在巴西和地区的宫癌死亡率的世俗趋势
Yasmim Anayr Costa Ferrari1, Carla Viviane Freitas de Jesus2, Jefferson Felipe Calazans Batista2
1Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal de Sergipe. R. Cláudio Batista s/n - Hospital Universitário, Bairro Sanatório. 49060-100 Aracaju SE Brasil. yasmimanayr@hotmail.com.
Ciencia & saude coletiva
|March 26, 2025
概括
1980-2021年巴西宫癌死亡率趋势显示区域差异. 虽然一些地区有所改善,但其他地区则有所增加,这凸显了加强公共卫生政策和弱势群体获得护理的必要性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 在瘤学瘤学.
背景情况:
- 在全球范围内,宫癌仍然是一个重大的公共卫生问题.
- 了解长期死亡率趋势对于有效的干预策略至关重要.
- 巴西呈现出多样化的社会经济和医疗保健景观,需要进行区域分析.
研究的目的:
- 从1980年到2021年,分析巴西及其地区宫癌死亡率的长期趋势.
- 确定宫癌死亡率的区域差异及其统计意义.
- 为制定有针对性的公共卫生政策提供信息,以预防和控制宫癌.
主要方法:
- 一项利用统一卫生系统信息学部 (代码180和C53) 基于人口的数据进行的生态研究.
- 计算巴西和全球人口的原始,年龄特定和年龄标准化死亡率.
- 使用Joinpoint回归程序进行趋势分析,以确定95%置信区间 (95%CI) 的年平均百分比变化 (AAPC).
主要成果:
- 总共记录了171,793例死于宫癌的病例.
- 巴西的整体趋势是停滞不前的 (AAPC -0.3%).
- 观察到显著的区域差异:东北部 (AAPC 0.6%) 和中西部 (AAPC -1.3%) 的增长趋势,北方 (AAPC 0.6%) 和南方 (AAPC 0.0%) 的停滞,以及东南部 (AAPC -0.9%) 的下降趋势.
结论:
- 巴西宫癌死亡率趋势呈现出显著的区域异质性.
- 调查结果强调,迫切需要改善公共卫生政策,重点关注公平获得预防,查和治疗.
- 有针对性的战略对于满足最脆弱人群的需求和减少宫癌发病率差异至关重要.
相关概念视频
01:21Cancer Survival Analysis
313
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
313
01:24Disorders of the Female Reproductive System
285
The female reproductive system can be affected by several disorders, including Premenstrual Syndrome (PMS), Premenstrual Dysphoric Disorder (PMDD), endometriosis, and various forms of cancer. PMS and PMDD are cyclical conditions that cause physical and emotional distress, with symptoms that include edema, mood swings, and food cravings. PMDD is a more severe form of PMS characterized by increased symptom severity that peaks during the luteal phase and tends to improve or resolve shortly after...
285
01:18Uterus and Cervix
750
The uterus, commonly called the womb, is a vital reproductive organ in females designed to provide a nurturing environment for the implantation and growth of an embryo. It is shaped like a hollow pear and positioned between the urinary bladder and the rectum. The uterus's structure allows it to support and protect a developing fetus throughout pregnancy.
The uterus is securely anchored within the pelvic cavity by paired broad ligaments on either side. It is further stabilized by three pairs...
The uterus is securely anchored within the pelvic cavity by paired broad ligaments on either side. It is further stabilized by three pairs...
750
01:28Infertility in Females
253
Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
Endometriosis, a condition characterized by abnormal growth of...
Endometriosis, a condition characterized by abnormal growth of...
253
01:03Rous Sarcoma Virus (RSV) and Cancer
4.9K
Rous Sarcoma virus or RSV was discovered by F. Peyton Rous in the year 1911 as a filterable transmissible agent that could cause tumors in chickens. He won a Nobel Prize for this discovery in 1966. His experiments clearly demonstrated that some cancers could be caused by infectious agents and led to the discovery of many more cancer-causing viruses in animals as well as humans.
RSV is a retrovirus that contains two copies of a plus-strand RNA genome. Its genome consists of four main open...
RSV is a retrovirus that contains two copies of a plus-strand RNA genome. Its genome consists of four main open...
4.9K
01:16Uterine Tubes
413
The uterine or fallopian tubes function as the conduit through which oocytes travel from the ovaries to the uterus. Each fallopian tube measures approximately 10 to 13 cm long and is anatomically divided into the infundibulum, ampulla, isthmus, and interstitial part (or intramural segment). The infundibulum is characterized by its funnel shape and features extensions called fimbriae which reach towards the peritoneal cavity. These fimbriae play a critical role during ovulation as they extend...
413