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Ethnic disparities in cancer mortality in the capital and northeast of the State of Sao Paulo, Brazil 2001-17

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Autor(es):
Ribeiro, Adeylson Guimaraes ; Ferlay, Jacques ; Vaccarella, Salvatore ; Latorre, Maria do Rosario Dias de Oliveira ; Fregnani, Jose Humberto Tavares Guerreiro ; Bray, Freddie
Número total de Autores: 6
Tipo de documento: Artigo Científico
Fonte: CANCER CAUSES & CONTROL; v. 35, n. 3, p. 7-pg., 2023-11-02.
Resumo

PurposeThere is a paucity of studies investigating cancer disparities in groups defined by ethnicity in transitioning economies. We examined the influence of ethnicity on mortality for the leading cancer types in Sao Paulo, Brazil, comparing patterns in the capital and the northeast of the state.MethodsCancer deaths were obtained from a Brazilian public government database for the Barretos region (2003-2017) and the municipality of Sao Paulo (2001-2015). Age-standardized rates (ASR) per 100,000 persons-years, by cancer type and sex, for five self-declared racial classifications (white, black, eastern origin (Asian), mixed ethnicity (pardo), and indigenous Brazilians), were calculated using the world standard population.ResultsBlack Brazilians had higher mortality rates for most common cancer types in Barretos, whereas in Sao Paulo, white Brazilians had higher rates of mortality from breast, colorectal, and lung cancer. In both regions, lung cancer was the leading cause of cancer death among white, black, and pardo Brazilians, with colorectal cancer deaths leading among Asian Brazilians. Black and pardo Brazilians had higher cervical cancer mortality rates than white Brazilians.ConclusionThere are substantial disparities in mortality from different cancers in Sao Paulo according to ethnicity, pointing to inequities in access to health care services. (AU)

Processo FAPESP: 17/03787-2 - Neoplasias malignas nas 18 cidades pertencentes à regional de saúde de Barretos, São Paulo: a importância de um Registro de Câncer de Base Populacional
Beneficiário:José Humberto Tavares Guerreiro Fregnani
Modalidade de apoio: Auxílio à Pesquisa - Temático
Processo FAPESP: 21/10806-9 - Análise espacial e temporal da incidência de câncer no Departamento Regional de Saúde de Barretos (DRS-V), São Paulo, Brasil
Beneficiário:Adeylson Guimarães Ribeiro
Modalidade de apoio: Bolsas no Exterior - Estágio de Pesquisa - Pós-Doutorado