Evidence map›Paper›PMID 40189750›Full record

ArticleJournal of public health dentistry2025

The Role of Public Oral Health Services and Socioeconomic Factors in Oral Cancer Mortality in Brazil.

José Mário Nunes da Silva, Maria Eduarda Macedo Vila-Castro, Antônio Borges Nunes-Neto, Fabrício Dos Santos Menezes

Abstract read
In one paragraph

Article in Journal of public health dentistry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

José Mário Nunes da SilvaDepartment of Statistics, Federal University of Piauí, Teresina, Brazil.ORCID https://orcid.org/0000-0002-6674-0939
Maria Eduarda Macedo Vila-CastroDepartment of Dentistry, Federal University of Piauí, Teresina, Brazil.ORCID https://orcid.org/0009-0005-9312-6060
Antônio Borges Nunes-NetoDepartment of Dentistry, Federal University of Piauí, Teresina, Brazil.ORCID https://orcid.org/0009-0002-5026-1260
Fabrício Dos Santos MenezesDepartment of Health Education, Federal University of Sergipe, Lagarto, Brazil.ORCID https://orcid.org/0000-0001-9230-1879

Funding

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brazil (CAPES) - Finance 001
6 · The paper itself

Abstract

objectiveTo assess the relationship between socioeconomic factors and the provision of oral health services in Primary Healthcare with mortality due to oral cancer in Brazil.

methodsThis ecological study was conducted across 1105 Brazilian municipalities, encompassing 11,412 oral health teams (OHTs). The outcome variable was the oral cancer mortality rate, standardized by age and sex. Socioeconomic factors and variables related to the oral health services provided by municipal OHTs were considered explanatory variables. We employed multilevel Poisson regression models with random effects at the municipal level to assess the association between oral cancer mortality rates and explanatory variables.

resultsAt the municipal level, oral cancer mortality was negatively associated with higher human and social development and greater income inequality but positively linked to higher rates of population aging and greater coverage of primary and oral healthcare services. At the OHT level, mortality reduction was observed among those who received specialized support and had greater availability of consultations. Active case-finding for cancerous lesions and care monitoring were also linked to lower mortality. Conversely, the identification of high-risk vulnerable patients by these teams was associated with higher mortality.

conclusionThis study suggests that oral cancer mortality in Brazilian municipalities is influenced by socioeconomic factors and the availability of oral health services.

Indexed as

Dental Health ServicesMouth NeoplasmsAdultAgedBrazilFemaleHealth Services AccessibilityHumansMaleMiddle AgedSocioeconomic FactorsBrazilmortalityoral canceroral health servicessocioeconomic factors

Identifiers

PMID40189750
PMCPMC12418725

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.