| Author | Góes, Emanuelle Freitas | |
| Author | Guimarães, Joanna Miguez Nery | |
| Author | Almeida, Maria da Conceição C. | |
| Author | Gabrielli, Ligia | |
| Author | Katikireddi, Srinivasa Vittal | |
| Author | Campos, Ana Clara | |
| Author | Matos, Sheila M. Alvim | |
| Author | Patrão, Ana Luísa | |
| Author | Costa, Ana Cristina de Oliveira | |
| Author | Quaresma, Manuela | |
| Author | Leyland, Alastair H. | |
| Author | Barreto, Mauricio L. | |
| Author | dos-Santos-Silva, Isabel | |
| Author | Aquino, Estela M. L. | |
| Access date | 2023-10-03T13:35:21Z | |
| Available date | 2023-10-03T13:35:21Z | |
| Document date | 2023 | |
| Citation | GÓES, Emanuelle Freitas et al. The intersection of race/ethnicity and socioeconomic status: inequalities in breast and cervical cancer mortality in 20,665,005 adult women from the 100 Million Brazilian Cohort. Ethn Health, v. 2023, p. 1-16, 2023. doi.org/10.1080/13557858.2023.2245183. | en_US |
| ISSN | 1465-3419 | en_US |
| URI | https://www.arca.fiocruz.br/handle/icict/60666 | |
| Language | eng | en_US |
| Publisher | Taylor & Francis | en_US |
| Rights | restricted access | |
| Title | The intersection of race/ethnicity and socioeconomic status: inequalities in breast and cervical cancer mortality in 20,665,005 adult women from the 100 Million Brazilian Cohort | en_US |
| Type | Article | |
| Abstract | Objectives:There is limited evidence regarding the impact of race/racism and its intersection with socioeconomic status (SES) onbreast and cervical cancer, the two most common female cancersglobally. We investigated racial inequalities in breast and cervicalcancer mortality and whether SES (education and householdconditions) interacted with race/ethnicity.Design:The 100 Million Brazilian Cohort data were linked to theBrazilian Mortality Database, 2004–2015 (n = 20,665,005 adultwomen). We analysed the association between self-reported race/ethnicity (White/‘Parda’(Brown)/Black/Asian/Indigenous) andcancer mortality using Poisson regression, adjusting for age,calendar year, education, household conditions and area ofresidence. Additive and multiplicative interactions were assessed.Results:Cervicalcancermortalityrateswerehigher amongIndigenous(adjusted Mortality rate ratio = 1.80, 95%CI 1.39–2.33), Asian (1.63, 1.20–2.22),‘Parda’(Brown) (1.27, 1.21–1.33) and Black (1.18, 1.09–1.28)women vs White women. Breast cancer mortality rates were higheramong Black (1.10, 1.04–1.17) vs White women. Racial inequalities incervical cancer mortality were larger among women of poor household conditions, and low education (P for multiplicativeinteraction <0.001, and 0.02, respectively). Compared to Whitewomen living in completely adequate (3–4) household conditions,the risk of cervical cancer mortality in Black women with 3–4, 1–2,and none adequate conditions was 1.10 (1.01–1.21), 1.48 (1.28–1.71),and 2.03 (1.56–2.63), respectively (Relative excess risk due tointeraction-RERI = 0.78, 0.18–1.38). Among‘Parda’(Brown) women therisk was 1.18 (1.11–1.25), 1.68 (1.56–1.81), and 1.84 (1.63–2.08),respectively (RERI = 0.52, 0.16–0.87). Compared to high-educatedWhite women, the risk in high-, middle- and low-educated Blackwomen was 1.14 (0.83–1.55), 1.93 (1.57–2.38) and 2.75 (2.33–3.25),respectively (RERI = 0.36,−0.05–0.77). Among‘Parda’(Brown) womenthe risk was 1.09 (0.91–1.31), 1.99 (1.70–2.33) and 3.03 (2.61–3.52),respectively (RERI = 0.68, 0.48–0.88). No interactions were found forbreast cancer.Conclusion:Low SES magnified racial inequalities in cervical cancermortality. The intersection between race/ethnicity, SES and genderneeds to be addressed to reduce racial health inequalities. | en_US |
| Affilliation | Centre for Data and Knowledge Integration for Health. Gonçalo Moniz Institute. Oswaldo Cruz Foundation. Salvador, BA, Brazil | en_US |
| Affilliation | Centre for Data and Knowledge Integration for Health. Gonçalo Moniz Institute. Oswaldo Cruz Foundation. Salvador, BA, Brazil | en_US |
| Affilliation | Gonçalo Moniz Institute. Oswaldo Cruz Foundation. Salvador, BA, Brazil | en_US |
| Affilliation | Centro de Diabetes e Endocrinologia da Bahia. Secretaria de Saúde do Estado da Bahia. Salvador, BA, Brazil/Instituto de Saúde Coletiva. Universidade Federal da Bahia. Salvador, BA, Brazil | en_US |
| Affilliation | MRC/CSO Social & Public Health SciencesUnit. University of Glasgow. Glasgow, UK | en_US |
| Affilliation | Centre for Data and Knowledge Integration for Health. Gonçalo Moniz Institute. Oswaldo Cruz Foundation. Salvador, BA, Brazil | en_US |
| Affilliation | Instituto de Saúde Coletiva. Universidade Federal da Bahia. Salvador, BA, Brazil | en_US |
| Affilliation | Center for Psychology. Faculty of Psychology and EducationScience. University of Porto. Porto, Portugal | en_US |
| Affilliation | Fundação Oswaldo Cruz. Programa de Pós-graduação em Saúde Coletiva do Instituto René Rachou. Belo Horizonte, MG, Brasil | en_US |
| Affilliation | Faculty of Epidemiology and Population Health. London School of Hygiene &Tropical Medicine. London, UK | en_US |
| Affilliation | MRC/CSO Social & Public Health SciencesUnit. University of Glasgow. Glasgow, UK | en_US |
| Affilliation | Centre for Data and Knowledge Integration for Health. Gonçalo Moniz Institute. Oswaldo Cruz Foundation. Salvador, BA, Brazil/Instituto de Saúde Coletiva. Universidade Federal da Bahia. Salvador, BA, Brazil | en_US |
| Affilliation | Faculty of Epidemiology and Population Health. London School of Hygiene &Tropical Medicine. London, UK | en_US |
| Affilliation | Instituto de Saúde Coletiva. Universidade Federal da Bahia. Salvador, BA, Brazil | en_US |
| Subject | Racism | en_US |
| Subject | racial inequalities | en_US |
| Subject | socioeconomic status | en_US |
| Subject | cancer | en_US |
| Subject | mortality | en_US |
| Subject | intersectionality | en_US |
| Embargo date | 3100-12-31 | |
| xmlui.metadata.dc.subject.ods | 01 Erradicação da pobreza | |
| xmlui.metadata.dc.subject.ods | 10 Redução das desigualdades | |
