Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil最新文献

{"title":"Reviewed article: Bando DH, Neto FC, Queiroz AP. Stroke mortality negatively associated with health, education, and safety: an ecological study, Minas Gerais, 2014-2022. Epidemiol Serv Saude. 2025:34;e20240820.","authors":"Andreza Maria Luzia Baldo de Souza","doi":"10.1590/S2237-96222025v34e20240820.c","DOIUrl":"10.1590/S2237-96222025v34e20240820.c","url":null,"abstract":"","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240820.c"},"PeriodicalIF":2.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12479027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Marketing violations involving products that compete with breastfeeding in the vicinity of early childhood education centers and health centers: a cross-sectional study based on an audit of the retail food environment, Maceió, 2022-2023.","authors":"Emanuelle Cristina Lins Bastos, Nicole Almeida Conde Vidal, Luan Dos Santos Aragão, Gabriel Marx Assunção Costa, Jonas Augusto Cardoso da Silveira","doi":"10.1590/S2237-96222025v34e20240666.en","DOIUrl":"10.1590/S2237-96222025v34e20240666.en","url":null,"abstract":"<p><strong>Objective: </strong>Evaluate violations of the Brazilian Code of Marketing of Infant and Toddler Food, Teats, Pacifiers, and Baby Bottles (NBCAL) in the retail food environment around health centers and early childhood education centers in Maceió.</p><p><strong>Methods: </strong>This cross-sectional study, conducted between April 2022 and March 2023, audited all food retail outlets selling products regulated by the Code in the vicinity of health centers and early childhood education centers. The results were expressed as frequencies.</p><p><strong>Results: </strong>Of the 1,176 food retail outlets audited, 8.8% showed violations. The violations were concentrated in pharmacies (65.0%) and supermarkets (26.2%). When examining these two types of establishments (n=601), it was observed that 41.6% of those affiliated with retail chains exhibited violations. The probability of violation in retail chains was 6.8 times higher (95% confidence interval: 4.5-10.2) than in independent establishments. The most frequent violations occurred in follow-up formulas for early childhood children (27.5%), infant and follow-up formulas for infants (22.0%), and dairy compound products (19.7%). The promotional strategy most associated with the violations was special display (74.7%).</p><p><strong>Conclusion: </strong>The retail food environment in Maceió revealed violations of the Code, with pharmacy chains and supermarkets posing the main threats to breastfeeding. Given the responsibilities of distributors and industry provided for in the legislation, this work reported abusive marketing practices that negatively impact the human right to adequate food and nutrition of children.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240666"},"PeriodicalIF":2.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12479031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Age structure and proportionate mortality among the Tikmũ'ũn/Maxakali: a descriptive study, Minas Gerais and Brazil, 2022.","authors":"Wagner Yoshizaki Oda, Max Felipe Vianna Gasparini, Juarez Pereira Furtado","doi":"10.1590/S2237-96222025v34e20240914.en","DOIUrl":"https://doi.org/10.1590/S2237-96222025v34e20240914.en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the age structure and mortality of the Tikmũ'ũn/Maxakali, comparing them to the non-Indigenous population of municipalities neighboring Indigenous territories, in Minas Gerais, and throughout Brazil.</p><p><strong>Methods: </strong>This was a cross-sectional study using secondary data from 2022 extracted from the Indigenous Health Care Information System, the 2022 Demographic Census, the Mortality Information System, and the Live Birth Information System. Age and sex distributions, proportionate mortality by age group, proportionate mortality burden and infant mortality rate were calculated.</p><p><strong>Results: </strong>The Tikmũ'ũn/Maxakali population consisted of 2,500 Indigenous people, with 2.4% (n=59) over 60 years of age. Among non-Indigenous people, this age group corresponded to 17.9% (n=28,550) living in neighboring municipalities, 17.8% (n=3,654,934) in Minas Gerais, and 15.9% (n=31,999,315) in Brazil. Among Indigenous people, 75.0% (n=15) of deaths were concentrated in the following age groups: under 1 year old (25.0%, n=5), 20-49 years old (25.0%, n=5), and over 50 years old (25.0%, n=5). For non-Indigenous people, mortality in the over-50 age group was 82.6% (n=1,076) in neighboring municipalities, 84.8% (n=135,221) in Minas Gerais, and 82.2% (n=1,240,116) in Brazil. The infant mortality rate among the Tikmũ'ũn/Maxakali was 66.7 deaths/1,000 live births, while for non-Indigenous people in neighboring municipalities, it was 17.5 deaths/1,000 live births. In Minas Gerais and Brazil, this rate among Indigenous people was 26.0 and 26.7/1,000 live births.</p><p><strong>Conclusion: </strong>The young age structure and high infant mortality of the Tikmũ'ũn/Maxakali indicate poorer health and care conditions compared to the other populations analyzed.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240914"},"PeriodicalIF":2.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High prevalence of respiratory diseases: a population-based ecological study, Sertão do Araripe, 2008-2019.","authors":"José Rafael Soares da Silva, Rodrigo Gomes de Arruda, Bárbara de Oliveira Silva, Erika da Silva Bezerra de Menezes, Cinthia Martins Menino Diniz, João Pedro Alves Gomes, Breno Caldas de Araújo, Moacyr Jesus Barreto de Melo Rêgo, Maira Galdino da Rocha Pitta, Michelly Cristiny Pereira","doi":"10.1590/S2237-96222025v34e20240519.en","DOIUrl":"10.1590/S2237-96222025v34e20240519.en","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the prevalence and mortality of respiratory diseases between 2008 and 2019 in municipalities with gypsum industry activity in the Sertão do Araripe region, Pernambuco, Brazil.</p><p><strong>Methods: </strong>This was a population-based ecological study using data extracted from hospital and mortality information systems. Ten municipalities from the gypsum production hub were compared to other municipalities in Pernambuco that do not have gypsum industry activity. Prevalence and mortality rates were calculated per 100,000 and 1,000 inhabitants and presented by mean values (standard deviation) for chronic obstructive pulmonary disease, asthma, acute bronchitis, and pneumonia. Pearson's correlation tests, Mann-Whitney U tests, and multiple linear regression were performed to assess the relationship between gypsum industry activity and respiratory diseases.</p><p><strong>Results: </strong>During the study period, 17,630 cases of respiratory diseases were recorded, with a mean prevalence of 454.74 (147.16) per 100,000 inhabitants and a mortality rate of 0.34 (0.08) per 1,000 inhabitants. Pneumonia accounted for 12,680 hospitalizations, with a prevalence of 431.20 (173.04) per 100,000 inhabitants, being most frequent in Ouricuri (543.08), Ipubi (409.93), and Moreilândia (404.80). A higher prevalence of pneumonia was observed in municipalities within the gypsum production hub (p-value 0.007). A positive correlation was found between respiratory diseases and the hospital bed occupancy rate (r 0.24; p-value<0.050), and a negative correlation with per capita public health expenditures. There was a significant association between the presence of the gypsum industry and pneumonia (p-value<0.001).</p><p><strong>Conclusion: </strong>The gypsum industry's activity is associated with the prevalence of respiratory diseases in the region, with a particular emphasis on the high rates of pneumonia.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240519"},"PeriodicalIF":2.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12435955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145077170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of mortality of users treated at a Mobile Emergency Care Service: an observational study, Paraná, 2019-2020.","authors":"Erika Fernanda Dos Santos Bezerra Ludwig, Maria do Carmo Fernandez Lourenço Haddad, Mariana Ângela Rossaneis Moreira, Aroldo Gavioli, Lilia de Souza Nogueira, Eleine Aparecida Penha Martins","doi":"10.1590/S2237-96222025v34e20240092.en","DOIUrl":"10.1590/S2237-96222025v34e20240092.en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the mortality of users attended by a Mobile Emergency Care Service located in Paraná.</p><p><strong>Methods: </strong>This is a cross-sectional analytical study based on service reports from 2019 and 2020. The Mobile Emergency Care Service covered 21 municipalities, divided into hubs A and B. The dependent variables defined were death and time of care. Survival functions were calculated using the Kaplan-Meier estimator and the log-rank test; hazard ratio (HR) for death, by Cox regression with 95% confidence interval (95%CI).</p><p><strong>Results: </strong>The study evaluated 13,326 instances of care provided. Of these, 246 resulted in death. The risk of death was higher in time-sensitive calls (HR 0.17; 95%CI 0.008; 0.37), in 2020 (HR 2.09; 95%CI 1.39; 3.16), attended by advanced support (HR 21.51; 95%CI 12.61; 36.70) and in Hub B (HR 4.26; 95%CI 2.53; 7.17).</p><p><strong>Conclusion: </strong>Mortality was higher in cases that had a long wait for time-sensitive calls, occurred in less populated regions, and were dealt with by advanced support in 2020.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240092"},"PeriodicalIF":2.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12435964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145077163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Individual and contextual characteristics associated with concurrent risk factors among adolescents: a multilevel cross-sectional study based on the 2019 Brazilian National Health Survey.","authors":"Ruàn Éverton de Souza Silva, Eduardo Araujo Lima, Antonio Valdeir Lopes da Silva, Shelda Santos Silva, Jéssica Fernanda de Sousa, Edina Araújo Rodrigues Oliveira, Danilla Michelle Costa E Silva, Mailson Fontes de Carvalho, Rumão Batista Nunes de Carvalho","doi":"10.1590/S2237-96222025v34e20240453.en","DOIUrl":"10.1590/S2237-96222025v34e20240453.en","url":null,"abstract":"<p><strong>Objective: </strong>To assess the simultaneity of risk behaviors for chronic non-communicable diseases and their association with individual and contextual characteristics in Brazilian adolescents.</p><p><strong>Methods: </strong>Cross-sectional study using data from the 2019 Brazilian National Health Survey. The simultaneity of factors of the consumption of ultra-processed foods, level of physical activity, smoking and alcohol use was analyzed, according to individual and contextual characteristics, estimating the odds ratios (OR) and respective 95% confidence intervals (95%CI) for fixed effects and variance and 95%CI for random effects, through multilevel polytomous logistic regression.</p><p><strong>Results: </strong>Among the 4,336 adolescents evaluated, the most prevalent combination of two risk behaviors included the consumption of ultra-processed foods and insufficient level of physical activity (13.3%; 95%CI 11.6; 15.3). The most frequent combination of three factors included these behaviors combined with habitual alcohol use (3.6%; 95%CI 2.7; 4.8). The chances of combinations of three or four factors were lower in females (OR 0.44; 95%CI 0.32; 0.60) and in rural areas (OR 0.46; 95%CI 0.31; 0.70) and higher in older adolescents (OR 2.57; 95%CI 1.72; 3.83), with higher levels of education (OR 8.11; 95%CI 2.41; 27.26) and living without partners (OR 3.83; 95%CI 1.10; 13.35). High Human Development Indices increased these chances (OR 7.28; 95%CI 3.81; 13.92), while high Social Vulnerability Indices (OR 0.25; 95%CI 0.11; 0.58) and Gini Indices (OR 0.28; 95%CI 0.15; 0.52) reduced them.</p><p><strong>Conclusion: </strong>The occurrence of multiple risk behaviors in adolescents is more likely among older, male, single and more educated adolescents, especially in areas of greater socioeconomic development.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240453"},"PeriodicalIF":2.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12435959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sociodemographic profile of elderly people cared for at a medium and high complexity hospital: a cross-sectional study, Belo Horizonte, 2015-2019.","authors":"Cristiano Inácio Martins, Camilla Stephane Oliveira Silva, Fernanda Gonçalves de Souza, Shirlei Moreira da Costa Faria, Karla Rona da Silva, Mirela Castro Santos Camargos","doi":"10.1590/S2237-96222025v34e20240254.en","DOIUrl":"10.1590/S2237-96222025v34e20240254.en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the sociodemographic profile of elderly individuals hospitalized in a medium and high complexity hospital in Belo Horizonte, with emphasis on reasons for hospitalization, length of hospital stay, and factors associated with risk of death.</p><p><strong>Methods: </strong>This is a descriptive, quantitative, cross-sectional study based on data from electronic medical records of elderly individuals (≥60 years) treated between 2015 and 2019 at a referral hospital for multiple trauma in Belo Horizonte. The variables investigated included age, sex, marital status, municipality of origin, reason for hospitalization, and length of stay. Descriptive statistical analysis, Kaplan-Meier estimator, log-rank test, and Cox regression were used to identify association between the factors analyzed.</p><p><strong>Results: </strong>A total of 10,742 medical records were analyzed, the majority of which were male (52.6%) and aged 60-79 years (75.8%). The most frequent reason for hospitalization was falls (44.4%), followed by clinical causes (25.1%). Average length of hospital stay was 79.8 days. The mortality rate was 11.7%, with higher risk associated with self-harm (3.1 times higher), falls and poisoning (1.9 times higher). The longest hospital stay was observed in cases of people who had been run over (96 days).</p><p><strong>Conclusions: </strong>The profile found highlighted the vulnerability of the elderly population, the complexity of the cases treated and the need for specific hospital management strategies. The importance of preventive actions, palliative care and continuous training of professionals stood out, with the aim of improving the quality of life of the elderly population and optimizing health resources.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240254"},"PeriodicalIF":2.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12435965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sociodemographic and clinical factors associated with delayed diagnosis of cervical cancer: a cross-sectional study, Brazil, 2016-2020.","authors":"Ana Karla Monteiro Santana de Oliveira Freitas, Juliana Dantas de Araújo Santos Camargo, Amaxsell Thiago Barros de Souza, Talles Henrique de Araújo Pontes, Joyce Maria Pereira de Oliveira, Letícia Amaro Vieira, Pedro Lucas de Morais Ferreira, Sávio Ferreira Camargo, Janaina Cristiana de Oliveira Crispim Freitas","doi":"10.1590/S2237-96222025v34e20240764.en","DOIUrl":"10.1590/S2237-96222025v34e20240764.en","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the time taken to diagnose cervical cancer in Brazil and identify associated sociodemographic and clinical factors in the period 2016-2020.</p><p><strong>Methods: </strong>This was a cross-sectional study of cervical neoplasms diagnosed between 2016 and 2020, using data collected from the Hospital Cancer Registry. The logistic regression model was applied to calculate odds ratios (OR) and 95% confidence intervals (95%CI). The estimates were converted to prevalence ratios (PR). A 5% significance level was adopted for all analyses.</p><p><strong>Results: </strong>A total of 23,548 cases were evaluated. Prevalence of delayed diagnosis of cervical cancer was higher in women with no formal education (PR 1.40; 95%CI 1.19; 1.65), of Black or mixed race/skin color (PR 1.15; 95%CI 1.06; 1.25), living in the Northern region (PR 1.37; 95%CI 1.21; 1.55), referred by the Brazilian National Health System (PR 1.29; 95%CI 1.18; 1.41) and with diagnosis in 2020 (PR 1.29; 95%CI 1.16; 1.43). Delayed diagnosis was less frequent among women with stage III (PR 0.31; 95%CI 0.28; 0.35) and stage IV (PR 0.37; 95%CI 0.32; 0.42) cervical cancer.</p><p><strong>Conclusion: </strong>Delayed diagnosis of cervical cancer is associated with sociodemographic inequalities and challenges faced by the Brazilian National Health System. Prevalence of delayed diagnosis was higher among Black women, women with less education and women from the Northern region. The results reinforce the need to strengthen the line of care and qualify diagnostic confirmation processes, especially for socially vulnerable populations.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240764"},"PeriodicalIF":2.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12435956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Teledentistry actions in Primary Healthcare during the COVID-19 pandemic: cross-sectional study, Brazil, 2021.","authors":"Mariane Baltassare Laroque, Thais Freitas Formozo Tillmann, Bruna Vettorazzi Liskoski, Alexandre Emidio Ribeiro Silva","doi":"10.1590/S2237-96222025v34e20240669.en","DOIUrl":"10.1590/S2237-96222025v34e20240669.en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the use of teledentistry in Primary Healthcare in Brazil at the end of the second year of the COVID-19 pandemic.</p><p><strong>Methods: </strong>Cross-sectional study with dentists and dental surgeons in Primary Healthcare. Study data were obtained through an online form. The outcome was the use of teledentistry in Basic Health Units. The exposure variables were related to dentists, municipalities and the adoption of protocols by the municipality to reduce the risk of COVID-19. Descriptive and bivariate analyses were performed, and finally, adjusted regression analysis was performed, in which prevalence ratios (PR) and 95% confidence intervals (95%CI) were obtained.</p><p><strong>Results: </strong>416 dentists were evaluated. Of these, 24.3% reported using teledentistry, with remote guidance being the most used modality (85.6%). The highest probability of implementing teledentistry occurred in Basic Health Units in the South (RP 4.20; 95%CI 1.71; 10.28) and Southeast (RP 6.85; 95%CI 2.74; 17.67) regions of Brazil, which adopted protocols to reduce the risk of COVID-19 (PR 1.59; 95%CI 1.01; 2.50) and had dentists specialized in Public/Collective Health (PR 2.12; 95%CI 1.20; 3.75).</p><p><strong>Conclusion: </strong>Limited use of teledentistry was observed by Basic Health Units in Brazil. Factors related to the adoption of protocols to reduce the risk of COVID-19, the Brazilian region of the Basic Health Unit and the presence of a dentist with specialization in Public/Collective Health were positively associated with the implementation of teledentistry.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240669"},"PeriodicalIF":2.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12435950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Temporal trend and spatial analysis of breast cancer mortality in Paraná, 2012-2021.","authors":"Sandy Gabrielle Pelegrini Dos Santos, Carolina Fordellone Rosa Cruz, Kelly Holanda Prezotto, Ricardo Castanho Moreira, Maria José Quina Galdino, Rosana Rosseto Oliveira, Alessandro Rolim Scholze, Emiliana Cristina Melo","doi":"10.1590/S2237-96222025v34e20240171.en","DOIUrl":"10.1590/S2237-96222025v34e20240171.en","url":null,"abstract":"<p><strong>Objectives: </strong>To analyze the temporal trend and identify spatial clusters of breast cancer mortality in Paraná state between 2012 and 2021.</p><p><strong>Methods: </strong>This was a time series study, with spatial analysis of breast cancer mortality rates in the 399 municipalities of Paraná. Data were selected from the Mortality Information System. Time series analysis was performed using the Prais-Winsten autoregression method. The Getis-Ord Gi* technique was used to identify spatial clusters.</p><p><strong>Results: </strong>A total of 8,819 breast cancer deaths were reported, with a rising trend in Paraná (annual percentage change [APC] +1.83; 95% confidence interval [95%CI] 0.86; 2.82). The East macro-region of the state stood out (APC +4.27; 95%CI 2.27; 6.32). Spatial analysis showed areas with a higher standardized mortality rate in the West and North macro-regions and areas with a lower rate in the East macro-region.</p><p><strong>Conclusion: </strong>In the period 2012-2021, there was an increase in breast cancer deaths in Paraná. Trend analysis showed that the phenomenon grew mainly in the East macro-region. In the spatial analysis, the West and North macro-regions had the highest concentration of the event. These results indicate areas in need of immediate intervention in the state.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240171"},"PeriodicalIF":2.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12435970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145035005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}