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Primary Health Care and Cervical Cancer Mortality Rates in Brazil: A Longitudinal Ecological Study
Thiago Augusto Hernandes Rocha1, Núbia Cristina da Silva, Erika Bárbara Abreu Fonseca Thomaz
1School of Economics, Center of Post-graduate and Research in Administration (Mr Rocha), Observatory of Human Resources in Health, Faculty of Economics (Dr da Silva and Messrs Rocha and de Almeida, and Ms Alvares), and Department of Administrative Sciences, Faculty of Economics (Dr Barbosa), Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil; Department of Public Health, Federal University of Maranhão, São Luís, Maranhão, Brazil (Drs Thomaz and de Sousa Queiroz); Department of Public Health, Federal University of Goiás, Goiânia, Goiás, Brazil (Dr de Souza); Duke Global Health Institute, Duke University, Durham, North Carolina (Ms Lein and Drs Staton and Vissoci); and Department of Social Medicine, Faculty of Medicine, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil (Drs Thumé and Facchini).
Abstract:
Cervical cancer is a common neoplasm that is responsible for nearly 230 000 deaths annually in Brazil. Despite this burden, cervical cancer is considered preventable with appropriate care. We conducted a longitudinal ecological study from 2002 to 2012 to examine the relationship between the delivery of preventive primary care and cervical cancer mortality rates in Brazil. Brazilian states and the federal district were the unit of analysis (N = 27). Results suggest that primary health care has contributed to reducing cervical cancer mortality rates in Brazil; however, the full potential of preventive care has yet to be realized.
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