[巴西结直肠癌死亡率的空间分布]。

IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Ciencia & saude coletiva Pub Date : 2025-10-20 eCollection Date: 2025-01-01 DOI:10.1590/1413-812320242911.01492024
Amanda Almeida Gomes Dantas, Nayara Priscila Dantas de Oliveira, Luís Felipe Leite Martins, Marianna de Camargo Cancela, Dyego Leandro Bezerra de Souza
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引用次数: 0

摘要

分析巴西结直肠癌晚期诊断和死亡率的空间分布格局及其与人口、社会经济和卫生保健服务指标的关系。在2015年至2019年期间,对巴西境内133个城市衔接中间地区的男女个体进行了结直肠癌(CCR)病例的生态学研究。从信息系统收集分期、死亡率、社会经济和医疗保健服务可用性数据。利用全球莫兰指数和地方空间关联指数进行空间分析。在多变量分析中,采用了具有全局空间效应的空间误差模型。结直肠癌晚期诊断女性占64.7%,男性占65.9%。结直肠癌的调整死亡率为每10万居民中女性11.25人,男性14.29人。结直肠癌调整死亡率与社会脆弱性指数、全科医生密度、结直肠癌专科医生密度和肿瘤专科服务相关。社会不平等和保健服务提供的差异是结直肠癌死亡率空间格局的预测因子。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Spatial distribution of morbimortality from colorectal cancer in Brazil].

To analyze the spatial distribution pattern of advanced-stage diagnosis and mortality from colorectal cancer (CRC) in Brazil and its relationship with population socioeconomic and healthcare service indicators. Ecological study conducted with cases of colorectal cancer (CCR) in individuals of both sexes from the 133 Intermediate Regions of Urban Articulation in the Brazilian territory in the period from 2015 to 2019. Staging, mortality, socioeconomic, and healthcare service availability data were collected from information systems. A spatial analysis was performed using the Global Moran's Index and Local Indicator of Spatial Association. In the multivariate analysis, models with global spatial effects, the Spatial Error, were utilized. The proportion of advanced-stage diagnosis of colorectal cancer for females was 64.7%, and for males, it was 65.9%. The adjusted mortality rate for colorectal cancer was 11.25 for females and 14.29 for males per 100,000 inhabitants. The adjusted mortality rates for colorectal cancer were associated with the social vulnerability index, general practitioner density, colorectal specialist density, and specialized oncology services. Social inequities and disparities in healthcare service provision are predictors of the spatial pattern for colorectal cancer mortality.

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来源期刊
Ciencia & saude coletiva
Ciencia & saude coletiva PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.60
自引率
11.80%
发文量
533
审稿时长
12 weeks
期刊介绍: Ciência & Saúde Coletiva publishes debates, analyses, and results of research on a Specific Theme considered current and relevant to the field of Collective Health. Its abbreviated title is Ciênc. saúde coletiva, which should be used in bibliographies, footnotes and bibliographical references and strips.
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