Mortality from oral and oropharyngeal cancer in Brazil

Impact of the National Oral Health Policy

Bibliographic Data

ID5167440
AuthorsAmanda Ramos Da Cunha (0000-0002-6358-5582, Universidade Federal do Rio Grande do Sul), Taiane Schaedler Pra (0000-0003-3136-909X, Universidade Federal do Rio Grande do Sul), Fernando Neves Hugo (0000-0003-2222-7719, Universidade Federal do Rio Grande do Sul)
Year2019
Volume35
Issue12
Pagese00014319-e00014319
Publication date2019-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311x00014319
PMID31800779
OpenAlexW2990545903
SCIELO_PIDS0102-311X2019001405007
LanguageEN
Citations received9
References cited40

The objective was to investigate if there is an association between the mortality rates due to oral and oropharyngeal cancer in Brazil and the expansion of access to public primary and specialized dental care services that resulted from the implementation of the National Oral Health Policy, between 2000 and 2013. The mortality data were obtained from the records of the Mortality Information System and the exposure variables were obtained from databases of the Brazilian Ministry of Health and the Brazilian Institute of Geography and Statistics. The main exposures investigated were "coverage of primary dental care" and "number of specialized dental care centers". Additional covariates included "Gini index of household income", "average number of years of study", "proportion of unemployed people" and "proportion of smokers". For the statistical analysis, a random coefficient model was used. There was a statistically significant association between the mortality rates by oral and oropharyngeal cancer with coverage by primary dental care and the number of specialized dental care centers with males. This study found that the expansion of the coverage of primary dental care and the number of specialized dental care centers are associated with the reduction of mortality rates due to oral and oropharyngeal cancer in Brazil. There is plausibility for the association found, which needs to be confirmed by implementation studies

Christian ministry · Dental care · Economic inequality · Environmental health · Family medicine · Gini coefficient · Inequality · Mortality rate · Oral health · Public health · Cleft Lip and Palate Research · Demography · Dental Health and Care Utilization · Head and Neck Cancer Studies · Medicine · Nursing

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