Population-based study: breast cancer mortality trend in women in the state of Paraná from 2000 to 2017

Objective: Breast cancer is one of the main challenges in Brazilian public health due to the high associated mortality. Mortality has different patterns according to age group, usually increasing with age. The demographic stability in Paraná, with the growth of the elderly population, has a direct impact on the epidemiology of this disease. This study aimed to assess, on a population-based basis, the rates and trends of mortality from breast cancer among the age groups of women in the state of Paraná from 2000 to 2017. Methods: A statistical descriptive retrospective series study was carried out to analyze, on a population-based basis, the trend in breast cancer mortality rates among the age groups of women in the state of Paraná, from 2000 to 2017. The trend analysis of annual mortality rates was carried out through the software and simple linear regression models. Results: The population-based analysis showed that women aged 45­54 and 55­64 years had the highest number of deaths during the study period. However, when calculating the mortality rates by age group, it was observed that the mortality pattern increases proportionally to the longevity of the female population in the state. Trend analyses indicated an upward trend in mortality among women aged 25­34 years throughout the study period. The same trend was observed in women aged 35­44 years, but in a shorter period, from 2005 to 2017. Conclusion: Mortality rates, per 100,000 women, were directly proportional to age, increasing with age, indicative of greater mortality from the disease in elderly women. There was a trend of increasing mortality, with statistical significance, in the age groups from 25 to 34 and 35 to 44. The others were considered stable trends.

Revisión de la demografía sanitaria del departamento de Risaralda, Colombia, 2012 / Review of sanitary demography of the department of Risaralda, Colombia, 2012

Introducción/Métodos: Se realizó un análisis descriptivo de una serie de indicadores demográficos calculados con información secundaria del Departamento Administrativo Nacional de Estadísticas DANE, el Registro Único de Afiliados RUAF y el Sistema de Vigilancia Epidemiológica SIVIGILA. Resultados: Se encontró que el departamento de Risaralda cuenta con una población joven, que está viviendo una transición demográfica caracterizada por un aumento en la expectativa de vida y disminución en la natalidad. Risaralda es un departamento donde la mayoría de personas se encuentran ubicadas en el Área Metropolitana, el 78% de los Nacimientos se presenta en las cabeceras municipales, sin embargo se presenta mayor tasa de natalidad en la zona rural sobre todo en los municipios con altas necesidades básicas insatisfechas. El 25% de los nacimientos se presentaron en mujeres menores de 19 años. Si bien el índice de masculinidad es de 94,98, se presentan más nacimientos de hombres y dicho índice va disminuyendo con los años. El 75% de la Población económicamente activa se encuentra en el Área Metropolitana, el índice de dependencia es de 49,8%. El 56% de las defunciones se presentaron en hombres. La tasa de mortalidad infantil fue de 9,99 por cada 1000 Nacidos Vivos. La mayor tasa de mortalidad fue en el municipio de Pueblo Rico donde murieron 6,32 personas por cada 1000 habitantes. En el departamento la expectativa de vida para los nacidos en el 2011 fue de 75.9 años, 73.8 para hombres y 77.9 para mujeres. Discusión: Preocupa la situación del Municipio de Pueblo Rico, donde los indicadores de mortalidad, necesidades básicas insatisfechas, natalidad y expectativa de vida entre otros son los más deficientes del departamento. Este trabajo sirve como fuente de información para la toma de decisiones y planeación de políticas públicas en el Departamento.

Introduction/Methods: A descriptive analysis was performed with a series of demographic indicators calculated with secondary information of Department Administrative of Statistics National DANE, of Registry of Affiliates RUAF and SIVIGILA Surveillance Epidemiology System. Results: It was found that Risaralda is a department with young population, which is experiencing a demographic transition, characterized by an increased life expectancy and decreased fertility. Risaralda is a department where most people are located in the metropolitan area, 78% of births happens in the cities, in contrast, the highest birth rate are given in rural municipalities, especially where exist high unsatisfied basic needs. The 25% of births occurred in women under age 19. While the Index of masculinity is 94.98, There were more men’s births and this rate decreases with age. 75% of the economically active people are in the metropolitan area, the dependency ratio is 49.8%. 56% of deaths occurred in men. The infant mortality rate was 9.99 per 1000 live births. The highest mortality rate was in the town of Pueblo Rico where they died 6.32 people per 1000 habitants. In the department, life expectancy in 2011 was 75.9 years, 73.8 for men and 77.9 for women. Discussion: Is worrying the situation the municipality of Pueblo Rico, where mortality indicators, basic needs, fertility and life expectancy are the lowest of the department. This work serves as a source of information for decision-making and public policy planning at the Department.