Comparative analysis of epidemiological trends in breast cancer among Brazilian women ated to breast cancer in Brazilian women

Authors

DOI:

https://doi.org/10.36517/2175-6783.20262796400

Keywords:

Breast Neoplasms; Medical Oncology; Analytical Epidemiology; Social Determinants of Health.

Abstract

Objective: to identify associations between clinical and sociodemographic variables among women with breast cancer. Methods: ecological, retrospective study conducted in accordance with the Standards for Quality Improvement Reporting Excellence. Records from women with breast cancer (ICD-10 code C50) diagnosed between 2015 and 2021 were included. Descriptive analysis, chi-square tests (α = 5%), and simple correspondence analysis were performed to examine associations among age, educational attainment, marital status, race/skin color, state, and clinical stage, using Hospital-Based Cancer Registry data. Results: advanced-stage disease was associated with not completing elementary school, age 30–59 years, and being classified as Brown or Black (p < 0.005), whereas higher educational attainment and treatment in states located in the South and Southeast Regions were associated with early-stage disease. Conclusion: breast cancer in Brazilian women was more often diagnosed at an advanced stage among Brown and Black women, those with lower educational attainment, and those treated in the North and Northeast Regions. Contributions to practice: early diagnosis is especially needed for women with lower educational attainment, those aged 30 or older, and those in the North and Northeast Regions.

Downloads

Download data is not yet available.

References

1. Xiong X, Zheng LW, Ding Y, Chen YF, Cai YW, Wang LP, et al. Breast cancer: pathogenesis and treatments. Signal Transduct Target Ther. 2025;10(1):49. doi: https://doi.org/10.1038/s41392-024-02108-4

2. Ministério da Saúde (BR). Instituto Nacional de Câncer José Alencar Gomes da Silva. Estimativa 2026 – Incidência de Câncer no Brasil [Internet]. 2026 [cited Feb 6, 2026]. Available from: https://ninho.inca.gov.br/jspui/handle/123456789/17914

3. Sociedade Brasileira de Oncologia Clínica (SBOC). Diretrizes de tratamentos oncológicos. Mama: rastreamento e estadiamento [Internet]. 2025 [cited Dec 8, 2025]. Available from: https://sboc.org.br/images/Diretrizes-2025/pdf/Diretrizes-SBOC-2025---Mama-estadiamento-v9-FINAL.pdf

4. Ferreira HNC, Capistrano GN, Morais TNB, Costa KTS, Quirino ALS, Costa RLP, et al. Screening and hospitalization of breast and cervical cancer in Brazil from 2010 to 2022: a time-series study. PLoS One. 2023;18(10):e0278011. doi: https://doi.org/10.1371/journal.pone.0278011

5. Chiang KE, Padilla HM, Callands TA, Muilenburg JL, Chantaprasopsuk S, Bates-Fraser LC, et al. Social determinants of health and cancer prevention guideline behaviors. JAMA Netw Open. 2025; 8(11):e2542330. doi: http://dx.doi.org/10.1001/jamanetworkopen.2025.42330

6. Abu-Helalah M, Asfour A, Almadani M, Alfayyadh M, Halayqeh S, Al Tamimi M, et al. Uptake rate, barriers, and attitudes towards mammography screening for breast cancer in Jordan. Ann Med. 2025;57(1):e2514945. doi: https://doi.org/10.1080/07853890.2025.2514945

7. Marques AD, Moura AR, Silva BEB, Silva TR, Santos CNN, Severo LN, et al. Spatial and temporal analysis of breast cancer mortality in a state in northeastern Brazil. Cancer Epidemiol. 2024;93:102661. doi: https://doi.org/10.1016/j.canep.2024.102661

8. Antón-Solanas I, Urcola-Pardo F, Subirón-Valera AB, Ziveri D, Wikström-Grotell C, Aresu A, et al. Sustainable Development Goals as a framework for teaching and learning about health equity in European health and social care study programmes. J Med Syst. 2025;49(1):187. doi: https://doi.org/10.1007/s10916-025-02328-3

9. Silva LSL, Oliveira CM, Barbosa CC, Costa HVV, Bonfim CV. Analysis of spatial and temporal patterns of fetal mortality: ecological study, Pernambuco, 2010-2021. Rev Gaúcha Enferm. 2026;47:e20250172. doi: http://10.1590/1983-1447.2026.20250172.en

10. Ministério da Saúde (BR). Instituto Nacional de Câncer José Alencar Gomes da Silva. Informações do registro hospitalar de câncer - tabulador hospitalar todos os estados [Internet]. 2024 [cited Dec 15, 2025]. Available from: https://irhc.inca.gov.br/RHCNet/selecionaTabulador.action?initial=1&local=todosho_sp&unidFed=

11. Ministério da Saúde (BR). Instituto Nacional de Câncer José Alencar Gomes da Silva. Controle do câncer de mama no Brasil: dados e números 2024 [Internet]. 2024 [cited Dec 8, 2025]. Available from: https://www.inca.gov.br/publicacoes/livros/controle-do-cancer-de-mama-no-brasil-dados-e-numeros-2024

12. Ministério da Saúde (BR). Instituto Nacional de Câncer José Alencar Gomes da Silva. Detecção precoce do câncer [Internet]. 2021 [cited Dec 8, 2025]. Available from: https://www.inca.gov.br/sites/ufu.sti.inca.local/files/media/document/deteccao-precoce-do-cancer.pdf

13. Dias MBK, Assis M, Santos ROM, Ribeiro CM, Migowski A, Tomazelli JGO. Adequação da oferta de procedimentos para a detecção precoce do câncer de mama no Sistema Único de Saúde: um estudo transversal, Brasil e regiões, 2019. Cad Saúde Pública. 2024;40(5):e00139723. doi: https://doi.org/10.1590/0102-311XPT139723

14. Instituto Brasileiro de Geografia e Estatística. Censo demográfico 2022: resultados definitivos [Internet]. 2023 [cited Feb 6, 2026]. Available from: https://censo2022.ibge.gov.br/panorama/?localidade=BR

15. Fávero LPL, Belfiore PP. Manual de análise de dados: estatística e modelagem multivariada com excel, SPSS e Stata. São Paulo: Gen LTC; 2017.

16. Greenacre M. La práctica del análisis de correspondencias. España: Fundación BBVA; 2008.

17. Pereira JCM. Análise de dados qualitativos: estratégias metodológicas para as ciências da saúde, humanas e sociais. São Paulo: EDUSP; 2004.

18. Li M, Han M, Chen Z, Tang Y, Ma J, Zhang Z, et al. Does marital status correlate with the female breast cancer risk? A systematic review and meta-analysis of observational studies. PLoS One. 2020;15(3):e0229899. doi: https://dx.doi.org/10.1371/journal.pone.0229899

19. Oliveira RDP, Ferreira IS, Castro RCMB, Fernandes AFC. Association between sociodemographic characteristics and adherence to early detection of breast cancer. Rev Rene. 2022;23:e71920. doi: https://doi.org/10.15253/2175-6783.20222371920

20. Pujol P, Remontet L, Lapôtre‑Ledoux B, Rogel A, Lafay L, Molinié F. Increasing incidence of breast cancer in young women over time. Breast. 2025;83:104555. doi: https://doi.org/10.1016/j.breast.2025.104555

21. Rasmus, Svanøe AA, Aas T, Heie A, Anna, Akslen LA, et al. Distinct clinicopathological features and treatment differences in breast cancer patients of young age. Sci Rep. 2025;15(1):5655. doi: https://doi.org/10.1038/s41598-025-90053-9

22. Falcone M, Salhia B, Halbert CH, Torres ETR, Stewart D, Stern MC, et al. Impact of structural racism and social determinants of health on disparities in breast cancer mortality. Cancer Res. 2024;84(23):3924-35. doi: https://dx.doi.org/10.1158/0008-5472.CAN-24-1359

23. Rodrigues GM, Carmo CN, Bergmann A, Mattos IE. Racial inequalities in advanced clinical staging in women with breast cancer treated at a referral hospital in Rio de Janeiro, Brazil. Saúde Soc. 2021;30(3):e200813. doi: http://doi.org/10.1590/S0104-12902021200813

24. Ilodianya C, Williams MS. Young Black women’s breast cancer knowledge and beliefs: a sequential explanatory mixed methods study. J Racial Ethn Health Disparities. 2025;12(6):4144-50. doi: https://doi.org/10.1007/s40615-024-02208-5

25. Schubel LC, Barac A, Magee M, Mete M, Peeples M, Shomali M, et al. Comorbidities and reducing InEquitieS (CARES): feasibility of self-monitoring and community health worker support in management of comorbidities among Black breast and prostate cancer patients. Contemp Clin Trials Commun. 2024;43:101387-7. doi: https://doi.org/10.1016/j.conctc.2024.101387

26. Carneiro PL, Aguiar IWO, Bezerra IN, Verde SMML. Mortality from female breast cancer attributable to overweight and obesity in Brazil. Ciênc Saúde Colet. 2025;30:e12612023. doi: https://doi.org/10.1590/1413-81232025308.12612023

27. Silva DM, Cavalcante YA, Oliveira BLCA, Lopes MVO, Fernandes AFC, Pinheiro AKB, et al. Social health determinants associated with mammography performance according to the 2013 and 2019 National Health Survey. Ciênc Saúde Colet. 2025;30(1):e11452023. doi: https://doi.org/10.1590/1413-81232025301.11452023EN

28. Rocha AFBM, Freitas‑Junior R, Ferreira GLR, Rodrigues DCN, Rahal RMS. COVID‑19 and breast cancer in Brazil. Int J Public Health. 2023;68:1605485. doi: https://doi.org/10.3389/ijph.2023.1605485

Published

2026-04-10

Data Availability Statement

The authors declare that the data are fully available within the article.

Issue

Section

Research Article

How to Cite

1.
Martins MCT, Souza GL, Castro RCMB, Santos CPRS dos, Teodoro VA, Ramos HFB, et al. Comparative analysis of epidemiological trends in breast cancer among Brazilian women ated to breast cancer in Brazilian women. Rev Rene [Internet]. 2026 Apr. 10 [cited 2026 Apr. 12];27:e96400. Available from: https://periodicos.ufc.br/rene/article/view/96400