Revista de Saúde Pública
On-line version ISSN 1518-8787
Print version ISSN 0034-8910
BOSCHI, Cynthia; COLEMAN, Michel P. and CASTILHO, Euclides A. de. Regional differentials in cancer mortality in a region of, Brazil, 1979-1981. Rev. Saúde Pública [online]. 1991, vol.25, n.4, pp.267-275. ISSN 1518-8787. http://dx.doi.org/10.1590/S0034-89101991000400005.
In 1980, malignant neoplasms ranked 3rd as a cause of death in the State of Rio de Janeiro, Brazil, with a crude mortality rate of 89.8 per 100,000. Cancer mortality data for 1979-1981 are presented for the State, with the objective of analyzing regional differentials. For the purpose of comparing mortality from the most important cancers, the State was divided into three regions: Capital, Metropolitan Belt and Interior, on the basis of the geographical structure of the State - which gave rise to the present urbanization patterns. Average annual age and sex-specific mortality rates per 100,000 were calculated for the period 1979-1981 for each cancer site and for 5-year age groups up to 79 years and for 80 years and above. Age standardized rates (ASR) were calculated by direct standardization to the world population and standardized mortality ratios (SMR) were also calculated with the objective of comparing different geographical areas. It was found that the most important malignant neoplasms among males were those of the lung (ASR 27.9), stomach (ASR 24.0), prostate, oesophagus and liver. The breast was the most important site for females (ASR 16.0), followed by the stomach (ASR 10.8), lung, cervix uteri and uterus (unspecified). The highest ASR were in the Capital (164.4 in males, 106.2 in females) and the lowest in the Interior (126.5 in males, and 91.3 in females). The highest SMR were found for breast (1.28), colon (1.71) and lung (1.70) cancers, the mortality rates for which were almost two-times higher in the Capital than in the Interior. Oesophagus and liver cancer mortality rates were higher in the Interior than in the other two regions, for both sexes. The highest gastric cancer mortality rates found in the State were two-times lower than those for Japan and 15.6 times higher than those for Nicaragua. The results confirm that there are important regional differences in cancer mortality within Rio de Janeiro State and that these are probably due to environmental factors.
Keywords : Neoplasms [mortality]; Residence characteristics.