A Comparative Study of Spatial Distribution of Gastrointestinal Cancers in Poverty and Affluent Strata (Kermanshah Metropolis, Iran).

摘要: The trend of cancers has witnessed a twofold rise in the last three decades, which is expected to be fivefold by 2030. On other hand, gastrointestinal have turned into one health issues many societies. Given presence cancer hot spots and evidence inequalities across Kermanshah Metropolis results studies signaling association between socioeconomic status individuals as well unequal opportunities this metropolis, present study aimed investigate spatial distribution poverty affluent strata Metropolis, Iran. In descriptive-analytical study, recorded data patients, suffering from cancers, Kermanshah-based Pathology Centers Vice Chancellery University Medical Sciences (2007–2012) were used. Moreover, examine classes based on census collected during 2007–2012, 33 social, cultural, structural indexes extracted statistical blocks. Additionally, for analysis factor analysis, Kruskal–Wallis Test environment SPSS kernel density estimation (KDE) Moran’s I tests GIS employed. revealed that (Z score = 48.916518, p value = 0.000000) score = 14.345028, followed clustered patterns (p < 0.01). indicated pattern upper was score = 1.896996, value = 0.007828), whereas lower inclined randomized score = 1.338121, value = 0.000857) Finally, seven main identified stratum Kermanshah, perfectly overlapped cancer. Similarly, four demonstrated significantly different each terms cancer: (p < 0.05 X2=10.064) X2=10.253). showed ratio patients with higher than incidence over 5-year period under study. there significant difference stratum. Hence, it suggested applied tool identifying effective factors type social class, recommended some policies presented adopted managers according role importance socioeconomic, environmental, nutritional society, people at risk equipped preventive training programs respect.