Identifying At-Risk Communities for Action on Cancer Prevention: A Case Study in New Brunswick (Canada) Communities
| Autor: | Inka Milewski |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Male
Gerontology Industrial Waste Disease Risk Assessment Neoplasms Cluster Analysis Humans New Brunswick Sex Distribution Socioeconomics Life Style Health statistics Community level Cancer prevention Geographic area Incidence Environmental Exposure General Medicine Geography Social Class Cancer incidence Work (electrical) Action (philosophy) Multivariate Analysis Geographic Information Systems Female SEER Program |
| Zdroj: | NEW SOLUTIONS: A Journal of Environmental and Occupational Health Policy. 22:79-107 |
| ISSN: | 1541-3772 1048-2911 |
| DOI: | 10.2190/ns.22.1.f |
| Popis: | Health statistics reported by large geographic area such as province, state, county or health region offer little insight into disease conditions at the community level where people live and work, where occupational and environmental exposures occur, and where industrial emissions are often concentrated. This study investigated overall patterns of cancer incidence and socioeconomic status (SES) among 14 communities in the province of New Brunswick (Canada). A multivariate ordination technique, hierarchical clustering, and permutation procedures were used to identify and test significance of community clusters and whether the overall pattern of SES was correlated with patterns of cancer among communities. Communities with significantly high or significantly low overall rates of cancers were identified, patterns that were not related to SES. The potential influence of age, small populations, diagnostic screening, smoking and environmental risk factors contributing to locally elevated cancer rates are discussed. Cancer incidence reported at smaller spatial scales provides health officials and researchers with a basis for identifying communities potentially at-risk and aids in the development of appropriate community-based risk reduction actions and cancer prevention. |
| Databáze: | OpenAIRE |
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