabama and the US made a significant progress toward the Healthy People 2020 goal. Conclusions: In Alabama, there exists cervical cancer MR disparity in Blacks despite the higher rates of screening for cervical cancer as would otherwise be expected. The state has not yet achieved the Healthy People 2020 goal. Public health officials should monitor progress toward reduction and/or elimination of these disparities by focusing in a follow up of screening. 

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