Disparities in female breast cancer mortality rates in Brazil between 1980 and 2009

Disparities in female breast cancer mortality rates in Brazil between 1980 and 2009

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OBJECTIVE: To describe the temporal trends in female breast cancer mortality rates in Brazil in its macro-regions and states between 1980 and 2009.METHODS: This was an ecological time-series study using data on breast cancer deaths registered in the Mortality Data System (SIM/WHO) and census data on the resident population collected by the Brazilian Institute of Geography and Statistics (IBGE/WHO).Joinpoint regression analyses were used to identify the significant changes in trends and to 15-eg2373cl estimate the annual percentage change (APC) in mortality rates.RESULTS: Female breast cancer mortality rates in Brazil tended to stabilize from 1994 onward (APC = 0.4%).

Considering the Brazilian macro-regions, the annual mortality rates decreased in the Southeast, stabilized in the South and increased in the Northeast, North, and Midwest.Only the states of Sao Paulo (APC = -1.9%), Rio Grande do Sul (APC = sukin body lotion woolworths -0.8%) and Rio de Janeiro (APC = -0.6%) presented a significant decline in mortality rates.

The greatest increases were found in Maranhao (APC=12%), Paraiba (APC=11.9%), and Piaui (APC=10.9%).CONCLUSION: Although there has been a trend toward stabilization in female breast cancer mortality rates in Brazil, when the mortality rate of each macro-region and state is analyzed individually, considerable inequalities are found, with rate decline or stabilization in states with higher socioeconomic levels and a substantial increase in those with lower socioeconomic levels.