Diagnosis of mucosal changes and hospitalized oral cancer patients in Brazil: influence of socioeconomic factors
Abstract This study aimed to analyze the influence of socioeconomic factors on the frequency of diagnoses of oral mucosal changes and the number of hospitalized patients with oral and oropharyngeal cancer in Brazil. This cross-sectional study analyzed data from all Brazilian cities in the period 2011–2017. The frequency of diagnoses of oral mucosal changes and the number of hospitalized patients of oral and oropharyngeal cancer in Brazil were extracted from the Primary Care Information System (SIAB) and Brazilian National Cancer Institute (INCA) databases. The socioeconomic factors evaluated were the Gini coefficient of inequality, municipal Human Development Index (MHDI), inadequate basic sanitation rate, employment rate, illiteracy rate and expected years of schooling. Associated factors were examined using bivariate Spearman’s correlations and multivariate Poisson regressions, and statistically significant (p < 0.05) correlations between study variables and regression coefficients were obtained. A higher frequency of diagnoses of mucosal changes was observed in cities with a higher Gini coefficient (B = 11.614; p < 0.001), higher MHDI (B = 11.298; p < 0.001), and higher number of hospitalized patients with oral and oropharyngeal cancer (B = 0.001, p < 0.002). Cities with higher Gini coefficients (B = 8.159, p < 0.001), higher inadequate basic sanitation rates (B = 0.09, p = 0.001), lower expected years of schooling (B = -0.718, p < 0.001), and higher illiteracy rates (B = 0.191, p < 0.001) had a higher frequency of hospitalized patients with oral and oropharyngeal cancer. In conclusion, more developed cities showed a higher frequency of diagnoses of mucosal changes. Greater inequality and worse socioeconomic conditions are associated with a higher frequency of hospitalized patients with oral and oropharyngeal cancer in Brazil.
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Sociedade Brasileira de Pesquisa Odontológica - SBPqO
2021
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oai:scielo:S1806-832420210001002412021-04-22Diagnosis of mucosal changes and hospitalized oral cancer patients in Brazil: influence of socioeconomic factorsFREIRE,Aldelany RamalhoFREIRE,Deborah Ellen Wanderley GomesPUCCA JÚNIOR,Gilberto AlfredoCARRER,Fernanda Campos de AlmeidaSOUSA,Simone Alves deLUCENA,Edson Hilan Gomes deCAVALCANTI,Yuri Wanderley Mouth Neoplasms Diagnosis, Oral Socioeconomic Factors Abstract This study aimed to analyze the influence of socioeconomic factors on the frequency of diagnoses of oral mucosal changes and the number of hospitalized patients with oral and oropharyngeal cancer in Brazil. This cross-sectional study analyzed data from all Brazilian cities in the period 2011–2017. The frequency of diagnoses of oral mucosal changes and the number of hospitalized patients of oral and oropharyngeal cancer in Brazil were extracted from the Primary Care Information System (SIAB) and Brazilian National Cancer Institute (INCA) databases. The socioeconomic factors evaluated were the Gini coefficient of inequality, municipal Human Development Index (MHDI), inadequate basic sanitation rate, employment rate, illiteracy rate and expected years of schooling. Associated factors were examined using bivariate Spearman’s correlations and multivariate Poisson regressions, and statistically significant (p < 0.05) correlations between study variables and regression coefficients were obtained. A higher frequency of diagnoses of mucosal changes was observed in cities with a higher Gini coefficient (B = 11.614; p < 0.001), higher MHDI (B = 11.298; p < 0.001), and higher number of hospitalized patients with oral and oropharyngeal cancer (B = 0.001, p < 0.002). Cities with higher Gini coefficients (B = 8.159, p < 0.001), higher inadequate basic sanitation rates (B = 0.09, p = 0.001), lower expected years of schooling (B = -0.718, p < 0.001), and higher illiteracy rates (B = 0.191, p < 0.001) had a higher frequency of hospitalized patients with oral and oropharyngeal cancer. In conclusion, more developed cities showed a higher frequency of diagnoses of mucosal changes. Greater inequality and worse socioeconomic conditions are associated with a higher frequency of hospitalized patients with oral and oropharyngeal cancer in Brazil.info:eu-repo/semantics/openAccessSociedade Brasileira de Pesquisa Odontológica - SBPqOBrazilian Oral Research v.35 20212021-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242021000100241en10.1590/1807-3107bor-2021.vol35.0042 |
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FREIRE,Aldelany Ramalho FREIRE,Deborah Ellen Wanderley Gomes PUCCA JÚNIOR,Gilberto Alfredo CARRER,Fernanda Campos de Almeida SOUSA,Simone Alves de LUCENA,Edson Hilan Gomes de CAVALCANTI,Yuri Wanderley |
spellingShingle |
FREIRE,Aldelany Ramalho FREIRE,Deborah Ellen Wanderley Gomes PUCCA JÚNIOR,Gilberto Alfredo CARRER,Fernanda Campos de Almeida SOUSA,Simone Alves de LUCENA,Edson Hilan Gomes de CAVALCANTI,Yuri Wanderley Diagnosis of mucosal changes and hospitalized oral cancer patients in Brazil: influence of socioeconomic factors |
author_facet |
FREIRE,Aldelany Ramalho FREIRE,Deborah Ellen Wanderley Gomes PUCCA JÚNIOR,Gilberto Alfredo CARRER,Fernanda Campos de Almeida SOUSA,Simone Alves de LUCENA,Edson Hilan Gomes de CAVALCANTI,Yuri Wanderley |
author_sort |
FREIRE,Aldelany Ramalho |
title |
Diagnosis of mucosal changes and hospitalized oral cancer patients in Brazil: influence of socioeconomic factors |
title_short |
Diagnosis of mucosal changes and hospitalized oral cancer patients in Brazil: influence of socioeconomic factors |
title_full |
Diagnosis of mucosal changes and hospitalized oral cancer patients in Brazil: influence of socioeconomic factors |
title_fullStr |
Diagnosis of mucosal changes and hospitalized oral cancer patients in Brazil: influence of socioeconomic factors |
title_full_unstemmed |
Diagnosis of mucosal changes and hospitalized oral cancer patients in Brazil: influence of socioeconomic factors |
title_sort |
diagnosis of mucosal changes and hospitalized oral cancer patients in brazil: influence of socioeconomic factors |
description |
Abstract This study aimed to analyze the influence of socioeconomic factors on the frequency of diagnoses of oral mucosal changes and the number of hospitalized patients with oral and oropharyngeal cancer in Brazil. This cross-sectional study analyzed data from all Brazilian cities in the period 2011–2017. The frequency of diagnoses of oral mucosal changes and the number of hospitalized patients of oral and oropharyngeal cancer in Brazil were extracted from the Primary Care Information System (SIAB) and Brazilian National Cancer Institute (INCA) databases. The socioeconomic factors evaluated were the Gini coefficient of inequality, municipal Human Development Index (MHDI), inadequate basic sanitation rate, employment rate, illiteracy rate and expected years of schooling. Associated factors were examined using bivariate Spearman’s correlations and multivariate Poisson regressions, and statistically significant (p < 0.05) correlations between study variables and regression coefficients were obtained. A higher frequency of diagnoses of mucosal changes was observed in cities with a higher Gini coefficient (B = 11.614; p < 0.001), higher MHDI (B = 11.298; p < 0.001), and higher number of hospitalized patients with oral and oropharyngeal cancer (B = 0.001, p < 0.002). Cities with higher Gini coefficients (B = 8.159, p < 0.001), higher inadequate basic sanitation rates (B = 0.09, p = 0.001), lower expected years of schooling (B = -0.718, p < 0.001), and higher illiteracy rates (B = 0.191, p < 0.001) had a higher frequency of hospitalized patients with oral and oropharyngeal cancer. In conclusion, more developed cities showed a higher frequency of diagnoses of mucosal changes. Greater inequality and worse socioeconomic conditions are associated with a higher frequency of hospitalized patients with oral and oropharyngeal cancer in Brazil. |
publisher |
Sociedade Brasileira de Pesquisa Odontológica - SBPqO |
publishDate |
2021 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242021000100241 |
work_keys_str_mv |
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