Artículo de revista
Country-level correlates of cervical cancer mortality in Latin America and the Caribbean
Fecha
2013Registro en:
salud pública de méxico / vol. 55, no. 1, enero-febrero de 2013
Autor
Pereira Scalabrino, Ana
Almonte, Maribel
Dos Santos Silva, Isabel
Institución
Resumen
Objective. To identify country-level correlates of geographical
variations in cervical cancer (CC) mortality in Latin America
and the Caribbean (LAC). Materials and methods. CC
mortality rates for LAC countries (n=26) were examined
in relation to country-specific socio-economic indicators
(n=58) and Human Papilloma Virus (HPV) prevalence using
linear regression models. Results. High mortality at ages
<5 years, low per capita total expenditure on health, and
low proportion of the population with access to sanitation
were identified as the best independent predictors of CC
mortality (R2=77%). In the subset of countries (n=10) with
HPV prevalence estimates, these socio-economic indicators
together with high-risk HPV prevalence explained almost all
the between-country variability in CC mortality (R2=98%).
Conclusion. The findings suggest that continuing socioeconomic
improvements in LAC countries will be associated
with further reductions in CC mortality even in the absence
of organised population-based screening and vaccination
programmes.