ASSOCIATION BETWEEN NUMBER OF DEATHS BY HODGKIN LYMPHOMA AND SCHOOLING LEVEL IN THE STATE OF RIO DE JANEIRO

Introduction: Lymphomas are divided into non-Hodgkin’s lymphomas and Hodgkin’s lymphomas (HL), based on which classical HL (95% of cases) is characterized based on histopathology through ReedSternberg cells. Hodgkin’s lymphomas survival depends of factors such as age, stage, histological subtype. Overall curability reaches 85%. Due to advances in therapeutics, mortality has been reduced by more than 60% since the early 1970s. In order to evaluate if the measure of reduction in mortality is homogeneously declining in all social spheres we used schooling level as a marker. Low level of schooling is one of the main markers of social vulnerability. Studies evaluating these variables were not found in the literature. OBJECTIVE To trace the death number by Hodkin’s Lymphoma in people with different levels of schooling in the State of Rio de Janeiro from 2008 to 2017. Method: This is a descriptive epidemiological study, whose data were obtained by consulting the Mortality Information System database, made available by the DATASUS. The study population consisted of all cases of death due to Hodkin’s disease registered in the period from 2008 to 2017 in the state of Rio de Janeiro. Results: A total of 315 cases of Hodkin’s lymphoma death were recorded in the state of Rio de Janeiro from 2012 to 2017. When the population group with education up to 3 years was evaluated: in the period from 2013 to 2017 there were more 12.8% cases of death than in the previous five years. Among those who studied between 4 and 7 years: an increase of 1.7% when compared to the previous 5 years. In the group that studied from 8 to 11 years: there was an increase of 21.25% in the period from 2013 to 2017 compared to the period from 2008 to 2012. The population group with education above 12 years showed a fall of 14% in cases of death when compared the period from 2013 to 2017 in relation to the period from 2008 to 2012. Conclusion: The present study demonstrated that in the State of Rio de Janeiro, when comparing the years 2013 to 2017 to the period from 2008 to 2012, there was an increase in the number of deaths due to Hodkin’s Lymphoma in the population group with low educational level. In parallel to this, there was a 14% drop in the number of deaths in the population group with a higher schooling (12 years or more of study). There is a demonstration that the decrease in mortality described in the literature does not include groups in a state of social vulnerability.