Diagnosis of mucosal changes and hospitalized oral cancer patients in Brazil: influence of socioeconomic factors
Abstract This study aimed to analyze the influence of socioeconomic factors on the frequency of diagnoses of oral mucosal changes and the number of hospitalized patients with oral and oropharyngeal cancer in Brazil. This cross-sectional study analyzed data from all Brazilian cities in the period 201...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Pesquisa Odontológica
2021-04-01
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| Series: | Brazilian Oral Research |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242021000100241&tlng=en |
| _version_ | 1818888979736428544 |
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| author | Aldelany Ramalho FREIRE Deborah Ellen Wanderley Gomes FREIRE Gilberto Alfredo PUCCA JÚNIOR Fernanda Campos de Almeida CARRER Simone Alves de SOUSA Edson Hilan Gomes de LUCENA Yuri Wanderley CAVALCANTI |
| author_facet | Aldelany Ramalho FREIRE Deborah Ellen Wanderley Gomes FREIRE Gilberto Alfredo PUCCA JÚNIOR Fernanda Campos de Almeida CARRER Simone Alves de SOUSA Edson Hilan Gomes de LUCENA Yuri Wanderley CAVALCANTI |
| author_sort | Aldelany Ramalho FREIRE |
| collection | DOAJ |
| description | Abstract This study aimed to analyze the influence of socioeconomic factors on the frequency of diagnoses of oral mucosal changes and the number of hospitalized patients with oral and oropharyngeal cancer in Brazil. This cross-sectional study analyzed data from all Brazilian cities in the period 2011–2017. The frequency of diagnoses of oral mucosal changes and the number of hospitalized patients of oral and oropharyngeal cancer in Brazil were extracted from the Primary Care Information System (SIAB) and Brazilian National Cancer Institute (INCA) databases. The socioeconomic factors evaluated were the Gini coefficient of inequality, municipal Human Development Index (MHDI), inadequate basic sanitation rate, employment rate, illiteracy rate and expected years of schooling. Associated factors were examined using bivariate Spearman’s correlations and multivariate Poisson regressions, and statistically significant (p < 0.05) correlations between study variables and regression coefficients were obtained. A higher frequency of diagnoses of mucosal changes was observed in cities with a higher Gini coefficient (B = 11.614; p < 0.001), higher MHDI (B = 11.298; p < 0.001), and higher number of hospitalized patients with oral and oropharyngeal cancer (B = 0.001, p < 0.002). Cities with higher Gini coefficients (B = 8.159, p < 0.001), higher inadequate basic sanitation rates (B = 0.09, p = 0.001), lower expected years of schooling (B = -0.718, p < 0.001), and higher illiteracy rates (B = 0.191, p < 0.001) had a higher frequency of hospitalized patients with oral and oropharyngeal cancer. In conclusion, more developed cities showed a higher frequency of diagnoses of mucosal changes. Greater inequality and worse socioeconomic conditions are associated with a higher frequency of hospitalized patients with oral and oropharyngeal cancer in Brazil. |
| first_indexed | 2024-12-19T17:01:44Z |
| format | Article |
| id | doaj.art-6eeb023257874374852cae346375dddf |
| institution | Directory Open Access Journal |
| issn | 1807-3107 |
| language | English |
| last_indexed | 2024-12-19T17:01:44Z |
| publishDate | 2021-04-01 |
| publisher | Sociedade Brasileira de Pesquisa Odontológica |
| record_format | Article |
| series | Brazilian Oral Research |
| spelling | doaj.art-6eeb023257874374852cae346375dddf2022-12-21T20:13:16ZengSociedade Brasileira de Pesquisa OdontológicaBrazilian Oral Research1807-31072021-04-013510.1590/1807-3107bor-2021.vol35.0042Diagnosis of mucosal changes and hospitalized oral cancer patients in Brazil: influence of socioeconomic factorsAldelany Ramalho FREIREhttps://orcid.org/0000-0002-8082-5883Deborah Ellen Wanderley Gomes FREIREhttps://orcid.org/0000-0001-7680-0387Gilberto Alfredo PUCCA JÚNIORhttps://orcid.org/0000-0002-8781-9857Fernanda Campos de Almeida CARRERhttps://orcid.org/0000-0003-3745-2759Simone Alves de SOUSAhttps://orcid.org/0000-0002-3254-9036Edson Hilan Gomes de LUCENAhttps://orcid.org/0000-0003-3431-115XYuri Wanderley CAVALCANTIhttps://orcid.org/0000-0002-3570-9904Abstract This study aimed to analyze the influence of socioeconomic factors on the frequency of diagnoses of oral mucosal changes and the number of hospitalized patients with oral and oropharyngeal cancer in Brazil. This cross-sectional study analyzed data from all Brazilian cities in the period 2011–2017. The frequency of diagnoses of oral mucosal changes and the number of hospitalized patients of oral and oropharyngeal cancer in Brazil were extracted from the Primary Care Information System (SIAB) and Brazilian National Cancer Institute (INCA) databases. The socioeconomic factors evaluated were the Gini coefficient of inequality, municipal Human Development Index (MHDI), inadequate basic sanitation rate, employment rate, illiteracy rate and expected years of schooling. Associated factors were examined using bivariate Spearman’s correlations and multivariate Poisson regressions, and statistically significant (p < 0.05) correlations between study variables and regression coefficients were obtained. A higher frequency of diagnoses of mucosal changes was observed in cities with a higher Gini coefficient (B = 11.614; p < 0.001), higher MHDI (B = 11.298; p < 0.001), and higher number of hospitalized patients with oral and oropharyngeal cancer (B = 0.001, p < 0.002). Cities with higher Gini coefficients (B = 8.159, p < 0.001), higher inadequate basic sanitation rates (B = 0.09, p = 0.001), lower expected years of schooling (B = -0.718, p < 0.001), and higher illiteracy rates (B = 0.191, p < 0.001) had a higher frequency of hospitalized patients with oral and oropharyngeal cancer. In conclusion, more developed cities showed a higher frequency of diagnoses of mucosal changes. Greater inequality and worse socioeconomic conditions are associated with a higher frequency of hospitalized patients with oral and oropharyngeal cancer in Brazil.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242021000100241&tlng=enMouth NeoplasmsDiagnosis, OralSocioeconomic Factors |
| spellingShingle | Aldelany Ramalho FREIRE Deborah Ellen Wanderley Gomes FREIRE Gilberto Alfredo PUCCA JÚNIOR Fernanda Campos de Almeida CARRER Simone Alves de SOUSA Edson Hilan Gomes de LUCENA Yuri Wanderley CAVALCANTI Diagnosis of mucosal changes and hospitalized oral cancer patients in Brazil: influence of socioeconomic factors Brazilian Oral Research Mouth Neoplasms Diagnosis, Oral Socioeconomic Factors |
| title | Diagnosis of mucosal changes and hospitalized oral cancer patients in Brazil: influence of socioeconomic factors |
| title_full | Diagnosis of mucosal changes and hospitalized oral cancer patients in Brazil: influence of socioeconomic factors |
| title_fullStr | Diagnosis of mucosal changes and hospitalized oral cancer patients in Brazil: influence of socioeconomic factors |
| title_full_unstemmed | Diagnosis of mucosal changes and hospitalized oral cancer patients in Brazil: influence of socioeconomic factors |
| title_short | Diagnosis of mucosal changes and hospitalized oral cancer patients in Brazil: influence of socioeconomic factors |
| title_sort | diagnosis of mucosal changes and hospitalized oral cancer patients in brazil influence of socioeconomic factors |
| topic | Mouth Neoplasms Diagnosis, Oral Socioeconomic Factors |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242021000100241&tlng=en |
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