Banca de DEFESA: HELOÍSA HELENA GOMES LIMA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : HELOÍSA HELENA GOMES LIMA
DATA : 19/07/2018
HORA: 10:00
LOCAL: DEPARTAMENTO DE ODONTOLOGIA
TÍTULO:

Inequality in spatial distribution of breast cancer mortality in Brazil.

PALAVRAS-CHAVES:

Women's Health, Breast Neoplasms, Mammography, Social Indicators

PÁGINAS: 39
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
SUBÁREA: Epidemiologia
RESUMO:

Introduction: breast cancer is the type of neoplasia that has the highest incidence and the highest mortality rate in the female population worldwide. Affecting both developing and developed countries. Purpose: To evaluate the spatial distribution of mortality from breast cancer in the Intermediate Regions of Urban Articulation of Brazil from 1998 to 2015. Methodology: This is an ecological study carried out in Brazil through the 161 Regions of Urban Articulation that analyzed the deaths of women caused by breast cancer between the age of 50-69 years and its association with the ratio of screening mammography exams, population coverage estimated by the Primary Care teams, coverage of women with private health plans and the index of municipal human development (IDHM). It was calculated in terraView the global and Local Moran index for the mortality standardized rate (TMP) for breast cancer. In Geoda, the bivariate analyzes were performed between the mortality rate and the socioeconomic and service indicators; The local bivariate Index of Moran and representations by means of the Dispersion Diagram of Moran Bivariate and Lisa Cluster Map were calculated. Results: Breast cancer mortality rates in the period 1998-2006 ranged from 0.23 to 7.67 deaths per 100,000 inhabitants. (Moran index: 0.733, p-value: 0.01) with higher rates found in the South and Southeast regions; in the 2007/2015 period ranged from 0.23 to 8.73 / 100,000 inhabitants. (Moran index: 0.594, p-value: 0.01), the high rates were observed in the South, Southeast, Midwest and Northeast regions. In the bivariate analyzes, positive correlations were obtained between TMP for breast cancer and the ratio of mammographic examinations (I = 0.352), private health plan (I = 0.436) and IDHM (I = 0.733) and a negative correlation with the primary care (I = -0.116). Conclusions: Mortality from breast cancer has increased in the country over the years and the services and socio-economic indicators do not seem to contribute to a reduction of mortality, requiring reassessment and reformulation strategies that contribute to the reduction in mortality from breast cancer.

MEMBROS DA BANCA:
Presidente - 421717 - MARIA ANGELA FERNANDES FERREIRA
Externo ao Programa - 1149381 - ANA CRISTINA PINHEIRO FERNANDES DE ARAUJO
Externo à Instituição - GRÁCIA MARIA DE MIRANDA GONDIM - Fiocruz - RJ