Spatial inequalities in colorectal and breast cancer survival: Premature deaths and associated factors

被引：42
作者：
Cramb, Susanna M. [1 ,2 ]
Mengersen, Kerrie L. [2 ]
Turrell, Gavin [3 ]
Baade, Peter D. [1 ,3 ,4 ]
机构：
[1] Canc Council Queensland, Viertel Ctr Res Canc Control, Spring Hill 4004, Australia
[2] Queensland Univ Technol, Sch Math Sci, Ctr Data Anal Modelling & Computat, Brisbane, Qld 4001, Australia
[3] Queensland Univ Technol, Sch Publ Hlth, Brisbane, Qld 4001, Australia
[4] Griffith Univ, Griffith Hlth Inst, Nathan, Qld 4111, Australia
来源：
HEALTH & PLACE | 2012年 / 18卷 / 06期
基金：
澳大利亚国家健康与医学研究理事会; 英国医学研究理事会;
关键词：
Cancer; Premature deaths; Relative survival; Spatial; Bayesian; RELATIVE SURVIVAL; DISPARITIES; AUSTRALIA; DIAGNOSIS; STAGE; CARE; QUEENSLAND; MANAGEMENT; MORTALITY; MODELS;
D O I：
10.1016/j.healthplace.2012.07.006
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
This study examines the influence of cancer stage, distance to treatment facilities and area disadvantage on breast and colorectal cancer spatial survival inequalities. We also estimate the number of premature deaths after adjusting for cancer stage to quantify the impact of spatial survival inequalities. Population-based descriptive study of residents aged < 90 years in Queensland, Australia diagnosed with primary invasive breast (25,202 females) or colorectal (14,690 males, 11,700 females) cancers during 1996-2007. Bayesian hierarchical models explored relative survival inequalities across 478 regions. Cancer stage and disadvantage explained the spatial inequalities in breast cancer survival, however spatial inequalities in colorectal cancer survival persisted after adjustment. Of the 6,019 colorectal cancer deaths within 5 years of diagnosis, 470 (8%) were associated with spatial inequalities in non-diagnostic factors, i.e. factors beyond cancer stage at diagnosis. For breast cancers, of 2,412 deaths, 170 (7%) were related to spatial inequalities in non-diagnostic factors. Quantifying premature deaths can increase incentive for action to reduce these spatial inequalities. (C) 2012 Elsevier Ltd. All rights reserved.
引用
收藏
页码：1412 / 1421
页数：10
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