Bolsa Família Program and deaths from oral cancer in Brazil: an ecological study
Objective. To assess the effect of coverage of the Bolsa Família Program (BFP) on oral cancer mortality rates in Brazil between 2005 and 2017, adjusting for health care coverage and socioeconomic characteristics of the Brazilian federative units. Methods. This is an ecological study using annual dat...
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ftdoajarticles:oai:doaj.org/article:12e7cb38ec2240e0ab0bada36870bded 2023-05-15T15:12:02+02:00 Bolsa Família Program and deaths from oral cancer in Brazil: an ecological study Elisa Miranda Costa Núbia Cristina da Silva Rocha Thiago Augusto Hernandes Rocha Hassan Lavalier de Oliveira Lima João Ricardo Nickenig Vissoci Rejane Christine de Sousa Queiroz Erika Barbara Abreu Fonseca Thomaz 2022-12-01T00:00:00Z https://doi.org/10.26633/RPSP.2022.208 https://doaj.org/article/12e7cb38ec2240e0ab0bada36870bded EN ES PT eng spa por Pan American Health Organization https://iris.paho.org/handle/10665.2/56865 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2022.208 https://doaj.org/article/12e7cb38ec2240e0ab0bada36870bded Revista Panamericana de Salud Pública, Vol 46, Iss 208, Pp 1-10 (2022) public assistance social support epidemiology mortality mouth neoplasms brazil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2022 ftdoajarticles https://doi.org/10.26633/RPSP.2022.208 2022-12-30T19:33:39Z Objective. To assess the effect of coverage of the Bolsa Família Program (BFP) on oral cancer mortality rates in Brazil between 2005 and 2017, adjusting for health care coverage and socioeconomic characteristics of the Brazilian federative units. Methods. This is an ecological study using annual data (2005–2017) from all the Brazilian federative units. The dependent variable for this study was the oral cancer mortality rate, standardized by gender and age using the direct standardization technique. BFP coverage was the main independent variable, calculated as the ratio of the number of BFP beneficiaries to those families that should potentially be entitled to this conditional cash transfer. Socioeconomic background and health care coverage were covariables. Choropleth maps were drawn, and space-time cube analysis was used to assess changes in the spatiotemporal distribution of BFP and oral cancer mortality rates. Mixed-effects linear regression analysis estimated the coefficients (β) and 95% confidence intervals (CI) for the association between BFP coverage and oral cancer mortality rates. Results. BFP coverage trends increased and oral cancer mortality rate trends stabilized in Brazilian federative units, except for Maranhão, Goiás, and Minas Gerais, where the oral cancer mortality rates have increased. In the adjusted model, greater BFP coverage was associated with lower oral cancer mortality rates (β –2.10; 95% CI [–3.291, –0.919]). Conclusions. Egalitarian strategies such as BFP can reduce the oral cancer mortality rate. We recommend the follow-up of families benefiting from conditional cash transfer program by oral health teams to reduce the oral cancer mortality rate. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista Panamericana de Salud Pública 46 1 |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English Spanish Portuguese |
topic |
public assistance social support epidemiology mortality mouth neoplasms brazil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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public assistance social support epidemiology mortality mouth neoplasms brazil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Elisa Miranda Costa Núbia Cristina da Silva Rocha Thiago Augusto Hernandes Rocha Hassan Lavalier de Oliveira Lima João Ricardo Nickenig Vissoci Rejane Christine de Sousa Queiroz Erika Barbara Abreu Fonseca Thomaz Bolsa Família Program and deaths from oral cancer in Brazil: an ecological study |
topic_facet |
public assistance social support epidemiology mortality mouth neoplasms brazil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Objective. To assess the effect of coverage of the Bolsa Família Program (BFP) on oral cancer mortality rates in Brazil between 2005 and 2017, adjusting for health care coverage and socioeconomic characteristics of the Brazilian federative units. Methods. This is an ecological study using annual data (2005–2017) from all the Brazilian federative units. The dependent variable for this study was the oral cancer mortality rate, standardized by gender and age using the direct standardization technique. BFP coverage was the main independent variable, calculated as the ratio of the number of BFP beneficiaries to those families that should potentially be entitled to this conditional cash transfer. Socioeconomic background and health care coverage were covariables. Choropleth maps were drawn, and space-time cube analysis was used to assess changes in the spatiotemporal distribution of BFP and oral cancer mortality rates. Mixed-effects linear regression analysis estimated the coefficients (β) and 95% confidence intervals (CI) for the association between BFP coverage and oral cancer mortality rates. Results. BFP coverage trends increased and oral cancer mortality rate trends stabilized in Brazilian federative units, except for Maranhão, Goiás, and Minas Gerais, where the oral cancer mortality rates have increased. In the adjusted model, greater BFP coverage was associated with lower oral cancer mortality rates (β –2.10; 95% CI [–3.291, –0.919]). Conclusions. Egalitarian strategies such as BFP can reduce the oral cancer mortality rate. We recommend the follow-up of families benefiting from conditional cash transfer program by oral health teams to reduce the oral cancer mortality rate. |
format |
Article in Journal/Newspaper |
author |
Elisa Miranda Costa Núbia Cristina da Silva Rocha Thiago Augusto Hernandes Rocha Hassan Lavalier de Oliveira Lima João Ricardo Nickenig Vissoci Rejane Christine de Sousa Queiroz Erika Barbara Abreu Fonseca Thomaz |
author_facet |
Elisa Miranda Costa Núbia Cristina da Silva Rocha Thiago Augusto Hernandes Rocha Hassan Lavalier de Oliveira Lima João Ricardo Nickenig Vissoci Rejane Christine de Sousa Queiroz Erika Barbara Abreu Fonseca Thomaz |
author_sort |
Elisa Miranda Costa |
title |
Bolsa Família Program and deaths from oral cancer in Brazil: an ecological study |
title_short |
Bolsa Família Program and deaths from oral cancer in Brazil: an ecological study |
title_full |
Bolsa Família Program and deaths from oral cancer in Brazil: an ecological study |
title_fullStr |
Bolsa Família Program and deaths from oral cancer in Brazil: an ecological study |
title_full_unstemmed |
Bolsa Família Program and deaths from oral cancer in Brazil: an ecological study |
title_sort |
bolsa família program and deaths from oral cancer in brazil: an ecological study |
publisher |
Pan American Health Organization |
publishDate |
2022 |
url |
https://doi.org/10.26633/RPSP.2022.208 https://doaj.org/article/12e7cb38ec2240e0ab0bada36870bded |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 46, Iss 208, Pp 1-10 (2022) |
op_relation |
https://iris.paho.org/handle/10665.2/56865 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2022.208 https://doaj.org/article/12e7cb38ec2240e0ab0bada36870bded |
op_doi |
https://doi.org/10.26633/RPSP.2022.208 |
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Revista Panamericana de Salud Pública |
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46 |
container_start_page |
1 |
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