title: Primary Health Care and Cervical Cancer Mortality Rates in Brazil: A Longitudinal Ecological Study.
abstract: Cervical cancer is a common neoplasm that is responsible for nearly 230 000 deaths annually in Brazil. Despite this burden, cervical cancer is considered preventable with appropriate care. We conducted a longitudinal ecological study from 2002 to 2012 to examine the relationship between the delivery of preventive primary care and cervical cancer mortality rates in Brazil. Brazilian states and the federal district were the unit of analysis (N = 27). Results suggest that primary health care has contributed to reducing cervical cancer mortality rates in Brazil; however, the full potential of preventive care has yet to be realized.
authors.affiliation: School of Economics, Center of Post-graduate and Research in Administration (Mr Rocha), Observatory of Human Resources in Health, Faculty of Economics (Dr da Silva and Messrs Rocha and de Almeida, and Ms Alvares), and Department of Administrative Sciences, Faculty of Economics (Dr Barbosa), Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil; Department of Public Health, Federal University of Maranhão, São Luís, Maranhão, Brazil (Drs Thomaz and de Sousa Queiroz); Department of Public Health, Federal University of Goiás, Goiânia, Goiás, Brazil (Dr de Souza); Duke Global Health Institute, Duke University, Durham, North Carolina (Ms Lein and Drs Staton and Vissoci); and Department of Social Medicine, Faculty of Medicine, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil (Drs Thumé and Facchini).
authors.forename: Thiago Augusto Hernandes
authors.initials: TA
authors.lastname: Rocha
authors.forename: Núbia Cristina da
authors.initials: NC
authors.lastname: Silva
authors.forename: Erika Bárbara Abreu Fonseca
authors.initials: EB
authors.lastname: Thomaz
authors.forename: Rejane Christine de Sousa
authors.initials: RC
authors.lastname: Queiroz
authors.forename: Marta Rovery de
authors.initials: MR
authors.lastname: Souza
authors.forename: Adriana
authors.initials: A
authors.lastname: Lein
authors.forename: João Victor Muniz
authors.initials: JV
authors.lastname: Rocha
authors.forename: Viviane
authors.initials: V
authors.lastname: Alvares
authors.forename: Dante Grapiuna de
authors.initials: DG
authors.lastname: Almeida
authors.forename: Allan Claudius Queiroz
authors.initials: AC
authors.lastname: Barbosa
authors.forename: Elaine
authors.initials: E
authors.lastname: Thumé
authors.forename: Catherine
authors.initials: C
authors.lastname: Staton
authors.forename: João Ricardo Nickenig
authors.initials: JR
authors.lastname: Vissoci
authors.forename: Luiz Augusto
authors.initials: LA
authors.lastname: Facchini
mesh_terms: D001938:Brazil / Q000453:epidemiology; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008403:Mass Screening; D009026:Mortality / Q000639:trends*; D011315:Preventive Medicine; D011320:Primary Health Care; D011787:Quality of Health Care; D002583:Uterine Cervical Neoplasms / Q000401:mortality*