Ciência & Saúde Coletiva
Print version ISSN 1413-8123
BUSTAMANTE-MONTES, Lilia Patricia et al. Applicability of the analysis by multiple cause of death by cervical cancer: the experience in Mexico. Ciênc. saúde coletiva [online]. 2011, vol.16, n.12, pp. 4815-4822. ISSN 1413-8123. http://dx.doi.org/10.1590/S1413-81232011001300030.
Objective. The study explores the applicability of the multiple-cause-of-death analysis for cervical-uterine cancer. Methods. A proportional mortality hazard design and the analysis of all causes of death due to cervical-uterine cancer from 367 death certificates of women older than 18 years of age from the State of Mexico, and 515 age and year adjusted sample of death certificates of women from the same region who died from other causes. Results. A basic multiple cause of death of 2.9 was observed in the death certificates, i.e., for every basic cause there were 2.9 multiple causes. When adjusting the multiple-causes-of-death analysis for cervical-uterine cancer by age, education, marital and insurability status, the most contributing and associated causes of death were malignant tumors from unspecified sites [OR=18.98 (2.28-157.56) and OR=14.25 (1.67-121.0)] respectively; Diabetes Mellitus as a contributing [OR=1.82 (1.02-3.27) and associated cause [OR=7.78 (1.46-41.37], and systemic arterial hypertension as an associated cause [OR=3.00 (1.40-6.47)]. Conclusions. The multiple-cause-of-death analysis is an adequate to observe the diseases that contribute condition and are associated to the cervical-uterine cancer.
Keywords : Mortality; Cervical-uterine cancer; Multiple cause-of-death analysis.