2024-03-29T05:50:11Zhttp://repisalud.isciii.es/oai/requestoai:repisalud.isciii.es:20.500.12105/70312022-11-08T14:32:52Zcom_20.500.12105_2053com_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_2054
Repisalud
author
Aragones, Nuria
author
Ramis, Rebeca
author
Pollan-Santamaria, Marina
author
Perez-Gomez, Beatriz
author
Gomez-Barroso, Diana
author
Lope Carvajal, Virginia
author
Boldo, Elena
author
García-Pérez, Javier
author
Lopez-Abente, Gonzalo
funder
Instituto de Salud Carlos III
2019-01-30T17:59:43Z
2019-01-30T17:59:43Z
2007-01-03
BMC Cancer. 2007 Jan 3;7:3.
1471-2407
http://hdl.handle.net/20.500.12105/7031
17201909
10.1186/1471-2407-7-3
1471-2407
BMC cancer
BACKGROUND: Oesophageal carcinoma is one of the most common cancers worldwide. Its incidence and mortality rates show a wide geographical variation at a world and regional level. Geographic mapping of age-standardized, cause-specific death rates at a municipal level could be a helpful and powerful tool for providing clues leading to a better understanding of its aetiology. METHODS: This study sought to describe the geographic distribution of oesophageal cancer mortality for Spain's 8077 towns, using the autoregressive spatial model proposed by Besag, York and Mollié. Maps were plotted, depicting standardised mortality ratios, smoothed relative risk (RR) estimates, and the spatial pattern of the posterior probability of RR being greater than 1. RESULTS: Important differences associated with area of residence were observed in risk of dying from oesophageal cancer in Spain during the study period (1989-1998). Among men, excess risk appeared across the north of the country, along a band spanning the length of the Cantabrian coastline, Navarre, the north of Castile & León and the north-west of La Rioja. Excess risk was likewise observed in the provinces of Cadiz and part of Seville in Andalusia, the islands of Tenerife and Gran Canaria, and some towns in the Barcelona and Gerona areas. Among women, there was a noteworthy absence of risk along the mid-section of the Cantabrian seaboard, and increases in mortality, not observed for men, in the west of Extremadura and south-east of Andalusia. CONCLUSION: These major gender- and area-related geographical differences in risk would seem to reflect differences in the prevalence of some well-established and modifiable risk factors, including smoking, alcohol consumption, obesity and diet. In addition, excess risks were in evidence for both sexes in some areas, possibly suggesting the implication of certain local environmental or socio-cultural factors. From a public health standpoint, small-area studies could be very useful for identifying locations where epidemiological research and intervention measures ought to receive priority, given the potential for reducing risk in certain places.
eng
Oesophageal cancer mortality in Spain: a spatial analysis
journal article
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URL
https://repisalud.isciii.es/bitstream/20.500.12105/7031/1/OesophagealCancerMortalityIn_2007.pdf
File
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OesophagealCancerMortalityIn_2007.pdf
URL
https://repisalud.isciii.es/bitstream/20.500.12105/7031/5/OesophagealCancerMortalityIn_2007.pdf.txt
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MD5
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OesophagealCancerMortalityIn_2007.pdf.txt