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Health Services, Socioeconomic Indicators, and Primary Care Coverage in Mortality by Lower Genital Tract and Breast Neoplasias in Brazilian Women during Reproductive and Non-Reproductive Periods
Women’s health assistance at the low-complexity level is focused on the most common diseases and can be affected by primary health care coverage, particularly in areas far away from large urban centers. Thus, in this work, we aim to analyze the relationship between socioeconomic status, health care...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7460456/ https://www.ncbi.nlm.nih.gov/pubmed/32796632 http://dx.doi.org/10.3390/ijerph17165804 |
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author | Ramos, José Lucas Souza Figueiredo, Francisco Winter dos Santos Zuchelo, Lea Tami Suzuki Purcino, Flávia Abranches Corsetti Adami, Fernando Goncalves, Rodrigo Ruiz, Carlos Alberto Baracat, Edmund Chada Soares Junior, José Maria Sorpreso, Isabel Cristina Esposito |
author_facet | Ramos, José Lucas Souza Figueiredo, Francisco Winter dos Santos Zuchelo, Lea Tami Suzuki Purcino, Flávia Abranches Corsetti Adami, Fernando Goncalves, Rodrigo Ruiz, Carlos Alberto Baracat, Edmund Chada Soares Junior, José Maria Sorpreso, Isabel Cristina Esposito |
author_sort | Ramos, José Lucas Souza |
collection | PubMed |
description | Women’s health assistance at the low-complexity level is focused on the most common diseases and can be affected by primary health care coverage, particularly in areas far away from large urban centers. Thus, in this work, we aim to analyze the relationship between socioeconomic status, health care indicators, and primary care coverage in mortality from neoplasms of the lower genital tract and breast in Brazilian women during reproductive and non-reproductive periods. We conducted an ecological study at the Gynecology Discipline, Medicine School, University of São Paulo. Secondary data were collected from women according to reproductive periods and mortality data from the Mortality Information System based on International Classification of Disease—10th edition regarding breast and lower genital tract neoplasms in 2017. The health service and socioeconomic indicators were obtained from the Informatics Department of the Unified Health System and Brazilian Institute of Geography and Statistics. Our results showed that primary care coverage and health service indicators were not associated with mortality from breast cancer and the female lower genital tract, both in reproductive and non-reproductive periods. Sociodemographic indicators were found to be associated with mortality from breast cancer and the female lower genital tract, with income being associated with reproductive period (β = −0.4; 95% CI, −0.8 to −0.03) and educational level in the non-reproductive period (β = 9.7; 95% CI, 1.5 to 18.0). |
format | Online Article Text |
id | pubmed-7460456 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-74604562020-09-03 Health Services, Socioeconomic Indicators, and Primary Care Coverage in Mortality by Lower Genital Tract and Breast Neoplasias in Brazilian Women during Reproductive and Non-Reproductive Periods Ramos, José Lucas Souza Figueiredo, Francisco Winter dos Santos Zuchelo, Lea Tami Suzuki Purcino, Flávia Abranches Corsetti Adami, Fernando Goncalves, Rodrigo Ruiz, Carlos Alberto Baracat, Edmund Chada Soares Junior, José Maria Sorpreso, Isabel Cristina Esposito Int J Environ Res Public Health Article Women’s health assistance at the low-complexity level is focused on the most common diseases and can be affected by primary health care coverage, particularly in areas far away from large urban centers. Thus, in this work, we aim to analyze the relationship between socioeconomic status, health care indicators, and primary care coverage in mortality from neoplasms of the lower genital tract and breast in Brazilian women during reproductive and non-reproductive periods. We conducted an ecological study at the Gynecology Discipline, Medicine School, University of São Paulo. Secondary data were collected from women according to reproductive periods and mortality data from the Mortality Information System based on International Classification of Disease—10th edition regarding breast and lower genital tract neoplasms in 2017. The health service and socioeconomic indicators were obtained from the Informatics Department of the Unified Health System and Brazilian Institute of Geography and Statistics. Our results showed that primary care coverage and health service indicators were not associated with mortality from breast cancer and the female lower genital tract, both in reproductive and non-reproductive periods. Sociodemographic indicators were found to be associated with mortality from breast cancer and the female lower genital tract, with income being associated with reproductive period (β = −0.4; 95% CI, −0.8 to −0.03) and educational level in the non-reproductive period (β = 9.7; 95% CI, 1.5 to 18.0). MDPI 2020-08-11 2020-08 /pmc/articles/PMC7460456/ /pubmed/32796632 http://dx.doi.org/10.3390/ijerph17165804 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Ramos, José Lucas Souza Figueiredo, Francisco Winter dos Santos Zuchelo, Lea Tami Suzuki Purcino, Flávia Abranches Corsetti Adami, Fernando Goncalves, Rodrigo Ruiz, Carlos Alberto Baracat, Edmund Chada Soares Junior, José Maria Sorpreso, Isabel Cristina Esposito Health Services, Socioeconomic Indicators, and Primary Care Coverage in Mortality by Lower Genital Tract and Breast Neoplasias in Brazilian Women during Reproductive and Non-Reproductive Periods |
title | Health Services, Socioeconomic Indicators, and Primary Care Coverage in Mortality by Lower Genital Tract and Breast Neoplasias in Brazilian Women during Reproductive and Non-Reproductive Periods |
title_full | Health Services, Socioeconomic Indicators, and Primary Care Coverage in Mortality by Lower Genital Tract and Breast Neoplasias in Brazilian Women during Reproductive and Non-Reproductive Periods |
title_fullStr | Health Services, Socioeconomic Indicators, and Primary Care Coverage in Mortality by Lower Genital Tract and Breast Neoplasias in Brazilian Women during Reproductive and Non-Reproductive Periods |
title_full_unstemmed | Health Services, Socioeconomic Indicators, and Primary Care Coverage in Mortality by Lower Genital Tract and Breast Neoplasias in Brazilian Women during Reproductive and Non-Reproductive Periods |
title_short | Health Services, Socioeconomic Indicators, and Primary Care Coverage in Mortality by Lower Genital Tract and Breast Neoplasias in Brazilian Women during Reproductive and Non-Reproductive Periods |
title_sort | health services, socioeconomic indicators, and primary care coverage in mortality by lower genital tract and breast neoplasias in brazilian women during reproductive and non-reproductive periods |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7460456/ https://www.ncbi.nlm.nih.gov/pubmed/32796632 http://dx.doi.org/10.3390/ijerph17165804 |
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