Understanding geographic and racial/ethnic disparities in mortality from four major cancers in the state of Georgia: a spatial epidemiologic analysis, 1999-2019.

Autor: Moore JX; Department of Medicine, Georgia Prevention Institute, Cancer Prevention, Control, & Population Health, Medical College of Georgia, Georgia Cancer Center, Augusta University, 1410 Laney Walker Blvd CN-2120, Augusta, GA, 30912, USA.; Institute of Preventive and Public Health, Medical College of Georgia, Augusta University, Augusta, GA, USA., Tingen MS; Department of Medicine, Georgia Prevention Institute, Cancer Prevention, Control, & Population Health, Medical College of Georgia, Georgia Cancer Center, Augusta University, 1410 Laney Walker Blvd CN-2120, Augusta, GA, 30912, USA. mtingen@augusta.edu., Coughlin SS; Institute of Preventive and Public Health, Medical College of Georgia, Augusta University, Augusta, GA, USA.; Department of Population Health Sciences, Medical College of Georgia, Augusta University, Augusta, GA, USA., O'Meara C; Department of Medicine, Georgia Prevention Institute, Cancer Prevention, Control, & Population Health, Medical College of Georgia, Georgia Cancer Center, Augusta University, 1410 Laney Walker Blvd CN-2120, Augusta, GA, 30912, USA., Odhiambo L; Institute of Preventive and Public Health, Medical College of Georgia, Augusta University, Augusta, GA, USA., Vernon M; Department of Medicine, Georgia Prevention Institute, Cancer Prevention, Control, & Population Health, Medical College of Georgia, Georgia Cancer Center, Augusta University, 1410 Laney Walker Blvd CN-2120, Augusta, GA, 30912, USA.; Institute of Preventive and Public Health, Medical College of Georgia, Augusta University, Augusta, GA, USA., Jones S; Department of Medicine, Georgia Prevention Institute, Cancer Prevention, Control, & Population Health, Medical College of Georgia, Georgia Cancer Center, Augusta University, 1410 Laney Walker Blvd CN-2120, Augusta, GA, 30912, USA.; Institute of Preventive and Public Health, Medical College of Georgia, Augusta University, Augusta, GA, USA., Petcu R; Department of Medicine, Georgia Prevention Institute, Cancer Prevention, Control, & Population Health, Medical College of Georgia, Georgia Cancer Center, Augusta University, 1410 Laney Walker Blvd CN-2120, Augusta, GA, 30912, USA., Johnson R; Department of Medicine, Georgia Prevention Institute, Cancer Prevention, Control, & Population Health, Medical College of Georgia, Georgia Cancer Center, Augusta University, 1410 Laney Walker Blvd CN-2120, Augusta, GA, 30912, USA., Islam KM; Institute of Preventive and Public Health, Medical College of Georgia, Augusta University, Augusta, GA, USA.; Department of Population Health Sciences, Medical College of Georgia, Augusta University, Augusta, GA, USA., Nettles D; Department of Medicine, Georgia Prevention Institute, Cancer Prevention, Control, & Population Health, Medical College of Georgia, Georgia Cancer Center, Augusta University, 1410 Laney Walker Blvd CN-2120, Augusta, GA, 30912, USA., Albashir G; Department of Medicine, Georgia Prevention Institute, Cancer Prevention, Control, & Population Health, Medical College of Georgia, Georgia Cancer Center, Augusta University, 1410 Laney Walker Blvd CN-2120, Augusta, GA, 30912, USA., Cortes J; Georgia Cancer Center, Augusta University, Augusta, GA, USA.
Jazyk: angličtina
Zdroj: Scientific reports [Sci Rep] 2022 Aug 19; Vol. 12 (1), pp. 14143. Date of Electronic Publication: 2022 Aug 19.
DOI: 10.1038/s41598-022-18374-7
Abstrakt: We examined geographic and racial variation in cancer mortality within the state of Georgia, and investigated the correlation between the observed spatial differences and county-level characteristics. We analyzed county-level cancer mortality data collected by the Centers for Disease Control and Prevention on breast, colorectal, lung, and prostate cancer mortality among adults (aged ≥ 18 years) in 159 Georgia counties from years 1999 through 2019. Geospatial methods were applied, and we identified hot spot counties based on cancer mortality rates overall and stratified by non-Hispanic white (NH-white) and NH-black race/ethnicity. Among all adults, 5.0% (8 of 159), 8.2% (13 of 159), 5.0% (8 of 159), and 6.9% (11 of 159) of Georgia counties were estimated hot spots for breast cancer, colorectal, lung, and prostate cancer mortality, respectively. Cancer mortality hot spots were heavily concentrated in three major areas: (1) eastern Piedmont to Coastal Plain regions, (2) southwestern rural Georgia area, or (3) northern-most rural Georgia. Overall, hot spot counties generally had higher proportion of NH-black adults, older adult population, greater poverty, and more rurality. In Georgia, targeted cancer prevention strategies and allocation of health resources are needed in counties with elevated cancer mortality rates, focusing on interventions suitable for NH-black race/ethnicity, low-income, and rural residents.
(© 2022. The Author(s).)
Databáze: MEDLINE
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