Cervical cancer, a disease of poverty: mortality differences between urban and rural areas in Mexico



Título del documento: Cervical cancer, a disease of poverty: mortality differences between urban and rural areas in Mexico
Revista: Salud pública de México
Base de datos: PERIÓDICA
Número de sistema: 000213445
ISSN: 0036-3634
Autores: 1


Instituciones: 1El Colegio de la Frontera Norte, Tijuana, Baja California. México
Año:
Volumen: 45
Paginación: 315-325
País: México
Idioma: Inglés
Tipo de documento: Estadística o encuesta
Enfoque: Analítico
Resumen en español CONCLUSIONES: Los resultados muestran que la mortalidad por cáncer cervicouterino se encuentra relacionada con los factores presentes en la pobreza como son la falta de escolaridad, el desempleo, el bajo nivel socioeconómico, la residencia en áreas rurales y la falta de acceso efectivo a los servicios de salud. En México, este cáncer es un problema de género y equidad, por lo que debe impulsarse la eliminación de disparidades regionales en la detección de cáncer. Este artículo también está disponible en: http://www.insp.mx/salud/index.html
Resumen en inglés OBJECTIVE: To examine cervical cancer mortality rates in Mexican urban and rural communities, and their association with poverty-related factors, during 1990-2000. MATERIAL AND METHODS: We analyzed data from national databases to obtain mortality trends and regional variations using a Poisson regression model based on location (urban-rural). RESULTS: During 1990-2000 a total of 48 761 cervical cancer (CC) deaths were reported in Mexico (1990=4 280 deaths/year; 2000=4 620 deaths/year). On average, 12 women died every 24 hours, with 0.76% yearly annual growth in CC deaths. Women living in rural areas had 3.07 higher CC mortality risks compared to women with urban residence. Comparison of state CC mortality rates (reference=Mexico City) found higher risk in states with lower socio-economic development (Chiapas, relative risk [RR]=10.99; Nayarit, RR=10.5). Predominantly rural states had higher CC mortality rates compared to Mexico City (lowest rural population). CONCLUSIONS: CC mortality is associated with poverty-related factors, including lack of formal education, unemployment, low socio-economic level, rural residence and insufficient access to healthcare. This indicates the need for eradication of regional differences in cancer detection. This paper is available too at: http://www.insp.mx/salud/index.html
Disciplinas: Medicina
Palabras clave: Ginecología y obstetricia,
Oncología,
Salud pública,
Cáncer,
Cérvix,
Mortalidad,
Pobreza,
México,
Areas urbanas,
Areas rurales
Keyword: Medicine,
Gynecology and obstetrics,
Oncology,
Public health,
Cancer,
Cervix,
Mortality,
Poverty,
Mexico,
Rural areas,
Urban areas
Texto completo: Texto completo (Ver PDF)