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Padrão espacial da mortalidade por câncer de mama e colo do útero na cidade de São Paulo

Overview of attention for article published in Revista de Saúde Pública, December 2020
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Padrão espacial da mortalidade por câncer de mama e colo do útero na cidade de São Paulo
Published in
Revista de Saúde Pública, December 2020
DOI 10.11606/s1518-8787.2020054002447
Pubmed ID

Patricia Marques Moralejo Bermudi, Alessandra Cristina Guedes Pellini, Elizabeth Angélica Salinas Rebolledo, Carmen Simone Grilo Diniz, Breno Souza de Aguiar, Adeylson Guimarães Ribeiro, Marcelo Antunes Failla, Oswaldo Santos Baquero, Francisco Chiaravalloti-Neto


To verify the spatial pattern of mortality from breast and cervical cancer in areas of primary health care, considering socioeconomic conditions. This is an ecological study, from January 2000 to December 2016. The study area is the municipality of São Paulo, Brazil, and its 456 coverage areas of primary health units. Information on deaths of women aged 20 years or over were geocoded according to residence address. We calculated mortality rates, standardized by age, and smoothed by the local empirical Bayesian method, and grouped into three or two years to reduce the random fluctuation of the data. In addition, bivariate global and local Moran indexes were calculated to verify the existence of spatial agglomeration of standardized mortality rates with a domain of socioeconomic condition, elaborated based on the Índice Paulista de Vulnerabilidade Social (IPVS - São Paulo Index of Social Vulnerability). The success rate of geocoding was 98.9%. Mortality from breast cancer, without stratification by time, showed a pattern with higher rates located in central regions with better socioeconomic conditions. It showed a decrease at the end of the period and a change in spatial pattern, with increased mortality in peripheral regions. On the other hand, mortality from cervical cancer remained with the highest rates in peripheral regions with worse socioeconomic conditions, despite being reduced over time. The spatial pattern of mortality from the studied cancers, over time, suggests association with the best socioeconomic conditions of the municipality, either as protection (cervical) or risk (breast). This knowledge may direct resources to prevent and promote health in the territories.

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Geographical breakdown

Country Count As %
Unknown 15 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 3 20%
Unspecified 1 7%
Student > Doctoral Student 1 7%
Librarian 1 7%
Professor 1 7%
Other 3 20%
Unknown 5 33%
Readers by discipline Count As %
Medicine and Dentistry 5 33%
Nursing and Health Professions 2 13%
Mathematics 1 7%
Environmental Science 1 7%
Decision Sciences 1 7%
Other 1 7%
Unknown 4 27%