Race-specific geography of prostate cancer incidence
| Autor: | Laurie M DeChello, David I. Gregorio, Holly Samociuk |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2006 |
| Předmět: |
Male
medicine.medical_specialty General Computer Science Cross-sectional study Health geography Disease lcsh:Computer applications to medicine. Medical informatics White People Prostate cancer Epidemiology medicine Humans Registries Socioeconomic status Incidence (epidemiology) Research Incidence Public Health Environmental and Occupational Health Prostatic Neoplasms medicine.disease General Business Management and Accounting Cancer registry Black or African American Connecticut Geography Cross-Sectional Studies Massachusetts lcsh:R858-859.7 Topography Medical Demography |
| Zdroj: | International Journal of Health Geographics International Journal of Health Geographics, Vol 5, Iss 1, p 59 (2006) |
| ISSN: | 1476-072X |
| Popis: | Background This study evaluated geographic distribution of race-specific prostate cancer incidence in Connecticut and Massachusetts. This cross-sectional analysis of census and cancer registry data included records of 29,040 Whites and 1,647 African Americans diagnosed with incident prostate cancer between 1994 and 1998. A spatial scan statistic was used to detect and test significance of the geographic variation in race-specific incidence rates within the two-state area. Results Significant geographic variation in age-adjusted incidence rates among both White and African American men was observed, with little overlap noted between distributions. Identified locations reflected patterns of residential segregation and socio-economic conditions. Among Whites, places with higher than expected incidence had higher socioeconomic status than places with lower than expected incidence. No discernable relationship between social indicators and rate variation among African Americans was evident. Conclusion Differences in race-specific geographic distribution of prostate cancer incidence do not suggest a shared environmental etiology. Furtherstudyof genetic, behavioral and health carefactors affecting the occurrence and/or reporting of the disease is warranted. This study highlights the need for race- and geographic-specific interventions to better control disease within at-risk communities and for on-going analysis into social and contextual factors that contribute to observed disparities between African Americans and Whites in the occurrence of cancer. |
| Databáze: | OpenAIRE |
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