A multilevel assessment of the social determinants associated with the late stage diagnosis of breast cancer

Abstract The advanced-stage diagnosis of breast cancer reveals the inequalities associated with socioeconomic conditions and the offer of health services. This study analyzes the prevalence of advanced breast cancer and its relationship with individual and contextual socioeconomic indicators and off...

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Autores principales:	Nayara Priscila Dantas de Oliveira, Marianna de Camargo Cancela, Luís Felipe Leite Martins, Dyego Leandro Bezerra de Souza
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/7fa125b560e042cbbfee04c94465d7e5
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spelling	oai:doaj.org-article:7fa125b560e042cbbfee04c94465d7e52021-12-02T10:44:16ZA multilevel assessment of the social determinants associated with the late stage diagnosis of breast cancer10.1038/s41598-021-82047-02045-2322https://doaj.org/article/7fa125b560e042cbbfee04c94465d7e52021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-82047-0https://doaj.org/toc/2045-2322Abstract The advanced-stage diagnosis of breast cancer reveals the inequalities associated with socioeconomic conditions and the offer of health services. This study analyzes the prevalence of advanced breast cancer and its relationship with individual and contextual socioeconomic indicators and offer of health service. A cross-sectional study is presented herein, on the assessment of malignant breast neoplasms in women diagnosed between 2006 and 2015 (n = 195,201). Data were collected from the Hospital Cancer Registry (HCR), Atlas of Human Development in Brazil, and from the National Registry of Health Institutions (NRHI). A multilevel Poisson Regression was carried out with random intercept. The prevalence of advanced breast cancer diagnosis was 40.0%. Advanced staging was associated with younger age groups (PR 1.41), race/nonwhite (PR 1.13), lower education levels (PR 1.38), and public access to health services (PR 1.25). There was also an association with a low density of mammographic equipment (PR 1.08), and with low indices of local social inequality (PR 1.33) and human development (PR 0.80). This study maps and highlights the causes related to inequalities in the diagnosis of advanced breast cancer in Brazil, and presents essential data to reorient public policies and health-related actions to strengthen the control of breast cancer in Brazil.Nayara Priscila Dantas de OliveiraMarianna de Camargo CancelaLuís Felipe Leite MartinsDyego Leandro Bezerra de SouzaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Nayara Priscila Dantas de Oliveira Marianna de Camargo Cancela Luís Felipe Leite Martins Dyego Leandro Bezerra de Souza A multilevel assessment of the social determinants associated with the late stage diagnosis of breast cancer
description	Abstract The advanced-stage diagnosis of breast cancer reveals the inequalities associated with socioeconomic conditions and the offer of health services. This study analyzes the prevalence of advanced breast cancer and its relationship with individual and contextual socioeconomic indicators and offer of health service. A cross-sectional study is presented herein, on the assessment of malignant breast neoplasms in women diagnosed between 2006 and 2015 (n = 195,201). Data were collected from the Hospital Cancer Registry (HCR), Atlas of Human Development in Brazil, and from the National Registry of Health Institutions (NRHI). A multilevel Poisson Regression was carried out with random intercept. The prevalence of advanced breast cancer diagnosis was 40.0%. Advanced staging was associated with younger age groups (PR 1.41), race/nonwhite (PR 1.13), lower education levels (PR 1.38), and public access to health services (PR 1.25). There was also an association with a low density of mammographic equipment (PR 1.08), and with low indices of local social inequality (PR 1.33) and human development (PR 0.80). This study maps and highlights the causes related to inequalities in the diagnosis of advanced breast cancer in Brazil, and presents essential data to reorient public policies and health-related actions to strengthen the control of breast cancer in Brazil.
format	article
author	Nayara Priscila Dantas de Oliveira Marianna de Camargo Cancela Luís Felipe Leite Martins Dyego Leandro Bezerra de Souza
author_facet	Nayara Priscila Dantas de Oliveira Marianna de Camargo Cancela Luís Felipe Leite Martins Dyego Leandro Bezerra de Souza
author_sort	Nayara Priscila Dantas de Oliveira
title	A multilevel assessment of the social determinants associated with the late stage diagnosis of breast cancer
title_short	A multilevel assessment of the social determinants associated with the late stage diagnosis of breast cancer
title_full	A multilevel assessment of the social determinants associated with the late stage diagnosis of breast cancer
title_fullStr	A multilevel assessment of the social determinants associated with the late stage diagnosis of breast cancer
title_full_unstemmed	A multilevel assessment of the social determinants associated with the late stage diagnosis of breast cancer
title_sort	multilevel assessment of the social determinants associated with the late stage diagnosis of breast cancer
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/7fa125b560e042cbbfee04c94465d7e5
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A multilevel assessment of the social determinants associated with the late stage diagnosis of breast cancer

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