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Correlation of Cervical Cancer Mortality with Fertility, Access to Health Care and Socioeconomic Indicators

Objective The present study aimed to examine which development indicators are correlated with cervical cancer (CC) mortality rates in Brazil. Methods This was an ecological study that correlated mortality rates and indicators, such as human development index (HDI), gross domestic product (GDP) per c...

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Autores principales: Vale, Diama Bhadra, Sauvaget, Catherine, Murillo, Raul, Muwonge, Richard, Zeferino, Luiz Carlos, Sankaranarayanan, Rengaswamy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Revinter Publicações Ltda 2019
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10309279/
https://www.ncbi.nlm.nih.gov/pubmed/30912091
http://dx.doi.org/10.1055/s-0039-1683859
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author Vale, Diama Bhadra
Sauvaget, Catherine
Murillo, Raul
Muwonge, Richard
Zeferino, Luiz Carlos
Sankaranarayanan, Rengaswamy
author_facet Vale, Diama Bhadra
Sauvaget, Catherine
Murillo, Raul
Muwonge, Richard
Zeferino, Luiz Carlos
Sankaranarayanan, Rengaswamy
author_sort Vale, Diama Bhadra
collection PubMed
description Objective The present study aimed to examine which development indicators are correlated with cervical cancer (CC) mortality rates in Brazil. Methods This was an ecological study that correlated mortality rates and indicators, such as human development index (HDI), gross domestic product (GDP) per capita, illiteracy rate, fertility rate, screening coverage, proportion of private health insurance use, density of physicians, and density of radiotherapy centers. The mortality rates were obtained from the Brazilian national registry, while the indicators were based on official reports from the Ministry of Health. Univariate and multivariate linear regression was used. Results Among the states of Brazil, the average age-specific CC mortality rate from 2008 to 2012 varied from 4.6 to 22.9 per 100,000 women/year. In the univariate analysis, HDI, proportion of private health insurance use, density of physicians, and density of radiotherapy centers were inversely correlated with the mortality rates. Fertility rate was positively correlated with the mortality rates. In the multivariate analysis, only fertility rate was significantly associated with the CC mortality rate (coefficient of correlation: 9.38; 95% confidence interval [CI]: 5.16–13.59). Conclusion A decrease in the fertility rate, as expected when the level of development of the regions increases, is related to a decrease in the mortality rate of CC. The results of the present study can help to better monitor the quality assessment of CC programs both among and within countries.
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spelling pubmed-103092792023-07-27 Correlation of Cervical Cancer Mortality with Fertility, Access to Health Care and Socioeconomic Indicators Vale, Diama Bhadra Sauvaget, Catherine Murillo, Raul Muwonge, Richard Zeferino, Luiz Carlos Sankaranarayanan, Rengaswamy Rev Bras Ginecol Obstet Objective The present study aimed to examine which development indicators are correlated with cervical cancer (CC) mortality rates in Brazil. Methods This was an ecological study that correlated mortality rates and indicators, such as human development index (HDI), gross domestic product (GDP) per capita, illiteracy rate, fertility rate, screening coverage, proportion of private health insurance use, density of physicians, and density of radiotherapy centers. The mortality rates were obtained from the Brazilian national registry, while the indicators were based on official reports from the Ministry of Health. Univariate and multivariate linear regression was used. Results Among the states of Brazil, the average age-specific CC mortality rate from 2008 to 2012 varied from 4.6 to 22.9 per 100,000 women/year. In the univariate analysis, HDI, proportion of private health insurance use, density of physicians, and density of radiotherapy centers were inversely correlated with the mortality rates. Fertility rate was positively correlated with the mortality rates. In the multivariate analysis, only fertility rate was significantly associated with the CC mortality rate (coefficient of correlation: 9.38; 95% confidence interval [CI]: 5.16–13.59). Conclusion A decrease in the fertility rate, as expected when the level of development of the regions increases, is related to a decrease in the mortality rate of CC. The results of the present study can help to better monitor the quality assessment of CC programs both among and within countries. Thieme Revinter Publicações Ltda 2019-03-25 2019-04 /pmc/articles/PMC10309279/ /pubmed/30912091 http://dx.doi.org/10.1055/s-0039-1683859 Text en https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Vale, Diama Bhadra
Sauvaget, Catherine
Murillo, Raul
Muwonge, Richard
Zeferino, Luiz Carlos
Sankaranarayanan, Rengaswamy
Correlation of Cervical Cancer Mortality with Fertility, Access to Health Care and Socioeconomic Indicators
title Correlation of Cervical Cancer Mortality with Fertility, Access to Health Care and Socioeconomic Indicators
title_full Correlation of Cervical Cancer Mortality with Fertility, Access to Health Care and Socioeconomic Indicators
title_fullStr Correlation of Cervical Cancer Mortality with Fertility, Access to Health Care and Socioeconomic Indicators
title_full_unstemmed Correlation of Cervical Cancer Mortality with Fertility, Access to Health Care and Socioeconomic Indicators
title_short Correlation of Cervical Cancer Mortality with Fertility, Access to Health Care and Socioeconomic Indicators
title_sort correlation of cervical cancer mortality with fertility, access to health care and socioeconomic indicators
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10309279/
https://www.ncbi.nlm.nih.gov/pubmed/30912091
http://dx.doi.org/10.1055/s-0039-1683859
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