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

Autor: Medeiros de Azevedo PR; PM: Statistician. Ph.D. Health Sciences, Department of Statistics, Universidade Federal do Rio Grande do Norte. Natal, Brazil. prma@ccet.ufrn.br., Bezerra-Rocha J; JB: Statistician. Postgraduate student. Applied Mathematics and Statistics, Universidade Federal do Rio Grande do Norte. Natal, Brazil. joycerochaa_@live.com., Araújo de Medeiros Fernandes TA; TA: Pharmacist. Ph.D. Medical Sciences, Department of Biomedical Sciences, Universidade do Estado do Rio Grande do Norte. Mossoró, Brazil. thalesallyrio@yahoo.com.br., Veríssimo-Fernandes J; JV: Biomedical. Ph.D. Microbiology, Department of Microbiology and Parasitology, Universidade Federal do Rio Grande do Norte. Natal, Brazil. veris@cb.ufrn.br.
Jazyk: angličtina
Zdroj: Revista de salud publica (Bogota, Colombia) [Rev Salud Publica (Bogota)] 2019 Mar-Apr; Vol. 21 (2), pp. 161-167. Date of Electronic Publication: 2020 Oct 05.
DOI: 10.15446/rsap.V21n2.68893
Abstrakt: 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 classified as 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 correlation between 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.
Databáze: MEDLINE