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Diagnosis of mucosal changes and hospitalized oral cancer patients in Brazil: influence of socioeconomic factors
Freire, Aldelany Ramalho; Freire, Deborah Ellen Wanderley Gomes; Pucca-Júnior, Gilberto Alfredo; Carrer, Fernanda Campos de Almeida; Sousa, Simone Alves de; Lucena, Edson Hilan Gomes de; Cavalcanti, Yuri Wanderley.
  • Freire, Aldelany Ramalho; Universidade Federal da Paraíba. Department of Social Medicine and Dentistry. Graduate Program in Dentistry. João Pessoa. BR
  • Freire, Deborah Ellen Wanderley Gomes; Universidade Federal da Paraíba. Department of Social Medicine and Dentistry. Graduate Program in Dentistry. João Pessoa. BR
  • Pucca-Júnior, Gilberto Alfredo; Universidade de Brasília. School of Health Sciences. Graduate Program in Dentistry. Brasília. BR
  • Carrer, Fernanda Campos de Almeida; Universidade de São Paulo. School of Dentistry. Department of Social Dentistry. São Paulo. BR
  • Sousa, Simone Alves de; Universidade Federal da Paraíba. Department of Social Medicine and Dentistry. Graduate Program in Dentistry. João Pessoa. BR
  • Lucena, Edson Hilan Gomes de; Universidade Federal da Paraíba. Department of Social Medicine and Dentistry. Graduate Program in Dentistry. João Pessoa. BR
  • Cavalcanti, Yuri Wanderley; Universidade Federal da Paraíba. Department of Social Medicine and Dentistry. Graduate Program in Dentistry. João Pessoa. BR
Braz. oral res. (Online) ; 35: e042, 2021. tab, graf
Artículo en Inglés | LILACS, BBO | ID: biblio-1249377
ABSTRACT
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.
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Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Neoplasias de la Boca Tipo de estudio: Estudio diagnóstico / Estudio observacional / Estudio de prevalencia / Factores de riesgo País/Región como asunto: America del Sur / Brasil Idioma: Inglés Revista: Braz. oral res. (Online) Asunto de la revista: Odontología Año: 2021 Tipo del documento: Artículo País de afiliación: Brasil Institución/País de afiliación: Universidade Federal da Paraíba/BR / Universidade de Brasília/BR / Universidade de São Paulo/BR

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Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Neoplasias de la Boca Tipo de estudio: Estudio diagnóstico / Estudio observacional / Estudio de prevalencia / Factores de riesgo País/Región como asunto: America del Sur / Brasil Idioma: Inglés Revista: Braz. oral res. (Online) Asunto de la revista: Odontología Año: 2021 Tipo del documento: Artículo País de afiliación: Brasil Institución/País de afiliación: Universidade Federal da Paraíba/BR / Universidade de Brasília/BR / Universidade de São Paulo/BR