The impact of inequalities and health expenditure on mortality due to oral and oropharyngeal cancer in Brazil

Abstract This study aims to assess the magnitude and trend of mortality rates due to oral (OC) and oropharyngeal cancer (OPC) in the 133 Intermediate Geographic Regions (IGR) of Brazil between 1996 and 2018 and to analyze its association with sociodemographic variables and provision of health servic...

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Autores principales:	Amanda Ramos da Cunha, Alessandro Bigoni, José Leopoldo Ferreira Antunes, Fernando Neves Hugo
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/ed18d585eb7641079687a52e953edf8e
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spelling	oai:doaj.org-article:ed18d585eb7641079687a52e953edf8e2021-12-02T17:23:47ZThe impact of inequalities and health expenditure on mortality due to oral and oropharyngeal cancer in Brazil10.1038/s41598-021-92207-x2045-2322https://doaj.org/article/ed18d585eb7641079687a52e953edf8e2021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-92207-xhttps://doaj.org/toc/2045-2322Abstract This study aims to assess the magnitude and trend of mortality rates due to oral (OC) and oropharyngeal cancer (OPC) in the 133 Intermediate Geographic Regions (IGR) of Brazil between 1996 and 2018 and to analyze its association with sociodemographic variables and provision of health services. It also aims to compare the trend of mortality from neoplasms that have been reported as associated with HPV (OPC) with the trend of neoplasms that have been reported as not associated with HPV (OC). We obtained mortality data from the Mortality Information System in Brazil and analyzed the trends using the Prais-Winsten method. Then, we assessed the relationship between mortality trends and socioeconomic, health spending, and health services provision variables. The median of the annual percent change of the country’s mortality rates was 0.63% for OC and 0.83% for OPC. Trends in mortality in the IGRs correlated significantly with the Human Development Index and government expenditure on ambulatory health care and hospitalizations. Mortality from both types of cancer decreased in those IGR in which the government spent more on health and in the more socioeconomically developed ones. This study found no epidemiological indication that HPV plays the leading etiological factor in OPC in Brazil.Amanda Ramos da CunhaAlessandro BigoniJosé Leopoldo Ferreira AntunesFernando Neves HugoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Amanda Ramos da Cunha Alessandro Bigoni José Leopoldo Ferreira Antunes Fernando Neves Hugo The impact of inequalities and health expenditure on mortality due to oral and oropharyngeal cancer in Brazil
description	Abstract This study aims to assess the magnitude and trend of mortality rates due to oral (OC) and oropharyngeal cancer (OPC) in the 133 Intermediate Geographic Regions (IGR) of Brazil between 1996 and 2018 and to analyze its association with sociodemographic variables and provision of health services. It also aims to compare the trend of mortality from neoplasms that have been reported as associated with HPV (OPC) with the trend of neoplasms that have been reported as not associated with HPV (OC). We obtained mortality data from the Mortality Information System in Brazil and analyzed the trends using the Prais-Winsten method. Then, we assessed the relationship between mortality trends and socioeconomic, health spending, and health services provision variables. The median of the annual percent change of the country’s mortality rates was 0.63% for OC and 0.83% for OPC. Trends in mortality in the IGRs correlated significantly with the Human Development Index and government expenditure on ambulatory health care and hospitalizations. Mortality from both types of cancer decreased in those IGR in which the government spent more on health and in the more socioeconomically developed ones. This study found no epidemiological indication that HPV plays the leading etiological factor in OPC in Brazil.
format	article
author	Amanda Ramos da Cunha Alessandro Bigoni José Leopoldo Ferreira Antunes Fernando Neves Hugo
author_facet	Amanda Ramos da Cunha Alessandro Bigoni José Leopoldo Ferreira Antunes Fernando Neves Hugo
author_sort	Amanda Ramos da Cunha
title	The impact of inequalities and health expenditure on mortality due to oral and oropharyngeal cancer in Brazil
title_short	The impact of inequalities and health expenditure on mortality due to oral and oropharyngeal cancer in Brazil
title_full	The impact of inequalities and health expenditure on mortality due to oral and oropharyngeal cancer in Brazil
title_fullStr	The impact of inequalities and health expenditure on mortality due to oral and oropharyngeal cancer in Brazil
title_full_unstemmed	The impact of inequalities and health expenditure on mortality due to oral and oropharyngeal cancer in Brazil
title_sort	impact of inequalities and health expenditure on mortality due to oral and oropharyngeal cancer in brazil
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/ed18d585eb7641079687a52e953edf8e
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The impact of inequalities and health expenditure on mortality due to oral and oropharyngeal cancer in Brazil

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