Determination of effective factors on geographic distribution of the incidence of colorectal cancer in Tehran using geographically weighted Poisson regression model.

作者: Mohsen Asadi-Lari , Alireza Mosavi-Jarrahi , Alireza Delavari , Masoud Salehi , Kamyar Mansori

DOI: 10.34171/MJIRI.33.23

关键词:

摘要: Background: This study aimed to determine effective factors on geographic distribution of the Incidence Colorectal Cancer (CRC) in Tehran, Iran using Geographically Weighted Poisson Regression Model. Methods: ecological was carried out at neighborhood level Tehran 2017-2018. Data for CRC incidence extracted from population-based cancer registry data Iran. The socioeconomic variables, risk and health costs were Urban HEART Study Tehran. weighted regression model used determination association between these variables with incidence. GWR 4, Stata 14 ArcGIS 10.3 software systems statistical analysis. Results: total number incident cases 2815 2008 2011, whom, 2491 successfully geocoded neighborhood. median IRR local : unemployed people over 15 year old (median IRR: 1.17), women aged 17 years or older university education head household 1.06), without insurance coverage 1.10), households daily consumption milk 0.85), smoking 1.07), household's expenditure 1.39), disease diagnosis 1.03), medicines 1.05), cost hospital 1.09), medical visits 1.27). Conclusion: spatial variability observed most that had effects Spatial is necessary when interpreting results utterly helpful implementation prevention programs.

参考文章(38)
Philip Sedgwick, Understanding the ecological fallacy BMJ. ,vol. 351, ,(2015) , 10.1136/BMJ.H4773
NaNa Keum, Dagfinn Aune, Darren C. Greenwood, Woong Ju, Edward L. Giovannucci, Calcium intake and colorectal cancer risk: dose-response meta-analysis of prospective observational studies. International Journal of Cancer. ,vol. 135, pp. 1940- 1948 ,(2014) , 10.1002/IJC.28840
Karen L. Barclay, Paul-Jon Goh, Terri J. Jackson, Socio-economic disadvantage and demographics as factors in stage of colorectal cancer presentation and survival. Anz Journal of Surgery. ,vol. 85, pp. 135- 139 ,(2015) , 10.1111/ANS.12709
John P. Tiefenbacher, F. Benjamin Zhan, Neng Wan, Yongmei Lu, Access to Health Care and Disparities in Colorectal Cancer Survival in Texas Social Science Research Network. ,(2011)
Nancy Krieger, The real ecological fallacy: epidemiology and global climate change Journal of Epidemiology and Community Health. ,vol. 69, pp. 803- 804 ,(2015) , 10.1136/JECH-2014-205027
Kevin A Henry, Xiaoling Niu, Francis P Boscoe, Geographic disparities in colorectal cancer survival. International Journal of Health Geographics. ,vol. 8, pp. 48- 48 ,(2009) , 10.1186/1476-072X-8-48
Peter S. Liang, Ting-Yi Chen, Edward Giovannucci, Cigarette smoking and colorectal cancer incidence and mortality: systematic review and meta-analysis. International Journal of Cancer. ,vol. 124, pp. 2406- 2415 ,(2009) , 10.1002/IJC.24191
Jacques Ferlay, Hai-Rim Shin, Freddie Bray, David Forman, Colin Mathers, Donald Maxwell Parkin, Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. International Journal of Cancer. ,vol. 127, pp. 2893- 2917 ,(2010) , 10.1002/IJC.25516
Michael V. Maciosek, Leif I. Solberg, Ashley B. Coffield, Nichol M. Edwards, Michael J. Goodman, Colorectal Cancer Screening. Health Impact and Cost Effectiveness American Journal of Preventive Medicine. ,vol. 31, pp. 80- 89 ,(2006) , 10.1016/J.AMEPRE.2006.03.009
Edoardo Botteri, Simona Iodice, Vincenzo Bagnardi, Sara Raimondi, Albert B. Lowenfels, Patrick Maisonneuve, Smoking and Colorectal Cancer JAMA. ,vol. 300, pp. 2765- 2778 ,(2008) , 10.1001/JAMA.2008.839