Figure 1
Sociodemographic characteristics of Brazil and States, in 2000 and 2017.
*(1USD$ = 3.19 reais).
a IBGE- available at: https://www.ibge.gov.br/estatisticas/sociais/populacao.
b Institute of Applied Economic Research- available at: http://www.ipeadata.gov.br.
c National Health Agency- available at: http://www.ans.gov.br/anstabnet/cgi-bin/tabnet?dados/tabnet_tx.def, dez.2017.
Table 1
Estimated age-standardized incidence and mortality rates per 100,000 women for cervical cancer in 2000 and 2017.
| Country | 2000 | 2017 | Δ 2000 A 2017a |
|---|---|---|---|
| Incidence | |||
| Brazil | 23.53 (22.79–24.26) | 18.39 (17.63–19.17) | –1.45% |
| Cuba | 25.20 (22.36–28.31) | 19.4 (15.91–23.36) | –1.54% |
| Argentina | 32.94 (29.24–36.87) | 31.67 (25.76–38.25) | –0.23% |
| Uruguay | 33.11 (29.57–37.34) | 29.15 (23.4–35.61) | –0.75% |
| Canada | 10.3 (9.17–11.58) | 9.37 (7.88–10.94) | –0.55% |
| England | 11.98 (11.45–12.53) | 10.37 (9.85–10.9) | –0.85% |
| Mortality | |||
| Brazil | 11.30 (11.05–11.56) | 7.74 (7.49–8.02) | –2.22 |
| Cuba | 9.10 (8.69–9.54) | 7.32 (6.19–8.59) | –1.28 |
| Argentina | 12.38 (11.76–12.97) | 10.82 (9.09–12.57) | –0.80 |
| Uruguay | 13.45 (12.72–14.19) | 10.70 (8.97–12.45) | –1.35 |
| Canada | 3.58 (3.47–3.70) | 2.86 (2.58–3.16) | –1.33 |
| England | 3.75 (3.68–3.84) | 2.82 (2.75–2.9) | –1.68 |
[i] a Annual % change.
IHME, GBD 2017. Available at: http://ghdx.healthdata.org/gbd-results-tool.
Table 2
Estimated incidence and mortality rate per 100,000 women for cervical cancer in Brazil and Federative Units by age group in 2000 and 2017.
| LOCALITY | Age groups (years) | Incidence | Mortality | ||||
|---|---|---|---|---|---|---|---|
| 2000 | 2017 | Δ 2000–2017a | 2000 | 2017 | Δ 2000–2017a | ||
| BRAZIL | ASR | 23.53 (22.79–24.26) | 18.39 (17.63–19.17) | –1.45% | 11.3 (11.05–11.56) | 7.74 (7.49–8.02) | –2.22% |
| 25–29 | 13.89 (12.22–15.63) | 15. 38 (13.46–17.81) | 0.60% | 1.71 (1.58–1.85) | 1.66 (1.51–1.83) | –0.18% | |
| 30–34 | 29.14 (26.02–32.33) | 30.91 (27.56–34.75) | 0.35% | 4.30 (4.03–4.58) | 4.06 (3.77–4.38) | –0.33% | |
| 35–39 | 39.43 (35.38–43.97) | 35.92 (32.21–40.01) | –0.55% | 8.24 (7.77–8.76) | 6.80 (6.28–7.28) | –1.13% | |
| 40–44 | 47.61 (42.94–52.73) | 37.14 (33.66–41.66) | –1.46% | 14.16 (13.45–14.89) | 10.02 (9.41–10.68) | –2.03% | |
| 45–49 | 49.31 (45.50–54.06) | 36.58 (33.42–40.26) | –1.76% | 19.29 (18.42–20.26) | 13.09 (12.38–13.89) | –2.28% | |
| 50–54 | 51.39 (47.40–55.69) | 35.50 (32.61–38.65) | –2.18% | 25.01 (23.75–26.30) | 16.19 (15.29–17.24) | –2.56% | |
| 55–59 | 58.26 (54.20–62.85) | 38.46 (35.52–41.88) | –2.44% | 30.64 (29.19–32.28) | 19.23 (17.97–20.55) | –2.74% | |
| 60–64 | 57.89 (53.95–62.33) | 36.77 (33.79–40.01) | –2.67% | 35.23 (33.43–37.14) | 21.49 (20.12–23.07) | –2.91% | |
| NORTH | |||||||
| AMAPÁ | ASR | 46.57 (41.36–52.08) | 37.47 (32.94–42.40) | –1.28% | 22.47 (20.81–24.12) | 16.62 (15.18–18.08) | –1.77% |
| 25–29 | 34.59 (20.56– 53.00) | 24.45 (14.20 – 38.54) | –2.04% | 4.34 (2.97–6.00) | 2.76 (1.83–3.96) | –2.65% | |
| 30–34 | 74.87 (45.39–118.50) | 64.18 (39.34–96.24) | –0.91% | 11.17 (8.15 –14.49) | 8.58 (6.12–11.16) | –1.55% | |
| 35–39 | 72.25 (46.80–105.35) | 68.02 (44.63–101.62) | –0.35% | 15.50 (11.82–19.70) | 13.25 (9.99–16.62) | –0.92% | |
| 40–44 | 91.65 (63.54–127.38) | 72.48 (49.42–103.65) | –1.38% | 28.04 (22.22–34.36) | 20.19 (15.70–24.99) | –1.93% | |
| 45–49 | 100.46 (72.59–137.58) | 72.61 (50.65–100.74) | –1.91% | 40.22 (31.88–48.96) | 26.68 (20.72–33.91) | –2.41% | |
| 50–54 | 88.50 (66.06–118.95) | 68.81 (49.73–93.47) | –1.48% | 43.75 (35.25–52.64) | 31.95 (24.41–39.49) | –1.85% | |
| 55–59 | 105.93 (78.79–140.00) | 89.25 (63.85–118.55) | –1.01% | 56.74 (44.80–70.34) | 46.15 (35.67–58.18) | –1.22% | |
| 60–64 | 102.60 (74.38–132.56) | 85.91 (64.91–114.61) | –1.04% | 63.74 (49.07–80.14) | 51.24 (40.16–64.74) | –1.28% | |
| PARÁ | ASR | 38.43 (34.39–43.00) | 29.05 (26.00–33.04) | –1.65% | 17.93 (16.76–19.14) | 12.70 (11.74–13.83) | –2.03% |
| 25–29 | 26.55 (16.57–40.79) | 24.85 (14.91–39.19) | –0.39% | 3.37 (2.50–4.27) | 2.85 (2.03–3.93) | –0.98% | |
| 30–34 | 48.97 (32.14–72.03) | 44.93 (29.31–67.46) | –0.51% | 7.58 (6.03–9.28) | 6.31 (4.80–8.15) | –1.08% | |
| 35–39 | 71.51 (49.49–102.61) | 55.14 (35.76–80.61) | –1.53% | 15.62 (12.70–18.82) | 11.01 (8.65–13.61) | –2.06% | |
| 40–44 | 81.19 (57.73–109.74) | 58.14 (40.22–82.59) | –1.96% | 25.27 (21.13–29.57) | 16.55 (13.16–20.39) | –2.49% | |
| 45–49 | 85.52 (64.99–111.43) | 60.93 (44.00–82.64) | –1.99% | 34.88 (29.85–40.74) | 22.94 (18.39–27.61) | –2.47% | |
| 50–54 | 81.53 (63.44–103.84) | 55.72 (41.26–73.70) | –2.24% | 41.29 (34.46–47.94) | 26.63 (21.25–32.07) | –2.58% | |
| 55–59 | 90.44 (71.17–116.68) | 63.76 (47.63–84.79) | –2.06% | 49.10 (41.29–58.40) | 33.25 (26.51–40.42) | –2.29% | |
| 60–64 | 87.77 (69.42–112.23) | 62.44 (47.41–80.72) | –2.00% | 54.79 (46.47–64.41) | 37.77 (30.17–46.77) | –2.19% | |
| NORTHEAST | |||||||
| MARANHÃO | ASR | 38.83 (33.64–45.33) | 29.12 (25.35–33.17) | –1.69% | 17.15 (15.36–19.68) | 12.29 (11.26–13.44) | –1.96% |
| 25–29 | 29.16 (16.87–46.59) | 22.84 (12.92–36.02) | –1.44% | 3.79 (2.51–5.51) | 2.68 (1.82–3.71) | –2.03% | |
| 30–34 | 55.65 (35.05–84.19) | 47.49 (30.43–72.06) | –0.93% | 8.71 (6.28–11.79) | 6.84 (5.06–9.00) | –1.42% | |
| 35–39 | 82.15 (52.47–122.35) | 58.74 (38.28–85.25) | –1.97% | 18.38 (13.68–23.73) | 12.09 (9.34–15.39) | –2.46% | |
| 40–44 | 84.82 (57.67–124.79) | 60.32 (41.81–83.28) | –2.01% | 27.04 (20.95–34.45) | 17.68 (13.97–21.56) | –2.50% | |
| 45–49 | 92.97 (67.12–125.42) | 69.09 (49.98–92.84) | –1.75% | 38.44 (30.31–48.80) | 26.63 (21.14–32.37) | –2.16% | |
| 50–54 | 81.08 (59.98–109.79) | 65.01 (48.72–86.35) | –1.30% | 41.70 (33.01–52.78) | 31.67 (26.03–38.24) | –1.62% | |
| 55–59 | 88.08 (63.37–119.53) | 60.49 (45.13–79.14) | –2.21% | 48.48 (37.49–61.32) | 31.90 (25.43–39.01) | –2.46% | |
| 60–64 | 86.08 (64.20–115.40) | 53.92 (40.42–71.31) | –2.75% | 54.65 (42.51–69.37) | 33.31 (26.37–41.64) | –2.91% | |
| SERGIPE | ASR | 29.38 (26.42–32.57) | 22.11 (19.46–25.25) | –1.67% | 13.85 (12.96–14.70) | 9.83 (9.00–10.80) | –2.02% |
| 25–29 | 17.18 (10.55–26.24) | 14.36 (8.05–23.57) | –1.05% | 2.25 (1.62–3.06) | 1.63 (1.04–2.36) | –1.87% | |
| 30–34 | 41.32 (26.48–60.82) | 35.27 (21.61–54.25) | –0.93% | 6.44 (4.79–8.38) | 4.85 (3.48–6.43) | –1.67% | |
| 35–39 | 52.09 (34.83–75.60) | 39.79 (25.58–62.73) | –1.58% | 11.60 (9.21–14.46) | 7.87 (5.86–10.36) | –2.28% | |
| 40–44 | 66.49 (48.45–89.31) | 49.53 (33.69–70.81) | –1.73% | 20.84 (17.32–25.12) | 13.90 (10.65–17.52) | –2.38% | |
| 45–49 | 60.84 (44.38–81.91) | 43.81 (32.21–60.34) | –1.93% | 24.61 (20.03–29.52) | 16.27 (12.92–20.29) | –2.44% | |
| 50–54 | 68.83 (53.37–89.75) | 45.32 (32.98–62.52) | –2.46% | 34.82 (28.86–41.28) | 21.26 (16.82–26.54) | –2.90% | |
| 55–59 | 69.18 (53.16–89.92) | 50.70 (37.73–67.17) | –1.83% | 37.63 (31.20–45.35) | 26.20 (20.94–32.47) | –2.13% | |
| 60–64 | 65.41 (50.44–82.91) | 41.48 (31.02–55.88) | –2.68% | 40.90 (33.55–49.31) | 24.97 (19.44–31.99) | –2.90% | |
| MIDWEST | |||||||
| DISTRITO FEDERAL | ASR | 25.85 (23.38–28.58) | 16.23 (14.36–18.42) | –2.74% | 13.02 (12.29–13.86) | 6.87 (6.28–7.54) | –3.76% |
| 25–29 | 13.75 (8.33 –22.17) | 11.96 (6.77–19.51) | –0.82% | 1.53 (1.08–2.10) | 1.09 (0.72–1.56) | –2.01% | |
| 30–34 | 35.31 (22.07–53.46) | 26.87 (15.98–41.77) | –1.61% | 4.68 (3.51–6.08) | 3.01 (2.08–4.12) | –2.59% | |
| 35–39 | 32.33 (21.64–46.79) | 29.53 (18.17–45.14) | –0.53% | 6.24 (4.89–7.81) | 4.80 (3.55–6.31) | –1.53% | |
| 40–44 | 43.42 (30.78–60.17) | 31.54 (21.22–45.35) | –1.88% | 11.91 (9.78–14.23) | 7.40 (5.76–9.56) | –2.80% | |
| 45–49 | 46.60 (34.22–62.71) | 33.08 (22.83–46.63) | –2.01% | 17.06 (14.15–20.20) | 10.43 (8.11–13.10) | –2.89% | |
| 50–54 | 49.33 (37.14–65.05) | 30.08 (21.20–41.36) | –2.91% | 22.73 (18.56–27.43) | 12.34 (9.69–15.31) | –3.59% | |
| 55–59 | 72.09 (54.15–94.32) | 32.20 (23.66–44.16) | –4.74% | 35.93 (29.46–42.54) | 14.64 (11.43–18.20) | –5.28% | |
| 60–64 | 73.92 (55.88–97.68) | 30.17 (22.06–41.45) | –5.27% | 40.90 (33.55–49.31) | 24.97 (19.44–31.99) | –2.90% | |
| GOIÁS | ASR | 25.37 (23.04–27.83) | 17.59 (15.50–20.03) | –2.15% | 12.62 (11.96–13.25) | 7.48 (6.88–8.12) | –3.08% |
| 25–29 | 13.54 (7.97–20.66) | 13.10 (7.67–21.02) | –0.19% | 1.66 (1.18– 2.19) | 1.42 (0.97–2.03) | –0.91% | |
| 30–34 | 30.52 (20.00–44.97) | 30.98 (19.58–46.48) | 0.089% | 4.45 (3.49–5.49) | 4.12 (2.98–5.45) | –0.46% | |
| 35–39 | 36.43 (25.25–51.74) | 34.34 (22.82–50.53) | –0.35% | 7.64 (6.20–9.29) | 6.51 (5.02–8.31) | –0.94% | |
| 40–44 | 51.25 (36.91–70.90) | 34.35 (23.48–48.34) | –2.35% | 15.31 (12.75–18.06) | 9.34 (7.36–11.68) | –2.91% | |
| 45–49 | 56.63 (42.41–74.28) | 35.92 (25.86–49.02) | –2.68% | 22.12 (18.69–25.72) | 12.90 (10.19–16.00) | –3.17% | |
| 50–54 | 55.14 (42.66–72.08) | 33.44 (24.54–44.65) | –2.94% | 26.79 (22.84–31.18) | 15.27 (12.09–18.70) | –3.31% | |
| 55–59 | 61.97 (47.80–79.40) | 36.61 (26.41–49.12) | –3.10% | 32.46 (27.37–38.01) | 18.44 (14.52–22.68) | –3.33% | |
| 60–64 | 63.45 (49.72–80.54) | 36.33 (27.10–49.53) | –3.28% | 38.62 (32.04–46.09) | 21.38 (17.11–26.68) | –3.48% | |
| SOUTHEAST | |||||||
| SÃO PAULO | ASR | 19.93 (18.37–21.67) | 13.79 (12.20–15.56) | –2.17% | 10.14 (9.71–10.59) | 5.79 (5.39–6.23) | –3.30% |
| 25–29 | 9.96 (6.39–15.18) | 13.40 (7.98–21.77) | 1.74% | 1.15 (0.88–1.46) | 1.33 (0.97–1.77) | 0.83% | |
| 30–34 | 20.23 (13.15–30.01) | 22.39 (13.95–34.18) | 0.60% | 2.82 (2.27–3.45) | 2.73 (2.05–3.50) | –0.18% | |
| 35–39 | 28.37 (19.64–39.77) | 25.43 (16.61–37.01) | –0.64% | 5.60 (4.66–6.64) | 4.50 (3.46–5.73) | –1.29% | |
| 40–44 | 36.73 (26.39–49.78) | 25.14 (17.23–36.38) | –2.23% | 10.38 (8.93–12.07) | 6.34 (5.00–7.95) | –2.90% | |
| 45–49 | 38.71 (28.96–51.24) | 24.09 (17.13–34.21) | –2.79% | 14.56 (12.43–16.88) | 8.09 (6.51–9.87) | –3.45% | |
| 50–54 | 44.09 (34.80–56.20) | 25.76 (19.09–34.93) | –3.16% | 20.64 (17.87–23.80) | 11.18 (9.07–13.76) | –3.61% | |
| 55–59 | 52.51 (41.37–67.51) | 29.86 (21.85–40.27) | –3.32% | 26.77 (23.08–31.11) | 14.35 (11.53–17.99) | –3.67% | |
| 60–64 | 53.92 (42.76–67.29) | 29.11 (21.82–38.79) | –3.63% | 31.93 (27.18–37.46) | 16.33 (12.97–20.54) | –3.94% | |
| MINAS GERAIS | ASR | 17.90 (16.26–19.62) | 14.18 (12.63–16.03) | –1.37% | 8.98 (8.50–9.46) | 6.26 (5.82–6.71) | –2.12% |
| 25–29 | 9.29 (6.04–14.17) | 10.46 (6.23–16.12) | 0.70% | 1.15 (0.86–1.49) | 1.13 (0.78– 1.56) | –0.10% | |
| 30–34 | 19.88 (12.85–29.20) | 22.42 (13.89–34.79) | 0.71% | 2.93 (2.28–3.63) | 2.88 (2.14–3.81) | –0.086% | |
| 35–39 | 28.15 (19.12–39.89) | 26.20 (17.03–40.20) | –0.42% | 5.83 (4.69–7.19) | 4.85 (3.71–6.20) | –1.08% | |
| 40–44 | 34.12 (24.64–47.20) | 25.27 (17.17–36.67) | –1.77% | 10.15 (8.35–12.37) | 6.71 (5.30–8.62) | –2.43% | |
| 45–49 | 36.59 (27.33–48.23) | 28.07 (19.74–40.04) | –1.56% | 14.21 (11.93–16.83) | 9.80 (7.79–12.43) | –2.19% | |
| 50–54 | 39.80 (30.56–51.99) | 28.81 (21.10–39.31) | –1.90% | 19.42 (16.24–23.23) | 12.98 (10.51–15.84) | –2.37% | |
| 55–59 | 55.89 (43.34–71.87) | 36.22 (26.48–48.45) | –2.55% | 23.37 (19.50–28.28) | 15.40 (12.25–19.11) | –2.46% | |
| 60–64 | 46.28 (36.85–57.93) | 31.40 (23.40–40.64) | –2.28% | 28.11 (23.64–33.54) | 18.21 (14.35–22.72) | –2.55% | |
| SOUTH | |||||||
| PARANÁ | ASR | 21.90 (19.99–23.92) | 17.54 (15.40–19.87) | –1.31% | 10.67 (10.13–11.24) | 7.34 (6.83–7.96) | –2.20% |
| 25–29 | 12.92 (8.06–19.69) | 13.86 (8.37–22.21) | 0.42% | 1.56 (1.17–2.07) | 1.46 (1.01–2.09) | –0.39% | |
| 30–34 | 27.66 (18.22–40.49) | 30.57 (19.19–47.24) | 0.59% | 4.04 (3.21–5.07) | 3.90 (2.95–4.99) | –0.22% | |
| 35–39 | 37.51 (25.79–54.26) | 35.71 (23.27–53.24) | –0.29% | 7.77 (6.34–9.38) | 6.55 (5.02–8.53) | –1.00% | |
| 40–44 | 40.45 (29.17–57.51) | 35.69 (24.75–49.89) | –0.74% | 12.01 (10.01–14.25) | 9.42 (7.53–11.62) | –1.43% | |
| 45–49 | 43.78 (32.58–57.63) | 32.18 (22.66–43.94) | –1.81% | 17. 12 (14.34–20.06) | 11.30 (9.14–13.95) | –2.45% | |
| 50–54 | 48.21 (37.48–62.77) | 34.08 (25.08–46.38) | –2.04% | 23.48 (19.94–27.63) | 15.43 (12.53–18.75) | –2.47% | |
| 55–59 | 55.89 (43.34–71.87) | 36.22 (26.48–48.45) | –2.55% | 29.34 (24.62–34.81) | 17.92 (14.23–22.54) | –2.90% | |
| 60–64 | 56.27 (44.27–71.78) | 34.68 (25.70–45.88) | –2.85% | 34.21 (28.52–40.79) | 20.04 (16.06–24.90) | –3.15% | |
| SANTA CATARINA | ASR | 20.87 (18.92–23.21) | 16.60 (14.60–18.97) | –1.35% | 9.74 (9.17–10.26) | 6.75 (6.22–7.33) | –2.15% |
| 25–29 | 10.36 (6.24– 16.43) | 12.79 (7.26–20.94) | 1.24% | 1.20 (0.85–1.64) | 1.28 (0.84–1.82) | 0.36% | |
| 30–34 | 26.08 (17.18–38.00) | 28.07 (17.38–42.51) | 0.43% | 3.66 (2.81–4.66) | 3.42 (2.45–4.53) | –0.40% | |
| 35–39 | 37.32 (25.29–54.00) | 34.84 (22.21–50.50) | –0.40% | 7.50 (6.01–9.29) | 6.13 (4.69–7.91) | –1.19% | |
| 40–44 | 47.95 (33.17–66.45) | 37.43 (25.34–54.50) | –1.46% | 13.76 (11.38–16.73) | 9.47 (7.39–11.82) | –2.20% | |
| 45–49 | 46.24 (34.29–61.38) | 31.86 (22.16–43.73) | –2.19% | 17.43 (14.33–20.62) | 10.81 (8.51–13.35) | –2.81% | |
| 50–54 | 46.23 (34.59–61.43) | 31.33 (22.74–42.98) | –2.29% | 21.87 (17.98–26.17) | 13.71 (10.75–16.65) | –2.75% | |
| 55–59 | 48.41 (37.00–63.02) | 32.07 (22.72–43.50) | –2.42% | 24.81 (20.26–29.56) | 15.44 (12.11–19.20) | –2.79% | |
| 60–64 | 47.86 (37.04–63.45) | 31.21 (23.11–41.87) | –2.52% | 28.42 (23.20–34.37) | 17.74 (14.01–22.08) | –2.77% | |
[i] a Annual % change ASR- Age-standardized rate. IHME, GBD 2017. Available at: http://ghdx.healthdata.org/gbd-results-tool.
Figure 2
Ranking of premature deaths (age-standardized YLL) by cervical cancer, 2000 and 2017. GBD 2017, adapted figure.
Figure 3
Ranking of the burden of disease (age-standardized DALYs) by cervical cancer, 2000 and 2017. GBD 2017, adapted figure.