Using Geospatial Analysis to Identify Priority Communities for Cervical Cancer Prevention in Texas.

Autor:	Sokale IO; Department of Medicine, Section of Epidemiology and Population Sciences, Baylor College of Medicine, Houston, Texas.; Dan L. Duncan Comprehensive Cancer Center, Baylor College of Medicine, Houston, Texas., Thrift AP; Department of Medicine, Section of Epidemiology and Population Sciences, Baylor College of Medicine, Houston, Texas.; Dan L. Duncan Comprehensive Cancer Center, Baylor College of Medicine, Houston, Texas., Montealegre JR; Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, Texas., Chido-Amajuoyi OG; Department of Internal Medicine, Texas A&M School of Medicine/Christus Health, Longview, Texas., Adekanmbi VT; Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas., Oluyomi AO; Department of Medicine, Section of Epidemiology and Population Sciences, Baylor College of Medicine, Houston, Texas.; Dan L. Duncan Comprehensive Cancer Center, Baylor College of Medicine, Houston, Texas.
Jazyk:	angličtina
Zdroj:	AJPM focus [AJPM Focus] 2024 Jun 06; Vol. 3 (4), pp. 100247. Date of Electronic Publication: 2024 Jun 06 (Print Publication: 2024).
DOI:	10.1016/j.focus.2024.100247
Abstrakt:	Introduction: Despite being almost entirely preventable, cervical cancer is the fourth most frequently diagnosed cancer among women worldwide. Cervical cancer incidence suggests missed opportunities for prevention. Geospatial analysis could strategically guide public health interventions. This study aimed to identify geographic clusters of cervical cancer incidence in Texas, a state with higher than national rates of cervical cancer incidence and mortality. Methods: In this population-based cross-sectional study, the authors analyzed incident cervical cancer data among Texas women aged 30-64 years, from 2014 to 2018. The authors conducted a purely spatial Poisson-based analysis function in SaTScan to examine geographic clusters of higher-than-expected proportions of cervical cancer incidence (i.e., hot spots) and adjusted for age. Results: A total of 5,060 women aged 30-64 years with incident cervical cancer diagnosis (mean age: 45.7 years, SD=9.6), including 1,840 (36.4%) Hispanic, 591 (11.7%) non-Hispanic Black, 2,397 (47.4%) non-Hispanic White, and 232 (4.6%) other races, were analyzed. Spatial scan analysis detected 7 significant hot spots of cervical cancer incidence. Hot spots were identified in the South Texas Plains (near Mexico border), Gulf Coast (Houston), Prairies and Lakes (North Texas), Panhandle Plains (Northwest Texas), and Piney Woods (Southeast Texas) regions of Texas. Hot spots, compared with the rest of Texas, had higher proportions of Hispanic population and individuals with socioeconomic disadvantages. Conclusions: This study found spatial variation in cervical cancer incidence in Texas. The hot spot areas can benefit from targeted, novel, scalable, and cost-effective interventions to increase human papillomavirus vaccination and screening and early detection and treatment of precancerous cervical lesions. (© 2024 The Author(s).)
Databáze:	MEDLINE
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