Oral Cancer: Socio-Spatial Analysis of a Brazilian Sample

Autores

  • Andrea López Soto Department of Oral Pathology and Surgery, School of Dentistry, Federal University of Minas Gerais. Belo Horizonte (MG), Brazil. School of Dentistry, Universidad Latinoamericana de Ciencia y Tecnología (ULACIT). San José, Costa Rica DDS. https://orcid.org/0000-0003-2707-9671
  • Alexandre Andrade Sousa Department of Surgery of the School of Medicine and Head and Neck Surgery, Alpha Institute of Gastroenterology, Hospital of Clinics. Federal University of Minas Gerais. Belo Horizonte (MG), Brazil. https://orcid.org/0000-0002-4204-9334
  • Letícia Cavalari Pinheiro Research Center René Rachou, Fiocruz Minas. Belo Horizonte (MG), Brazil. https://orcid.org/0000-0001-6229-9202
  • Carlos José de Paula Silva Department of Social and Preventive Dentistry, School of Dentistry, Federal University of Minas Gerais. Belo Horizonte (MG), Brazil. https://orcid.org/0000-0001-5188-4625
  • Mauro Henrique Nogueira Guimarães de Abreu Department of Social and Preventive Dentistry, School of Dentistry, Federal University of Minas Gerais. Belo Horizonte (MG), Brazil. https://orcid.org/0000-0001-8794-5725
  • Patricia Carlos Caldeira Department of Oral Pathology and Surgery, School of Dentistry, Federal University of Minas Gerais. Belo Horizonte (MG), Brazil. https://orcid.org/0000-0002-9179-0145
  • Maria Cássia Ferreira de Aguiar Department of Oral Pathology and Surgery, School of Dentistry, Federal University of Minas Gerais. Belo Horizonte (MG), Brazil. https://orcid.org/0000-0001-5134-3466

DOI:

https://doi.org/10.32635/2176-9745.RBC.2020v66n3.1029

Palavras-chave:

Mouth Neoplasms, Oropharyngeal Neoplasms, Epidemiology, Spatial Analysis, Socioeconomic Factors

Resumo

Introduction: Socio-spatial measures are largely used in health research, but it is still unusual in oral cancer investigation. Objective: This study aims to describe the sociodemographic and clinical features of oral cancer and analyze the spatial distribution of the disease in relation to the neighborhood socioeconomic status including availability of health care centers. Method: Sociodemographic, clinical and histopathologic data were collected from patients treated from 2005 to 2015. Descriptive data analyses of all variables were performed. The spatial analysis was carried out through the program R. Geographic distribution of patients’ home addresses was analyzed using Ripley’s K function and Kernel maps. The socio-spatial vulnerability was defined by household income and home adequacy. Results: Of the 127 patients included, the majority were males (76.4%), Caucasian or Brown (82.7%), married (35.4%), with low educational level (71.6%) and mean age of 59.5 years. Cases were distributed in clusters characterized by lower median income and inadequate sanitary conditions. Primary health care centers were homogeneously distributed throughout the city. Conclusion: These oral cancer cases are concentrated in regions under relatively low socioeconomic conditions, and despite the homogeneous distribution of primary health care centers, it is not enough to promote access for patients and oral cancer remains being diagnosed late.

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Publicado

2020-07-21

Como Citar

1.
López Soto A, Andrade Sousa A, Cavalari Pinheiro L, de Paula Silva CJ, Nogueira Guimarães de Abreu MH, Carlos Caldeira P, Ferreira de Aguiar MC. Oral Cancer: Socio-Spatial Analysis of a Brazilian Sample. Rev. Bras. Cancerol. [Internet]. 21º de julho de 2020 [citado 28º de novembro de 2022];66(3):e-061029. Disponível em: https://rbc.inca.gov.br/index.php/revista/article/view/1029

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