ArticlePloS one2018
Spatial distribution of breast cancer mortality: Socioeconomic disparities and access to treatment in the state of Parana, Brazil.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Health care accessibility and mobility in breast cancer: a Latin American perspective.BMC health services research · 2024Pooled it
- Influence of geographic access and socioeconomic characteristics on breast cancer outcomes: A systematic review.PloS one · 2022Pooled it
- Breast Cancer-Specific Survival and Prognostic Factors in a Statewide Oncology Network in Brazil: A Registry-Linked Retrospective Cohort Study.Cancer reports (Hoboken, N.J.) · 2026Article
- Regional disparities in breast cancer mortality in Brazil: a spatial analysis using uncorrected and adjusted data, 2000-2023.Scientific reports · 2026Article
- Older adults life expectancy in China: Bayesian mortality estimation and spatially heterogeneous determinants.Frontiers in public health · 2026Article
- Article
- Spatiotemporal disparities in the diagnosis, treatment, and mortality of respiratory tract cancers in Brazil.PloS one · 2025Article
- Spatial epidemiological analysis of the burden of liver cancer in China.Translational cancer research · 2024Article
- Article
- Intra-urban spatial variability of breast and cervical cancer mortality in the city of São Paulo: analysis of associated factors.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2023Article
- Geographic accessibility to cancer treatment in Brazil: A network analysis.Lancet regional health. Americas · 2022Article
- A multilevel assessment of the social determinants associated with the late stage diagnosis of breast cancer.Scientific reports · 2021Article
- The Impact of Socioeconomic Factors, Coverage and Access to Health on Heart Ischemic Disease Mortality in a Brazilian Southern State: A Geospatial Analysis.Global heart · 2021Article
- Observational
- Spatial pattern of mortality from breast and cervical cancer in the city of São Paulo.Revista de saude publica · 2020Article
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Authors and funding
7 authors.
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Abstract
introductionBreast cancer remains an important public health problem that is responsible for high morbidity and mortality rates, especially in developing countries.
objectiveTo analyze the socioeconomic and access disparities related to breast cancer mortality in 399 cities in the state of Parana, Brazil.
methodsEcological, descriptive and analytical cross-sectional study based on secondary data from the Mortality Information System from 2009 to 2012 in the state of Parana. Breast cancer mortality rate was calculated considering the mortality cases and women population of each municipality, both based on women older than 20 years old. Moran global and local analyses were used to verify the presence of spatial autocorrelation and spatial regression modeling (Spatial Lag-SAR) with the purpose of analyzing the association between socioeconomic indicators, access and mortality rates for breast cancer.
resultsSignificant positive spatial autocorrelation was found for breast cancer mortality rates (I = 0.5432, p = 0.001). In the spatial regression analysis, the model explained 61% of the variance of the mortality rates for breast cancer. The mortality rate for breast cancer was negatively associated with the illiteracy rate (Coefficient = -0.0279) and positively associated with the access index (Coefficient = 12.9525).
conclusionThe lower illiteracy rate has not been sufficient to reduce the specific mortality rate by breast cancer, and the higher the score of accessibility to cancer services, the higher the specific mortality due to breast cancer. The results show that in the state of Parana, the problem is not related to a lack of education of the patients or the distance walked, but rather with the organization of services. These conclusions have important political implications on the organization and quality of the services provided for the diagnosis and treatment of breast cancer in the state of Parana.
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