Cervical Cancer Mortality in Alagoas between years 2001 to 2019: An Ecological Study
DOI:
https://doi.org/10.11606/issn.1679-9836.v104i2e-227046Keywords:
Cervical Neoplasms, Mortality, Women's Health, HPVAbstract
Introduction: Cervical cancer (CC) is a largely preventable neoplasm that still has a high incidence and mortality rate in the Brazilian female population. Objective: This study aims to investigate the epidemiological profile, trends and spatial distribution of CC in the state of Alagoas from 2001 to 2019. Methods: This is an ecological study that includes female deaths caused by CC in the period from 2001 to 2019 in the state of Alagoas, Brazil. The following sociodemographic variables were used: age group, race/ethnicity, marital status, and education. Mortality analysis was performed using the joinpoint regression model. The Moran’s index was calculated for spatial analysis. Vaccine coverage was assessed using administrative methods. Results: Regarding mortality, the following observations were made: i) an increase in cervical cancer mortality between ages 20 and 29; ii) 70.3% of deaths occurred in the 25 to 64 age group; iii) individuals of mixed race had the highest percentage of deaths at 57.75%; iv) a reduction in the risk of death with increased education; v) a decrease in mortality rate with improved socioeconomic conditions. Additionally, there was a decline in vaccine adherence. Conclusion: The state of Alagoas experienced an increase in CC mortality between 2001 and 2019. Furthermore, there was a decrease in vaccine adherence. Therefore, we emphasize the importance of screening for prevention and the need for an expanded Human Papillomavirus (HPV) vaccination campaign.
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