{"id":8443,"date":"2024-01-30T16:45:25","date_gmt":"2024-01-30T21:45:25","guid":{"rendered":"https:\/\/latinamericasecurityreport.com\/?p=8443"},"modified":"2024-01-30T16:45:25","modified_gmt":"2024-01-30T21:45:25","slug":"ethnic-disparities-in-cancer-mortality-in-the-capital-and-northeast-of-the-state-of-sao-paulo-brazil","status":"publish","type":"post","link":"https:\/\/latinamericasecurityreport.com\/?p=8443","title":{"rendered":"Ethnic Disparities in Cancer Mortality in the Capital and Northeast of the State of S\u00e3o Paulo, Brazil"},"content":{"rendered":"
In S\u00e3o Paulo city and the Barretos region, the number of deaths from cancer varies significantly in accordance with self-declared skin color or race<\/figcaption><\/figure>\n

Although the interior of S\u00e3o Paulo state (Brazil) has higher human development indices (HDIs) and fewer Black people as a percentage of the population, they account for a larger proportion of deaths from cancer in the Barretos region than in S\u00e3o Paulo city, the state capital, according to a study supported by FAPESP. An article on the study is\u00a0published<\/a>\u00a0in the journal\u00a0Cancer Causes & Control<\/em>.<\/p>\n

In the 18 cities of the Barretos regional health district (RHD), the number of deaths from all types of cancer is 18% higher among Black people than among White people. The same is true for each of the six main cancer types. Although mortality rates for stomach, colorectal and lung cancer are similar among Black and White people, they are much higher for breast cancer (18%) and cervical cancer (63%) among Black people. In the case of prostate cancer, mortality is 51% higher among Black than White people in the Barretos RHD.<\/p>\n

The study period was 2011-17, and the mortality data came from the SUS (Sistema \u00danico de Sa\u00fade), Brazil\u2019s national public health network, whose records include patients\u2019 self-declared race or skin color. In both localities analyzed, lung cancer was the main cause of death from cancer among White, Black and Multiracial people (the latter being termed Pardos in censuses and other official datasets). Among descendants of Asians, it was colorectal cancer. More Black and Multiracial women died from cervical cancer than White women.<\/p>\n

\u201cIn light of this country\u2019s history, including slavery and its continuing consequences, such as more affluence and more access to healthcare for White people, these results were to be expected. The surprise was finding out that more White people than Black People die from cancer in S\u00e3o Paulo city,\u201d said\u00a0Adeylson Guimar\u00e3es Ribeiro<\/a>, first and corresponding author of the article. He is Deputy Director of Information and Epidemiology at the S\u00e3o Paulo Cancer Center (FOSP), an arm of the S\u00e3o Paulo State Health Department.<\/p>\n

Mortality is 19% higher among White than Black people in S\u00e3o Paulo city for all types of cancer and for breast cancer, 35% higher for lung cancer and 41% for colorectal cancer.<\/p>\n

Ribeiro led the study while he was a\u00a0postdoctoral research fellow<\/a>\u00a0at the International Agency for Research on Cancer (IARC) in France, under the supervision of\u00a0Freddie Bray<\/a>, Head of IARC\u2019s Cancer Surveillance Section. The period abroad was part of Ribeiro\u2019s postdoctoral internship at Hospital de Amor\u2019s Institute of Education and Research with a\u00a0scholarship from FAPESP<\/a>. This institution was formerly known as the Barretos Cancer Hospital.<\/p>\n

A\u00a0previous study<\/a>\u00a0by the same group, without information on skin color or race, found high incidence and mortality rates for breast, colorectal and lung cancer among the most affluent inhabitants of S\u00e3o Paulo city. The finding can be correlated with the higher mortality rates for these types of cancer among White people compared with Black people reported in the more recent study.<\/p>\n

The studies were part of the Thematic Project\u00a0\u201cMalignant neoplasms of the 18 cities of Barretos regional health district (RHD), S\u00e3o Paulo, Brazil: the importance of a population-based cancer registry\u201d<\/a>, supported by FAPESP and led by\u00a0Jos\u00e9 Humberto Tavares Guerreiro Fregnani<\/a>, a senior scientist at Hospital de Amor and a co-author of both articles.<\/p>\n

The researchers aim to discover why the inequalities occur and how access to diagnosis and treatment can be guaranteed for everyone, among other goals.<\/p>\n

Results aligned<\/p>\n

Ancestry may account for some of the higher incidence rates for certain types of cancer, reinforcing the need for more attention to groups of the population that are particularly vulnerable owing to genetic and\/or socioeconomic factors (read more at:\u00a0linkinghub.elsevier.com\/retrieve\/pii\/S1526820923000861<\/a><\/em>).<\/p>\n

The results described in the most recently published article are aligned with those of other Brazilian studies, such as the findings reported in an\u00a0article<\/a>\u00a0signed by researchers at the State University of Campinas (UNICAMP). That study, which was also\u00a0supported by FAPESP<\/a>, showed higher mortality from breast cancer among White women than Black women in S\u00e3o Paulo state. However, it also showed that mortality was falling among White women and rising among Black women.<\/p>\n

Another study<\/a>\u00a0found breast cancer survival rates among Black and Multiracial women to be lower, and\u00a0yet another<\/a>\u00a0revealed a tendency for this type of cancer to be diagnosed at a late stage among Black and Multiracial women. All these results are aligned with the latest findings for Black women in the Barretos RHD.<\/p>\n

An\u00a0analysis<\/a>\u00a0of the determinants of late-stage diagnosis of cervical cancer pointed to a 20% higher risk of detection of this type of tumor at an advanced stage for Black women than for other ethnic groups.<\/p>\n

With regard to prostate cancer, a\u00a02013 study<\/a>\u00a0indicated a 300% higher risk of metastasis at the time of diagnosis for Black men.<\/p>\n

\u201cFew studies on this topic have been conducted in Brazil, but we have the information we need to do more research. In Europe, personal details on skin color or race are considered sensitive and aren\u2019t available. The most numerous studies in the literature focus on the population of the United States, and their results are consistent with what we find here,\u201d Ribeiro said.<\/p>\n","protected":false},"excerpt":{"rendered":"

Although the interior of S\u00e3o Paulo state (Brazil) has higher human development indices (HDIs) and fewer Black people as a percentage of the population, they account for a larger proportion of deaths from cancer in the Barretos region than in S\u00e3o Paulo city, the state capital, according to a study supported by FAPESP. An article…<\/p>\n","protected":false},"author":124,"featured_media":8444,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"fifu_image_url":"https:\/\/earimediaprodweb.azurewebsites.net\/Api\/v1\/Multimedia\/cf0d4171-9ad1-48a7-b90c-2184e94d1789\/Rendition\/low-res\/Content\/Public","fifu_image_alt":"Ethnic Disparities in Cancer Mortality in the Capital and Northeast of the State of S\u00e3o Paulo, Brazil","footnotes":""},"categories":[182],"tags":[],"class_list":["post-8443","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-security-public-safety"],"_links":{"self":[{"href":"https:\/\/latinamericasecurityreport.com\/index.php?rest_route=\/wp\/v2\/posts\/8443","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/latinamericasecurityreport.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/latinamericasecurityreport.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/latinamericasecurityreport.com\/index.php?rest_route=\/wp\/v2\/users\/124"}],"replies":[{"embeddable":true,"href":"https:\/\/latinamericasecurityreport.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=8443"}],"version-history":[{"count":1,"href":"https:\/\/latinamericasecurityreport.com\/index.php?rest_route=\/wp\/v2\/posts\/8443\/revisions"}],"predecessor-version":[{"id":8445,"href":"https:\/\/latinamericasecurityreport.com\/index.php?rest_route=\/wp\/v2\/posts\/8443\/revisions\/8445"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/latinamericasecurityreport.com\/index.php?rest_route=\/wp\/v2\/media\/8444"}],"wp:attachment":[{"href":"https:\/\/latinamericasecurityreport.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=8443"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/latinamericasecurityreport.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=8443"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/latinamericasecurityreport.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=8443"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}