Georreferenciamento dos determinantes sociais associados no rastreamento mamográfico do câncer de mama em Sobral-CE

Abstract

Breast cancer is a pathology caused by the disordered multiplication of breast cells, and a condition that favors the appearance of nodules/tumors that cause a direct restrictive direction in the well-being and quality of life of patients. Cancer case records are important to provide support to health professionals for the evaluation of the quality of care provided, as well as research within this cancer area and for the planning of health actions. Thus, the objective of this study is to spatially analyze the determinants associated with mammographic screening of breast cancer in women living in the city of Sobral-CE. This is a mixed ecological study with a quantitative approach. This type of study is already frequently used in cancer research. This study was carried out in the city of Sobral, a city located in the Northwest Mesoregion of the State of Ceará, with an area of 2,122.897 km2, a population of 210,711 inhabitants. The study participants were women with a residential address in Sobral - CE and who underwent mammograms for breast cancer screening between 2021 and 2023, so that their information was accessed through documentary sources. Thus, information provided by the Municipal Health Department of Sobral was used for data collection. For this, data from the profiles of patients treated in Sobral will be identified, such as: Socioeconomic Data; Geolocation Data; Age; Family Health Center (CSF) of reference; Risk Level. After collection, the data were processed in the following steps: Descriptive Analysis, Mapping and Spatial Analysis using the Qgis.2.18.10 Software. To construct the maps, the shapefiles of the cartographic base, in which the territorial delimitation is digitized, were obtained from the Municipal Health Department of Sobral. Thus, the Quantum GIS 2.18.10 extension of the software will be used for storage, construction and analysis of the maps. In this case, this study will serve as a subsidy for strengthening and innovating the conducts regarding this pathology, especially in the context associated with the prevention of this disease according to the geolocation of the reported cases in order to qualify and individualize interventions related to the needs and contexts of each area of incidence. The research has a favorable opinion from Plataforma Brasil under number 5,255,452.