Age-period-cohort effect on cervical cancer mortality in the Center-West of Brazil, 1980-2019

Authors

  • Karina Cardoso Meira Universidade Federal do Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, Brasil. E-mail: karina.meira@ufrn.br. https://orcid.org/0000-0002-1722-5703
  • Taynãna César Simões Fundação Oswaldo Cruz (FIOCRUZ - MG), Belo Horizonte, Minas Gerias, Brasil. E-mail: taynana.simoes@fiocruz.br. https://orcid.org/0000-0002-5849-343X
  • Rafael Tavares Jomar Instituto Nacional de Câncer (INCA), Rio de Janeiro, Rio de Janeiro, Brasil. E-mail: rafaeljomar@yahoo.com.br. https://orcid.org/0000-0002-4101-7138
  • Eder Samuel Oliveira Dantas Universidade Federal do Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, Brasil. E-mail: edersamuel_rn@hotmail.com. https://orcid.org/0000-0002-6595-6105
  • Cosme Marcelo Furtado Passos da Silva Fundação Oswaldo Cruz (FIOCRUZ - RJ), Rio de Janeiro, Rio de Janeiro, Brasil. E-mail: cfpassos@ensp.fiocruz.br.
  • Carinne Magnago Universidade de São Paulo (USP), São Paulo, São Paulo, Brasil. E-mail: carinne@usp.br. https://orcid.org/0000-0001-8799-3225

DOI:

https://doi.org/10.5216/ree.v26.75551

Keywords:

Mortality, Uterine Cervical Neoplasms, Age Factors, Periodicity, Cohort Effect

Abstract

Objectives: to analyze the effect of age-period-cohort on cervical cancer mortality rates in the Center-West of Brazil. Methods: ecological time series study from 1980 to 2019, utilizing data from the Mortality Information System and population estimates from the Brazilian Institute of Geography and Statistics. Age-period-cohort effect models with Poisson distribution were employed. Results: 19,260 deaths were observed, corresponding to an average standardized mortality rate of 17.23/100,000 women. The age effect indicated a progressive increase in rates as age advanced. The period effect showed a reduction in the risk of death in the Federal District (2015-2019), Mato Grosso do Sul (2010-2014), and Mato Grosso (2010-2019), as well as an increase in Goiás (2015-2019). The cohort effect showed an increase in the risk of death for those born before 1950-1954 and a reduction in the generations from 1955-1959 onwards. Conclusion: there is evidence of an age-period-cohort effect on mortality from cervical cancer in the Brazilian Center-West, which calls for the strengthening of actions for its prevention and control aimed at women of cohorts and ages at greater risk of dying from this cause.

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2024-06-04

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Vol. 26 (2024)

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