Dados do Resumo

Título

DISPARITIES IN CERVICAL CANCER MORTALITY IN THE LAST DECADE: AN ANALYSIS OF DIFFERENT BRAZILIAN STATES AND REGIONS

Introdução

Cervical cancer (CC), primarily caused by persistent infection with oncogenic types of the human papillomavirus (HPV), a sexually transmitted virus, is characterized by abnormal cell growth that can invade adjacent tissues. Treatment includes surgery, radiotherapy, and chemotherapy. In Brazil, cervical cancer is the third most frequent cancer among women and the fourth leading cause of cancer-related death.

Objetivo

To evaluate cervical cancer mortality across Brazilian states and regions from 2013 to 2022, identifying disparities over time and differences among age groups.

Métodos

This study employs a descriptive and observational approach to analyze cervical cancer mortality (ICD C53) in Brazil between 2013 and 2022. Data were extracted from the INCA Online Mortality Atlas, covering all age groups and segmented by states and regions. Crude mortality rates per 100,000 inhabitants were used as the primary indicator. Data organization and compilation were performed in Excel 2019, enabling the creation of tables that facilitate comparative analysis and visualization of regional and state disparities. The methodology focuses on identifying mortality patterns over the past decade, highlighting discrepancies across different areas of the country.

Resultados

The study revealed a total of 62,175 deaths from cervical cancer during the analyzed period, with 2022 reporting the highest number of deaths (6,983). An increase in deaths was observed over the period. The state of Amazonas recorded the highest age-adjusted crude mortality rate (CMR), with 13.81 deaths per 100,000 inhabitants, followed by Amapá (9.93), Maranhão (9.66), and Roraima (8.67). Conversely, the lowest rates were found in São Paulo (3.98), Minas Gerais (4.05), and Bahia (5.51). Among regions, the North had the highest CMR (9.38), followed by the Northeast (6.72), Central-West (6.09), South (6.00), and Southeast (4.52). The most affected age group was 50 to 59 years, with 13,477 deaths, followed by the 40 to 49 years (12,422) and 60 to 69 years (11,840) age groups.

Conclusões

Analyzing the high cervical cancer mortality in Brazil, we identified regional disparities. The North region showed the highest rates, with Amazonas leading. Additionally, the age group of 40 to 69 years exhibited the highest mortality. These differences may be linked to factors such as socioeconomic inequalities, limited access to healthcare, and lower awareness of prevention. It is crucial to expand access to HPV vaccination, strengthen screening programs, and promote health education.

Palavras Chave

Uterine Cervical Neoplasms; Brazil; mortality