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Introduction: Breast cancer is an important public health problem worldwide, with important disparities in incidence, mortality, and survival rates between developed and developing countries due to inequalities regarding access to measures for the prevention and treatment of the disease. In Brazil, there are higher rates of incidence and a downward trend in mortality in regions of greater socioeconomic development.

Objective: To evaluate the effect of age, period, and birth cohort on breast cancer mortality in women aged 20 years and older in the states of the Northeast Region of Brazil, an area of high socioeconomic vulnerability, from 1980 to 2019.

Methods: The death records were extracted from the DATASUS Mortality Information System website (Department of National Health Informatics) from the Ministry of Health of Brazil. Estimable functions were used to estimate the age-period and cohort models (APC) using the Epi library from the R statistical software version 6.4.1.

Results: The average breast cancer mortality rate for the period was 20.45 deaths per 100,000 women. The highest coefficients per 100,000 women were observed in the states of Pernambuco (21.09 deaths) and Ceará (20.85 deaths), and the lowest in Maranhão (13.58 deaths) and Piauí (15.43 deaths). In all of the locations, there was a progressive increase in mortality rates in individuals over 40 years of age, with higher rates in the last five-year period (2015-2019). There was an increase in the risk of death for the five-year period of the 2000s in relation to the reference period (1995-1999) in the Northeast region and in the states of Alagoas, Bahia, Maranhão, Paraíba, and Piauí. In addition, there was an increased risk of death for women born after the 1950s in all locations.

Conclusion: The highest mortality rates in all five-year periods analyzed were observed in states with greater socioeconomic development, with an increase in mortality rates in the 2000s, and a higher risk of death in the younger cohorts.

Competing Interests: The authors have declared that no competing interests exist.

Titel:	Mortality due to breast cancer in a region of high socioeconomic vulnerability in Brazil: Analysis of the effect of age-period and cohort.
Autor/in / Beteiligte Person:	Dantas de Araújo Santos Camargo, J ; Dos Santos, J ; Simões, TC ; Carvalho, JBL ; Silva, GWDS ; Dantas, ESO ; Rodrigues, WTDS ; Freire, FHMA ; Meira, KC
Link:	Volltext (PDF)
Zeitschrift:	PloS one, Jg. 16 (2021-08-13), Heft 8, S. e0255935
Veröffentlichung:	San Francisco, CA : Public Library of Science, 2021
Medientyp:	academicJournal
ISSN:	1932-6203 (electronic)
DOI:	10.1371/journal.pone.0255935
Schlagwort:	Adult Brazil Cohort Studies Female Humans Incidence Young Adult Breast Neoplasms
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article; Research Support, Non-U.S. Gov't Language: English [PLoS One] 2021 Aug 13; Vol. 16 (8), pp. e0255935. <i>Date of Electronic Publication: </i>2021 Aug 13 (<i>Print Publication: </i>2021). MeSH Terms: Breast Neoplasms* ; Adult ; Brazil ; Cohort Studies ; Female ; Humans ; Incidence ; Young Adult References: Lancet. 2009 Jun 6;373(9679):1993-5. (PMID: 19493564) ; Breast Cancer. 2006;13(3):266-71. (PMID: 16929120) ; PLoS One. 2014 Mar 11;9(3):e91614. (PMID: 24619086) ; Asian Pac J Cancer Prev. 2011;12(2):345-9. (PMID: 21545192) ; Int J Cancer. 2004 Mar 1;108(6):901-6. (PMID: 14712495) ; Br J Cancer. 1995 Aug;72(2):493-7. (PMID: 7640238) ; Int J Cancer. 2006 May 1;118(9):2366-9. (PMID: 16331626) ; Stat Med. 2001 Jan 15;20(1):47-61. (PMID: 11135347) ; PLoS One. 2016 Feb 10;11(2):e0148761. (PMID: 26863517) ; PLoS One. 2020 Feb 19;15(2):e0226258. (PMID: 32074101) ; Scand J Public Health. 2006;34(6):561-5. (PMID: 17132587) ; Stat Med. 2006 Mar 30;25(6):977-93. (PMID: 16143994) ; Cancer Epidemiol Biomarkers Prev. 2015 Oct;24(10):1495-506. (PMID: 26359465) ; JAMA Oncol. 2015 Jul;1(4):505-27. (PMID: 26181261) ; Cad Saude Publica. 2011 Feb;27(2):317-26. (PMID: 21359468) ; Br J Cancer. 1995 Aug;72(2):485-92. (PMID: 7640237) ; Epidemiol Serv Saude. 2017 Oct-Dec;26(4):713-724. (PMID: 29211137) ; Cancer. 2019 Feb 15;125(4):515-523. (PMID: 30411328) ; Biomed Res Int. 2018 Mar 21;2018:5307459. (PMID: 29750160) ; Ann Oncol. 2004 Apr;15(4):686-8. (PMID: 15033680) ; Rev Panam Salud Publica. 2015 Jun;37(6):402-8. (PMID: 26245175) ; Cad Saude Publica. 2014 Jul;30(7):1537-50. (PMID: 25166949) ; Rev Saude Publica. 2014 Jun;48(3):459-67. (PMID: 25119941) ; J Clin Oncol. 2014 Jul 1;32(19):1979-86. (PMID: 24888802) ; Nutr Cancer. 2012 Aug;64(6):806-19. (PMID: 22860889) ; Int J Equity Health. 2015 Sep 14;14:76. (PMID: 26369689) ; Cancer Epidemiol Biomarkers Prev. 2007 Nov;16(11):2257-61. (PMID: 18006913) ; Rev Saude Publica. 2017 Jun 01;51(suppl 1):14s. (PMID: 28591356) ; Cancer Epidemiol. 2012 Jun;36(3):237-48. (PMID: 22459198) ; Stat Med. 1998 Jun 30;17(12):1305-23. (PMID: 9682322) ; Br J Cancer. 2011 Mar 15;104(6):910-4. (PMID: 21343930) ; Int J Epidemiol. 2007 Aug;36(4):900-6. (PMID: 17510071) ; Prog Mol Biol Transl Sci. 2017;151:1-32. (PMID: 29096890) ; Int J Equity Health. 2019 Jun 3;18(1):39. (PMID: 31155002) ; J Natl Cancer Inst Monogr. 2006;(36):112-21. (PMID: 17032901) ; Nutr Rev. 2017 Jun 1;75(6):405-419. (PMID: 28969358) ; Cancer Epidemiol. 2018 Aug;55:73-80. (PMID: 29843073) ; Lancet. 2011 Oct 22;378(9801):1461-84. (PMID: 21924486) ; J Obstet Gynaecol. 2015 Jan;35(1):60-3. (PMID: 25020211) ; Acta Oncol. 2010 Jun;49(5):624-31. (PMID: 20429724) ; Nutr Rev. 2014 Jan;72(1):1-17. (PMID: 24330083) ; BMJ. 2011 Jul 28;343:d4411. (PMID: 21798968) ; Breast Dis. 2005-2006;23:3-8. (PMID: 16823161) ; J Korean Med Sci. 2007 Sep;22 Suppl:S11-6. (PMID: 17923736) ; Breast. 2004 Feb;13(1):7-14. (PMID: 14759710) ; PLoS One. 2016 Mar 02;11(3):e0150723. (PMID: 26933878) ; Med Oncol. 2013;30(3):671. (PMID: 23884580) ; Eur J Cancer. 2010 Dec;46(18):3351-7. (PMID: 20943375) ; Br J Cancer. 2011 Aug 23;105(5):723-30. (PMID: 21829198) ; Asian Pac J Cancer Prev. 2011;12(4):879-88. (PMID: 21790220) ; Ann Epidemiol. 2015 Sep;25(9):687-97. (PMID: 26099193) ; Asia Pac J Public Health. 2013 Sep;25(5):368-87. (PMID: 23709491) ; Cancer Epidemiol Biomarkers Prev. 2015 Jun;24(6):905-12. (PMID: 25787716) ; PLoS One. 2017 Jan 3;12(1):e0168950. (PMID: 28046087) ; CA Cancer J Clin. 2018 Nov;68(6):394-424. (PMID: 30207593) ; Int J Cancer. 2007 Oct 1;121(7):1556-63. (PMID: 17437268) ; Salud Publica Mex. 2009;51 Suppl 2:s157-64. (PMID: 19967270) ; N Engl J Med. 2005 Oct 27;353(17):1784-92. (PMID: 16251534) ; BMC Cancer. 2016 Jan 06;16:5. (PMID: 26732868) ; Rev Bras Epidemiol. 2017 May;20Suppl 01(Suppl 01):21-33. (PMID: 28658370) ; Asian Pac J Cancer Prev. 2017 Dec 28;18(12):3201-3206. (PMID: 29281867) Entry Date(s): Date Created: 20210813 Date Completed: 20211203 Latest Revision: 20211214 Update Code: 20231215 PubMed Central ID: PMC8362978

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Mortality due to breast cancer in a region of high socioeconomic vulnerability in Brazil: Analysis of the effect of age-period and cohort.