| Autor: |
Ribeiro TS; Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Acre. Campus da Universidade Federal do Acre. 69917-400 Rio Branco AC Brasil. thainasouzasr@hotmail.com., Simões TC; Instituto de Pesquisa René Rachou - Fiocruz Minas. Belo Horizonte MG Brasil., Silva IFD; Departamento de Epidemiologia e Métodos Quantitativos em Saúde, Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz. Rio de Janeiro RJ Brasil., Koifman RJ; Programa de Pós-Graduação em Saúde e Meio Ambiente Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz. Rio de Janeiro RJ Brasil., Borges MFSO; Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Acre. Campus da Universidade Federal do Acre. 69917-400 Rio Branco AC Brasil. thainasouzasr@hotmail.com., Opitz SP; Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Acre. Campus da Universidade Federal do Acre. 69917-400 Rio Branco AC Brasil. thainasouzasr@hotmail.com. |
| Jazyk: |
Portuguese; English |
| Zdroj: |
Ciencia & saude coletiva [Cien Saude Colet] 2024 Sep; Vol. 29 (9), pp. e14782022. Date of Electronic Publication: 2023 Sep 03. |
| DOI: |
10.1590/1413-81232024299.14782022 |
| Abstrakt: |
The present study aimed to analyze the effects of age, time period, and birth cohort on the temporal evolution of mortality rates due to prostate cancer in men from the state of Acre, Brazil, in the period of 1990 to 2019. This is an ecological study in which the temporal trend was evaluated by the joinpoint method, estimating the annual percentage variations of the mortality rates. The age-period-birth cohort effects were calculated by using the Poisson Regression method, using estimation functions. The mortality rates showed an increase of 2.20% (95%CI: 1.00-3.33) in the period studied, tended to increase with age. A relative risk (RR) of 0.67 (95%CI: 0.59-0.76) was observed between 2005 and 2009, 0.76 (95%CI: 0.67-0.87) from 2005 on, and 1.44 (95%CI: 1.25-1.68) from 2015 on. The cohorts from 1910 to 1924 presented a risk reduction (RR < 1), when compared to the reference cohort (1935). Regarding the time period, the creation of public policies and the establishment of guidelines are suggested as factors which may have contributed to more access to diagnosis, in consonance with the cohort effect. These findings can contribute to a better understanding of the epidemiological scenario of prostate cancer in regions that are more vulnerable in terms of socioeconomic conditions. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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