Do social protection programmes affect the burden of breast and cervical cancer? A systematic review.

Autor:	Gabrielli L; Bahia State Centre for Diabetes and Endocrinology, SESAB, Salvador, Brazil.; Collective Health Institute, Federal University of Bahia, Salvador, Brazil., Alvim Matos SM; Collective Health Institute, Federal University of Bahia, Salvador, Brazil., Luísa Patrão A; Centre for Psychology, Faculty of Psychology and Education Science, University of Porto, Porto, Portugal., Góes EF; Centre for Data and Knowledge Integration for Health (CIDACS), Gonçalo Moniz Institute, Oswaldo Cruz Foundation, Salvador, Brazil., da Conceição C Almeida M; Gonçalo Moniz Institute, Oswaldo Cruz Foundation, Salvador, Brazil., M S Menezes G; Collective Health Institute, Federal University of Bahia, Salvador, Brazil., Dos-Santos-Silva I; Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, United Kingdom., Azevedo E Silva G; Institute of Social Medicine, Rio de Janeiro State University, Rio de Janeiro, Brazil., Teresa Bustamante-Teixeira M; Graduate Programme on Collective Health, Federal University of Juiz de Fora, Juiz de Fora, Brazil., Barreto ML; Collective Health Institute, Federal University of Bahia, Salvador, Brazil.; Centre for Data and Knowledge Integration for Health (CIDACS), Gonçalo Moniz Institute, Oswaldo Cruz Foundation, Salvador, Brazil., Vittal Katikireddi S; MRC/CSO Social & Public Health Sciences Unit, University of Glasgow, Glasgow, United Kingdom., Leyland AH; MRC/CSO Social & Public Health Sciences Unit, University of Glasgow, Glasgow, United Kingdom., Ferreira Campos L; Graduate Programme on Medicine and Health, Federal University of Bahia, Salvador, Brazil., Maria Dias Fernandes de Novaes E; Collective Health Institute, Federal University of Bahia, Salvador, Brazil., de Almeida Pereira D; Graduate Programme on Collective Health, Federal University of Juiz de Fora, Juiz de Fora, Brazil., Rodrigues Santana E; Collective Health Institute, Federal University of Bahia, Salvador, Brazil., Rodrigues Gonçalves Zeferino F; Institute of Social Medicine, Rio de Janeiro State University, Rio de Janeiro, Brazil., Cleide da Silva Dias A; Vale do São Francisco Federal University, Petrolina, Brazil., Fernandes FG; Banco Central do Brasil, Salvador, Brazil., Cristina de Oliveira Costa A; Graduate Programme on Collective Health, René Rachou Institute, Oswaldo Cruz Foundation, Belo Horizonte, Brazil., M L Aquino E; Collective Health Institute, Federal University of Bahia, Salvador, Brazil.; Centre for Data and Knowledge Integration for Health (CIDACS), Gonçalo Moniz Institute, Oswaldo Cruz Foundation, Salvador, Brazil.
Jazyk:	angličtina
Zdroj:	Health policy OPEN [Health Policy Open] 2024 May 08; Vol. 6, pp. 100122. Date of Electronic Publication: 2024 May 08 (Print Publication: 2024).
DOI:	10.1016/j.hpopen.2024.100122
Abstrakt:	Background: Socioeconomic conditions are strongly associated with breast and cervical cancer incidence and mortality patterns; therefore, social protection programmes (SPPs) might impact these cancers. This study aimed to evaluate the effect of SPPs on breast and cervical cancer outcomes and their risk/protective factors. Methods: Five databases were searched for articles that assessed participation in PPS and the incidence, survival, mortality (primary outcomes), screening, staging at diagnosis and risk/protective factors (secondary outcomes) for these cancers. Only peer-reviewed quantitative studies of women receiving SPPs compared to eligible women not receiving benefits were included. Independent reviewers selected articles, assessed eligibility, extracted data, and assessed the risk of bias. A harvest plot represents the included studies and shows the direction of effect, sample size and risk of bias. Findings: Of 17,080 documents retrieved, 43 studies were included in the review. No studies evaluated the primary outcomes. They all examined the relationship between SPPs and screening, as well as risk and protective factors. The harvest plot showed that in lower risk of bias studies, participants of SPPs had lower weight and fertility, were older at sexual debut, and breastfed their infants for longer. Interpretation: No studies have yet assessed the effect of SPPs on breast and cervical cancer incidence, survival, or mortality; nevertheless, the existing evidence suggests positive impacts on risk and protective factors. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2024 Published by Elsevier B.V.)
Databáze:	MEDLINE
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