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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
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).
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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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