Liver Cancer Incidence and Area-Level Geographic Disparities in Pennsylvania-A Geo-Additive Approach

Overview

Journal Int J Environ Res Public Health

Publisher MDPI

Specialties Environmental Health
Public Health

Date 2020 Oct 21

PMID 33081168

Citations 5

Authors

Angel G Ortiz

Daniel Wiese

Kristen A Sorice

Minhhuyen Nguyen

Evelyn T Gonzalez

Kevin A Henry

Shannon M Lynch

Affiliations

Soon will be listed here.

Abstract

Many neighborhood socioeconomic index measures (nSES) that capture neighborhood deprivation exist but the impact of measure selection on liver cancer (LC) geographic disparities remains unclear. We introduce a Bayesian geoadditive modeling approach to identify clusters in Pennsylvania (PA) with higher than expected LC incidence rates, adjusted for individual-level factors (age, sex, race, diagnosis year) and compared them to models with 7 different nSES index measures to elucidate the impact of nSES and measure selection on LC geospatial variation. LC cases diagnosed from 2007-2014 were obtained from the PA Cancer Registry and linked to nSES measures from U.S. census at the Census Tract (CT) level. Relative Risks (RR) were estimated for each CT, adjusted for individual-level factors (baseline model). Each nSES measure was added to the baseline model and changes in model fit, geographic disparity and state-wide RR ranges were compared. All 7 nSES measures were strongly associated with high risk clusters. Tract-level RR ranges and geographic disparity from the baseline model were attenuated after adjustment for nSES measures. Depending on the nSES measure selected, up to 60% of the LC burden could be explained, suggesting methodologic evaluations of multiple nSES measures may be warranted in future studies to inform LC prevention efforts.

Citing Articles

Association of county level poverty with mortality from primary liver cancers.

Ledenko M, Patel T Cancer Med. 2024; 13(15):e7463.

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Effect of neighborhood and individual-level socioeconomic factors on breast cancer screening adherence in a multi-ethnic study.

Kasper G, Momen M, Sorice K, Mayhand K, Handorf E, Gonzalez E BMC Public Health. 2024; 24(1):63.

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Neighborhood deprivation, racial segregation and associations with cancer risk and outcomes across the cancer-control continuum.

Fuemmeler B, Shen J, Zhao H, Winn R Mol Psychiatry. 2023; 28(4):1494-1501.

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The Use of Area-Level Socioeconomic Indices in Evaluating Cancer Care Delivery: A Scoping Review.

Markey C, Bello O, Hanley M, Loehrer A Ann Surg Oncol. 2023; 30(5):2620-2628.

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Effect of Neighborhood and Individual-Level Socioeconomic Factors on Colorectal Cancer Screening Adherence.

Mayhand K, Handorf E, Ortiz A, Gonzalez E, Devlin A, Sorice K Int J Environ Res Public Health. 2021; 18(9).

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