ArticleRevista de saude publica2020
Spatial pattern of mortality from breast and cervical cancer in the city of São Paulo.
Article in Revista de saude publica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Systematic Review of Joint Spatial and Spatiotemporal Models in Health Research.International journal of environmental research and public health · 2023Pooled it
- Regional disparities in breast cancer mortality in Brazil: a spatial analysis using uncorrected and adjusted data, 2000-2023.Scientific reports · 2026Article
- Variability and social patterning of cancer mortality in 343 Latin American cities: an ecological study.The Lancet. Global health · 2025Article
- Cancer inequalities in incidence and mortality in the State of São Paulo, Brazil 2001-17.Cancer medicine · 2023Article
- Geographic variations in cancer incidence and mortality in the State of São Paulo, Brazil 2001-17.Cancer epidemiology · 2023Article
- Covid-19 hospital mortality using spatial hierarchical models: cohort design with 74,994 registers.Revista de saude publica · 2023Article
- Mortality trends of breast and cervical cancer in Passo Fundo, Rio Grande do Sul: an analysis by age and schooling, 1999-2019.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2023Article
- 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
- Scorpion envenomation in the state of São Paulo, Brazil: Spatiotemporal analysis of a growing public health concern.PloS one · 2022Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo verify the spatial pattern of mortality from breast and cervical cancer in areas of primary health care, considering socioeconomic conditions.
methodsThis 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).
resultsThe 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.
conclusionThe 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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