Association between Sociodemographic Factors, Coverage and Offer of Health Services with Mortality Due to Oral and Oropharyngeal Cancer in Brazil: A 20-Year Analysis

Márcio Vinicius de Gouveia Affonso, Igor Gonçalves Souza, Emerson Souza de Rocha, Eny Maria Goloni-Bertollo, Fabiana de Campos Gomes, Liliane Silva do Nascimento and João Simão de Melo-Neto ()
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Márcio Vinicius de Gouveia Affonso: Institute of Health Sciences, Federal University of Pará (UFPA), Belem 66075-110, Brazil
Igor Gonçalves Souza: Institute of Health Sciences, Federal University of Pará (UFPA), Belem 66075-110, Brazil
Emerson Souza de Rocha: Institute of Health Sciences, Federal University of Pará (UFPA), Belem 66075-110, Brazil
Eny Maria Goloni-Bertollo: Faculty of Medicine of São José do Rio Preto (FAMERP), Sao Jose do Rio Preto 15090-000, Brazil
Fabiana de Campos Gomes: Faculty of Medicine of São José do Rio Preto (FAMERP), Sao Jose do Rio Preto 15090-000, Brazil
Liliane Silva do Nascimento: Institute of Health Sciences, Federal University of Pará (UFPA), Belem 66075-110, Brazil
João Simão de Melo-Neto: Institute of Health Sciences, Federal University of Pará (UFPA), Belem 66075-110, Brazil

IJERPH, 2022, vol. 19, issue 20, 1-17

Abstract: To investigate the association between sociodemographic factors and variables related to oral health services in oral and oropharyngeal cancer mortality in Brazil, between 2000 and 2019. This study had an ecological design. Standardized mortality rates were compared between age group, sex, and regions. Age–Period–Cohort analysis was applied. Oral health services variables were analyzed in correlation tests. Survival analysis included Kaplan–Meier estimators, log-rank tests, and Cox regression. The mortality rate increased with age and was higher in men. Southeast and south regions had the highest rates for men, and the northeast and southeast had it for women. Age–Period–Cohort analysis showed a slight increase in female deaths and an increasing trend in the annual percent change in mortality for men over age 55. In survival analysis, males, Black individuals and southern residents were more strongly associated with death. The correlation between oral health teams’ coverage was high and negative, while the number of dental specialty centers and soft tissue biopsies had a high and positive correlation. Mortality and survival patterns were dependent on sex, age, geographic region and race/ethnicity. It was observed that preventive and diagnostic procedures were not being performed, which may be related to the increase in mortality.

Keywords: oral cancer; mouth neoplasms; oropharyngeal neoplasms; mortality; survival analysis; public health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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