Fig 1.
Map of the state of Parana showing the distribution of specialized services for cancer treatment in Regional Health Centers.
(A) Map of the state of Parana. Source: Geographic Atlas of state of Parana 2008 [17]. (B) Regional Health Centers in the State of Parana and cancer care services with radiotherapy and chemotherapy. The red dots indicate radiotherapy and chemotherapy services, and the blue dots indicate services with chemotherapy. Source: Health Secretary of the state of Parana, 2012 [16].
Fig 2.
Exploratory spatial analysis of the specific mortality rate (SMR) of breast CA cases in the 399 municipalities of the state of Parana, Brazil, 2009–2012.
(A) Spatial distribution of the municipalities according to their SMR by breast CA categorized according to the range of quartiles of breast CA mortality; the number of municipalities in each interval is in parentheses; (B) Univariate LISA analysis according to SMR by breast CA and identification of clusters of municipalities of the following types: high-high (HH), low-low (LL), low-high (LH) and high-low (HL).
Table 1.
Results of Spatial Lag regression analysis of socioeconomic variables and accessibility index in relation to breast cancer specific mortality rate, 2009–2012.
Parana, Brazil.
Fig 3.
Spatial distribution of socioeconomic variables and related to access to oncology services in the 399 municipalities of the state of Parana, Brazil, 2009 to 2012.
(A) Spatial distribution of municipalities according to illiteracy rate, categorized according to the range of quartiles; (B) Spatial distribution of municipalities according to their score of accessibility to chemotherapy and radiotherapy services categorized according to ranges of quartiles.