Author:

• Nayara Priscila Dantas de Oliveira - Oliveira, N.P.D - <nayara.oliveira@upe.br>
ORCID: https://orcid.org/0000-0001-9329-0235

Co-author(s):

• Marianna de Camargo Cancela - Cancela, M.C - <marianacancela@inca.gov.br>
ORCID: https://orcid.org/0000-0002-8169-8054
• Luís Felipe Leite Martins - Martins, L.F.L - <lfmartins@inca.gov.br>
ORCID: https://orcid.org/0000-0001-5016-8459
• Janete Lima de Castro - Castro, J.L. - <janetecastro.ufrn@gmail.com>
ORCID: https://orcid.org/0000-0003-1823-9012
• Karina Cardoso Meira - Meira, K.C - <ninameira87@gmail.com>
ORCID: http://orcid.org/0000-0002-1722-5703
• Dyego Leandro Bezerra de Souza - Souza, D.L.B - <dysouz@yahoo.com.br>
ORCID: https://orcid.org/0000-0001-8426-3120

Abstract:

The study aims to analyze the prevalence of advanced stage diagnosis of cervical cancer and its association with individual and contextual socioeconomic and healthcare service indicators in Brazil. A cross-sectional study was conducted using cervical cancer cases in women aged 18 to 99 years,2006 to 2015 (n=65,685), extractedthe Hospital Cancer Registry Integrator (HCR). Contextual variables were collectedthe Atlas of Human Development in Brazil; the National Registry of Health Institutions (NRHI); and the Outpatient Information System. A multilevel Poisson Regression was carried out with random intercept. The prevalence of advanced stage diagnosis was 48.4%, showing an association with younger age groups (RP 1.06; CI 1.01-1.10), race/skin color black, brown, and indigenous (RP 1.04; CI 1.01-1.07), lower education levels (RP 1.28; CI 1.16-1.40), absence of marital partner (RP 1.10; CI 1.07-1.13), public type forwarding to the health service (RP 1.07; CI 1.03-1.11), and lower rates of cytological examination (RP 1.08; CI 1.01-1.14). The results reinforce the need for improvements in the national program for cervical cancer prevention in areas with low coverage of oncotic cytology.

Keywords:

Health Status Disparities; Cervical Cancer; Hospital Records; Delayed Diagnosis.

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