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Age-Period-Cohort Study of Breast Cancer Mortality in Brazil in State Capitals and in Non-Capital Municipalities from 1980 to 2019

Author

Listed:
  • Rodrigo Chávez-Penha

    (Post-Graduation Program in Collective Health, Faculty of Medicine, Federal University of Juiz de Fora, Juiz de Fora 36036-900, Minas Gerais, Brazil)

  • Maria Teresa Bustamante-Teixeira

    (Post-Graduation Program in Collective Health, Faculty of Medicine, Federal University of Juiz de Fora, Juiz de Fora 36036-900, Minas Gerais, Brazil)

  • Mário Círio Nogueira

    (Post-Graduation Program in Collective Health, Faculty of Medicine, Federal University of Juiz de Fora, Juiz de Fora 36036-900, Minas Gerais, Brazil)

Abstract

Breast cancer was identified as the cancer with the highest mortality rate among women in Brazil. This study analyzed the effects of age, period and birth cohort on the breast cancer mortality rate for Brazilian women, comparing state capitals and non-capital municipalities. Population and deaths data were extracted from the Brazilian Unified Health System database for women aged 30 years or older, for the years between 1980 and 2019. The effects were analyzed using the age-period-cohort model. Age effect on breast cancer mortality is observed in the model through higher mortality rates at older ages. Period effect is similar in all regions in the form of a marked increase in the rate ratio (RR) in non-capital municipalities by period than in state capitals. The RR of birth cohorts in the state capitals remained stable (north, northeast and central-west regions) or decreased followed by an increase in the most recent cohorts (Brazil as a whole and the southeast and south regions). The RR for the other municipalities, however, showed a progressive increase in the cohorts for all regions. Policies and actions focused on breast cancer in women should consider these differences among Brazilian regions, state capitals and other municipalities.

Suggested Citation

  • Rodrigo Chávez-Penha & Maria Teresa Bustamante-Teixeira & Mário Círio Nogueira, 2023. "Age-Period-Cohort Study of Breast Cancer Mortality in Brazil in State Capitals and in Non-Capital Municipalities from 1980 to 2019," IJERPH, MDPI, vol. 20(15), pages 1-16, August.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:15:p:6505-:d:1209141
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    References listed on IDEAS

    as
    1. Fang Wang & Sumaira Mubarik & Yu Zhang & Lu Wang & Yafeng Wang & Chuanhua Yu & Hao Li, 2019. "Long-Term Trends of Liver Cancer Incidence and Mortality in China 1990–2017: A Joinpoint and Age–Period–Cohort Analysis," IJERPH, MDPI, vol. 16(16), pages 1-13, August.
    2. Zhenkun Wang & Junzhe Bao & Chuanhua Yu & Jinyao Wang & Chunhui Li, 2015. "Secular Trends of Breast Cancer in China, South Korea, Japan and the United States: Application of the Age-Period-Cohort Analysis," IJERPH, MDPI, vol. 12(12), pages 1-10, December.
    3. Ronald E. Gangnon & Natasha K. Stout & Oguzhan Alagoz & John M. Hampton & Brian L. Sprague & Amy Trentham-Dietz, 2018. "Contribution of Breast Cancer to Overall Mortality for US Women," Medical Decision Making, , vol. 38(1_suppl), pages 24-31, April.
    Full references (including those not matched with items on IDEAS)

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