Cancer clusters: the importance of monitoring multiple geographic scales
| Autor: | Dona Schneider, Milton H. Donaldson, Daiwoo Choi, Michael Greenberg |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Adult
Male medicine.medical_specialty Health (social science) Adolescent Cross-sectional study Race (biology) History and Philosophy of Science Risk Factors Urbanization Neoplasms Epidemiology medicine Cluster Analysis Humans Registries Young adult Child Geography New Jersey Incidence (epidemiology) Public health Incidence Infant United States Cancer registry Cross-Sectional Studies Child Preschool Population Surveillance Female Demography |
| Zdroj: | Social sciencemedicine (1982). 37(6) |
| ISSN: | 0277-9536 |
| Popis: | Analysis of cancer incidence data at a variety of geographic scales provides surveillance information that can allay fears of the general public, prevent costly and unwarranted epidemiologic studies driven by political pressures, and target appropriate cases for further investigation. We systematically examined New Jersey Cancer Registry data (1979-1985) for childhood and young adult (0-24 years) cancers at multiple geographic scales--at the state level, then by degree of urbanization, county boundaries, and minor civil divisions. The state had increased rates for some cancers when compared to four other SEER (Surveillance, Epidemiology and End Results) states. No meaningful patterns at either the most urban/suburban/most rural scales or at the county level of analysis were found. At the minor civil division level, the Ederer, Myers and Mantel method found evidence of clustering of pediatric and young adult cases statewide. Stratification of cases by race yielded even stronger findings and indicated that whites had clustering of cases for several cancer types. In-depth analysis of individual cases yielded hypotheses for investigating identified clusters. |
| Databáze: | OpenAIRE |
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