A multilevel assessment of the social determinants associated with the late stage diagnosis of breast cancer

dc.contributor.authorSouza, Dyego Leandro Bezerra de
dc.contributor.authorOliveira, Nayara Priscila Dantas de
dc.contributor.authorCancela, Marianna de Camargo
dc.contributor.authorMartins, Luís Felipe Leite
dc.contributor.authorIDhttps://orcid.org/0000-0001-8426-3120pt_BR
dc.date.accessioned2023-09-12T18:14:02Z
dc.date.available2023-09-12T18:14:02Z
dc.date.issued2021
dc.description.resumoThe advanced-stage diagnosis of breast cancer reveals the inequalities associated with socioeconomic conditions and the offer of health services. This study analyzes the prevalence of advanced breast cancer and its relationship with individual and contextual socioeconomic indicators and offer of health service. A cross-sectional study is presented herein, on the assessment of malignant breast neoplasms in women diagnosed between 2006 and 2015 (n = 195,201). Data were collected from the Hospital Cancer Registry (HCR), Atlas of Human Development in Brazil, and from the National Registry of Health Institutions (NRHI). A multilevel Poisson Regression was carried out with random intercept. The prevalence of advanced breast cancer diagnosis was 40.0%. Advanced staging was associated with younger age groups (PR 1.41), race/nonwhite (PR 1.13), lower education levels (PR 1.38), and public access to health services (PR 1.25). There was also an association with a low density of mammographic equipment (PR 1.08), and with low indices of local social inequality (PR 1.33) and human development (PR 0.80). This study maps and highlights the causes related to inequalities in the diagnosis of advanced breast cancer in Brazil, and presents essential data to reorient public policies and health-related actions to strengthen the control of breast cancer in Brazilpt_BR
dc.identifier.citationSOUZA, Dyego Leandro Bezerra de; OLIVEIRA, Nayara Priscila Dantas de; CANCELA, Marianna de Camargo; MARTINS, Luís Felipe Leite. A multilevel assessment of the social determinants associated with the late stage diagnosis of breast cancer. Scientific Reports, [S.L.], v. 11, n. 1, p. 1, 1 fev. 2021. Springer Science and Business Media LLC. http://dx.doi.org/10.1038/s41598-021-82047-0. Disponível em: https://www.nature.com/articles/s41598-021-82047-0. Acesso em: 04 set. 2023.pt_BR
dc.identifier.doihttps://doi.org/10.1038/s41598-021-82047-0
dc.identifier.issne2045-2322
dc.identifier.urihttps://repositorio.ufrn.br/handle/123456789/54783
dc.languageenpt_BR
dc.publisherSpringerpt_BR
dc.rightsAttribution 3.0 Brazil*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/br/*
dc.subjectbreast cancerpt_BR
dc.subjectlate stage diagnosispt_BR
dc.titleA multilevel assessment of the social determinants associated with the late stage diagnosis of breast cancerpt_BR
dc.typearticlept_BR

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