Author:
Gregorio David I,DeChello Laurie M,Samociuk Holly,Kulldorff Martin
Abstract
Abstract
Background
Findings are compared on geographic variation of incident and late-stage cancers across Connecticut using different areal units for analysis.
Results
Few differences in results were found for analyses across areal units. Global clustering of incident prostate and breast cancer cases was apparent regardless of the level of geography used. The test for local clustering found approximately the same locales, populations at risk and estimated effects. However, some discrepancies were uncovered.
Conclusion
In the absence of conditions calling for surveillance of small area cancer clusters ('hot spots'), the rationale for accepting the burdens of preparing data at levels of geography finer than the census tract may not be compelling.
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health,General Business, Management and Accounting,General Computer Science
Reference32 articles.
1. Rushton G: Methods to evaluate geographic access to health services. J Public Health Manag Pract. 1999, 5: 93-100.
2. Klassen AC, Curriero FC, Hong JH, Williams C, Kulldorff M, Meissner HI, Alberg A, Ensminger M: The role of area-level influences on prostate cancer grade and stage at diagnosis. Prev Med. 2004, 39: 441-448. 10.1016/j.ypmed.2004.04.031.
3. Cromley EK, Cromley RG: An analysis of alternative classification schemes for medical atlas mapping. Eur J Cancer. 1996, 32A: 1551-1559. 10.1016/0959-8049(96)00130-X.
4. Chen W, Petitti DB, Enger S: Limitations and potential uses of census-based data on ethnicity in a diverse community. Ann Epidemiol. 2004, 14: 339-345. 10.1016/j.annepidem.2003.07.002.
5. Rushton G: Selecting appropriate geocoding methods for cancer control and prevention program activities. [http://www.uiowa.edu/~gishlth/giswkshp/GCD_Rushton_files/frame.htm#slide0001.htm]
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