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Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/47178
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dc.creatorThiago Augusto Hernandes Rochapt_BR
dc.creatorErika Bárbara Abreu Fonseca Thomazpt_BR
dc.creatorNúbia Cristina da Silvapt_BR
dc.creatorRejane Christine de Sousa Queirozpt_BR
dc.creatorMarta Rovery de Souzapt_BR
dc.creatorAllan Claudius Queiroz Barbosapt_BR
dc.creatorElaine Thumépt_BR
dc.creatorJoão Victor Muniz Rochapt_BR
dc.creatorViviane Alvarespt_BR
dc.creatorDante Grapiuna de Almeidapt_BR
dc.creatorJoão Ricardo Nickenig Vissocipt_BR
dc.creatorCatherine Ann Statonpt_BR
dc.creatorLuiz Augusto Facchinipt_BR
dc.date.accessioned2022-11-11T14:16:59Z-
dc.date.available2022-11-11T14:16:59Z-
dc.date.issued2017-
dc.citation.volume17pt_BR
dc.citation.issue706pt_BR
dc.citation.spage1pt_BR
dc.citation.epage11pt_BR
dc.identifier.doi10.1186/s12885-017-3700-zpt_BR
dc.identifier.issn14712407pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/47178-
dc.description.resumoBackground: Oral cancer is a potentially fatal disease, especially when diagnosed in advanced stages. In Brazil, the primary health care (PHC) system is responsible for promoting oral health in order to prevent oral diseases. However, there is insufficient evidence to assess whether actions of the PHC system have some effect on the morbidity and mortality from oral cancer. The purpose of this study was to analyze the effect of PHC structure and work processes on the incidence and mortality rates of oral cancer after adjusting for contextual variables. Methods: An ecological, longitudinal and analytical study was carried out. Data were obtained from different secondary data sources, including three surveys that were nationally representative of Brazilian PHC and carried out over the course of 10 years (2002–2012). Data were aggregated at the state level at different times. Oral cancer incidence and mortality rates, standardized by age and gender, served as the dependent variables. Covariables (sociodemographic, structure of basic health units, and work process in oral health) were entered in the regression models using a hierarchical approach based on a theoretical model. Analysis of mixed effects with random intercept model was also conducted (alpha = 5%). Results: The oral cancer incidence rate was positively association with the proportion of of adults over 60 years (β = 0. 59; p = 0.010) and adult smokers (β = 0.29; p = 0.010). The oral cancer related mortality rate was positively associated with the proportion of of adults over 60 years (β = 0.24; p < 0.001) and the performance of preventative and diagnostic actions for oral cancer (β = 0.02; p = 0.002). Mortality was inversely associated with the coverage of primary care teams (β = −0.01; p < 0.006) and PHC financing (β = −0.52−9 ; p = 0.014). Conclusions: In Brazil, the PHC structure and work processes have been shown to help reduce the mortality rate of oral cancer, but not the incidence rate of the disease. We recommend expanding investments in PHC in order to prevent oral cancer related deathspt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentFCE - DEPARTAMENTO DE CIÊNCIAS ADMINISTRATIVASpt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofBMC Cancerpt_BR
dc.rightsAcesso Abertopt_BR
dc.subjectHealth systemspt_BR
dc.subjectHealth inequalitiespt_BR
dc.subjectMortalitypt_BR
dc.subjectMouth neoplasmspt_BR
dc.subjectEcological studiespt_BR
dc.subjectPrimary health carept_BR
dc.subjectProgram evaluationpt_BR
dc.subject.otherCuidados primários de saúdept_BR
dc.subject.otherCâncer - Tratamentopt_BR
dc.titleOral primary care: an analysis of its impact on the incidence and mortality rates of oral cancerpt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttp://https://bmccancer.biomedcentral.com/articles/10.1186/s12885-017-3700-zpt_BR
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