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Figueiredo Lebre Martins BN, Dos Santos ES, Fonseca FP, William WN, Bueno de Oliveira T, Marta GN, Freitas Chaves AL, Prado-Ribeiro AC, Ayo-Yusuf O, Curado MP, Saes AM, Kowalski LP, Santos-Silva AR. The impact of colonialism on head and neck cancer in Brazil: a historical essay focussing on tobacco, alcohol and slavery. LANCET REGIONAL HEALTH. AMERICAS 2024; 31:100690. [PMID: 38370581 PMCID: PMC10873724 DOI: 10.1016/j.lana.2024.100690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Revised: 12/28/2023] [Accepted: 01/22/2024] [Indexed: 02/20/2024]
Abstract
Colonialism's enduring impact on Brazil has had significant implications for health and oncology outcomes. This historical essay delves into the profound changes brought about by the transatlantic slave trade from Africa to the Americas, particularly in terms of its influence on the economy, sociocultural habits, and health outcomes. This essay explores the enduring connections between the colonial period's operational dynamics in Brazil and the current epidemiological panorama of head and neck cancer (HNC). The examination provides original insights on the role of tobacco and alcohol production and consumption, alongside the investigation of structural racism, which contributes to disparities in access to diagnosis, treatment, and prognosis for patients with HNC. This article presents novel visions and an analysis of evidence-based strategies to disrupt the adverse impact of colonialism's legacy on the epidemiology of HNC in Brazil.
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Affiliation(s)
| | - Erison Santana Dos Santos
- University of Campinas (UNICAMP), Oral Diagnosis Department, Piracicaba Dental School, Piracicaba, São Paulo, Brazil
| | - Felipe Paiva Fonseca
- Federal University of Minas Gerais, Department of Dental Clinic, Pathology and Surgery, Belo Horizonte, Brazil
| | - William Nassib William
- Grupo Oncoclínicas, São Paulo, Brazil
- Latin American Cooperative Oncology Group, Brazilian Group of Head and Neck Cancer, Brazil
| | | | - Gustavo Nader Marta
- Department of Radiation Oncology, Hospital Sírio-Libanês São Paulo, São Paulo, Brazil
| | - Aline Lauda Freitas Chaves
- Latin American Cooperative Oncology Group, Brazilian Group of Head and Neck Cancer, Brazil
- DOM Oncology Group, Divinópolis, Minas Gerais, Brazil
| | - Ana Carolina Prado-Ribeiro
- University of Campinas (UNICAMP), Oral Diagnosis Department, Piracicaba Dental School, Piracicaba, São Paulo, Brazil
- São Paulo State Cancer Institute (ICESP-FMUSP), Dental Oncology Service, Brazil
- Serviço de Medicina Oral, Hospital Sírio-Libanês, São Paulo, Brazil
| | - Olalekan Ayo-Yusuf
- Africa Centre for Tobacco Industry Monitoring and Policy Research, School of Health Systems and Public Health, University of Pretoria, Pretoria, South Africa
| | | | | | - Luiz Paulo Kowalski
- Department of Head and Neck Surgery and Otolaryngology, A C Camargo Cancer Center, São Paulo, Brazil
- Department of Head and Neck Surgery, University of São Paulo, Brazil
| | - Alan Roger Santos-Silva
- University of Campinas (UNICAMP), Oral Diagnosis Department, Piracicaba Dental School, Piracicaba, São Paulo, Brazil
| | - Latin American Cooperative Oncology Group
- University of Campinas (UNICAMP), Oral Diagnosis Department, Piracicaba Dental School, Piracicaba, São Paulo, Brazil
- Federal University of Minas Gerais, Department of Dental Clinic, Pathology and Surgery, Belo Horizonte, Brazil
- Grupo Oncoclínicas, São Paulo, Brazil
- Latin American Cooperative Oncology Group, Brazilian Group of Head and Neck Cancer, Brazil
- Medical Oncology Department, AC Camargo Cancer Center, São Paulo, SP, Brazil
- Department of Radiation Oncology, Hospital Sírio-Libanês São Paulo, São Paulo, Brazil
- DOM Oncology Group, Divinópolis, Minas Gerais, Brazil
- São Paulo State Cancer Institute (ICESP-FMUSP), Dental Oncology Service, Brazil
- Serviço de Medicina Oral, Hospital Sírio-Libanês, São Paulo, Brazil
- Africa Centre for Tobacco Industry Monitoring and Policy Research, School of Health Systems and Public Health, University of Pretoria, Pretoria, South Africa
- Epidemiology AC Camargo Cancer Center, São Paulo, SP, Brazil
- Professor of Economic History, Department of Economics, University of São Paulo, Brazil
- Department of Head and Neck Surgery and Otolaryngology, A C Camargo Cancer Center, São Paulo, Brazil
- Department of Head and Neck Surgery, University of São Paulo, Brazil
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Pedroso CF, Pereira CC, Cavalcante AMRZ, Guimarães RA. Magnitude of risk factors for chronic noncommunicable diseases in adolescents and young adults in Brazil: A population-based study. PLoS One 2023; 18:e0292612. [PMID: 37856487 PMCID: PMC10586685 DOI: 10.1371/journal.pone.0292612] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2023] [Accepted: 09/25/2023] [Indexed: 10/21/2023] Open
Abstract
AIM OF THE STUDY Estimate the magnitude and factors associated with risk factors for chronic noncommunicable diseases in adolescents and young adults in Brazil. METHODS Cross-sectional study that analyzed data from the 2019 National Health Survey. The population of interest was adolescents and young adults aged 15 to 24 years. Data were collected through individual interviews during home visits. Dependent variables included major risk factors for chronic noncommunicable diseases. Demographic and socioeconomic characteristics were used as independent variables. Multiple Poisson regression models were used to assess the relationship between independent variables and risk factors. RESULTS A total of 10,460 individuals (5,001 men and 5,459 women) were included. Regardless of sex, the most prevalent risk factors were insufficient fruit and vegetable consumption (92.6%) and leisure-time physical inactivity (43.3%). The prevalence rates of tobacco smokers, alcohol consumption once a month or more, and alcohol abuse were 8.9%, 28.7%, and 18.5%, respectively. Regular consumption of soft drinks and/or artificial juices was described by 17.2%. The prevalence of overweight was 32.5%. Young adults, males, and individuals with lower educational levels, of black race/skin color, with lower household income, and residents of urban areas had a higher prevalence for most risk factors. Differences in the determinants were found for some factors. Inequalities between Brazilian regions were recorded for seven of the nine factors analyzed. The most socioeconomically developed regions had the highest prevalence of most risk factors. The high magnitude of risk factors indicates a potential increase in the burden of chronic noncommunicable diseases in a future scenario for Brazil.
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Affiliation(s)
- Charlise Fortunato Pedroso
- Federal Institute of Education, Science and Technology of Goiás, Goiânia Oeste Campus, Goiânia, Goiás, Brazil
- Institute of Tropical Pathology and Public Health, Federal University of Goiás, Goiânia, Goiás, Brazil
| | - Cristina Camargo Pereira
- Institute of Tropical Pathology and Public Health, Federal University of Goiás, Goiânia, Goiás, Brazil
| | | | - Rafael Alves Guimarães
- Institute of Tropical Pathology and Public Health, Federal University of Goiás, Goiânia, Goiás, Brazil
- Faculty of Nursing, Federal University of Goiás, Goiânia, Goiás, Brazil
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