Surveillance of the colorectal cancer disparities among demographic subgroups: A spatial analysis

Chiehwen Ed Hsu, Francisco Soto Mas, Jessica M. Hickey, Jerry A. Miller, Dejian Lai

研究成果: Article同行評審

10 引文 斯高帕斯(Scopus)

摘要

OBJECTIVE: The literature suggests that colorectal cancer mortality in Texas is distributed inhomogeneously among specific demographic subgroups and in certain geographic regions over an extended period. To understand the extent of the demographic and geographic disparities, the present study examined colorectal cancer mortality in 15 demographic groups in Texas counties between 1990 and 2001. METHODS: The Spatial Scan Statistic was used to assess the standardized mortality ratio, duration and age-adjusted rates of excess mortality, and their respective p-values for testing the null hypothesis of homogeneity of geographic and temporal distribution. RESULTS: The study confirmed the excess mortality in some Texas counties found in the literature, identified 13 additional excess mortality regions, and found 4 health regions with persistent excess mortality involving several population subgroups. CONCLUSION: Health disparities of colorectal cancer mortality continue to exist in Texas demographic subpopulations. Health education and intervention programs should be directed to the at-risk subpopulations in the identified regions.

原文English
頁(從 - 到)949-956
頁數8
期刊Southern Medical Journal
99
發行號9
DOIs
出版狀態Published - 2006 9月

All Science Journal Classification (ASJC) codes

  • 醫藥 (全部)

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