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Municipal distribution of ovarian cancer mortality in Spain.

Abstract

BACKGROUND

Spain was the country that registered the greatest increases in ovarian cancer mortality in Europe. This study describes the municipal distribution of ovarian cancer mortality in Spain using spatial models for small-area analysis.

METHODS

Smoothed relative risks of ovarian cancer mortality were obtained, using the Besag, York and Molliè autoregressive spatial model. Standardised mortality ratios, smoothed relative risks, and distribution of the posterior probability of relative risks being greater than 1 were depicted on municipal maps.

RESULTS

During the study period (1989-1998), 13,869 ovarian cancer deaths were registered in 2,718 Spanish towns, accounting for 4% of all cancer-related deaths among women. The highest relative risks were mainly concentrated in three areas, i.e., the interior of Barcelona and Gerona (north-east Spain), the north of Lugo and Asturias (north-west Spain) and along the Seville-Huelva boundary (in the south-west). Eivissa (Balearic Islands) and El Hierro (Canary Islands) also registered increased risks.

CONCLUSION

Well established ovarian cancer risk factors might not contribute significantly to the municipal distribution of ovarian cancer mortality. Environmental and occupational exposures possibly linked to this pattern and prevalent in specific regions, are discussed in this paper. Small-area geographical studies are effective instruments for detecting risk areas that may otherwise remain concealed on a more reduced scale.

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  • Authors+Show Affiliations

    ,

    CIBER en Epidemiología y Salud Pública, Madrid, Spain. vicarvajal@isciii.es

    , , , , , , , ,

    Source

    BMC cancer 8: 2008 Sep 12 pg 258

    MeSH

    Cities
    Demography
    Female
    Humans
    Ovarian Neoplasms
    Risk Factors
    Spain

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    18789142

    Citation

    Lope, Virginia, et al. "Municipal Distribution of Ovarian Cancer Mortality in Spain." BMC Cancer, vol. 8, 2008, p. 258.
    Lope V, Pollán M, Pérez-Gómez B, et al. Municipal distribution of ovarian cancer mortality in Spain. BMC Cancer. 2008;8:258.
    Lope, V., Pollán, M., Pérez-Gómez, B., Aragonés, N., Vidal, E., Gómez-Barroso, D., ... López-Abente, G. (2008). Municipal distribution of ovarian cancer mortality in Spain. BMC Cancer, 8, p. 258. doi:10.1186/1471-2407-8-258.
    Lope V, et al. Municipal Distribution of Ovarian Cancer Mortality in Spain. BMC Cancer. 2008 Sep 12;8:258. PubMed PMID: 18789142.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Municipal distribution of ovarian cancer mortality in Spain. AU - Lope,Virginia, AU - Pollán,Marina, AU - Pérez-Gómez,Beatriz, AU - Aragonés,Nuria, AU - Vidal,Enrique, AU - Gómez-Barroso,Diana, AU - Ramis,Rebeca, AU - García-Pérez,Javier, AU - Cabanes,Anna, AU - López-Abente,Gonzalo, Y1 - 2008/09/12/ PY - 2008/04/24/received PY - 2008/09/12/accepted PY - 2008/9/16/pubmed PY - 2008/11/19/medline PY - 2008/9/16/entrez SP - 258 EP - 258 JF - BMC cancer JO - BMC Cancer VL - 8 N2 - BACKGROUND: Spain was the country that registered the greatest increases in ovarian cancer mortality in Europe. This study describes the municipal distribution of ovarian cancer mortality in Spain using spatial models for small-area analysis. METHODS: Smoothed relative risks of ovarian cancer mortality were obtained, using the Besag, York and Molliè autoregressive spatial model. Standardised mortality ratios, smoothed relative risks, and distribution of the posterior probability of relative risks being greater than 1 were depicted on municipal maps. RESULTS: During the study period (1989-1998), 13,869 ovarian cancer deaths were registered in 2,718 Spanish towns, accounting for 4% of all cancer-related deaths among women. The highest relative risks were mainly concentrated in three areas, i.e., the interior of Barcelona and Gerona (north-east Spain), the north of Lugo and Asturias (north-west Spain) and along the Seville-Huelva boundary (in the south-west). Eivissa (Balearic Islands) and El Hierro (Canary Islands) also registered increased risks. CONCLUSION: Well established ovarian cancer risk factors might not contribute significantly to the municipal distribution of ovarian cancer mortality. Environmental and occupational exposures possibly linked to this pattern and prevalent in specific regions, are discussed in this paper. Small-area geographical studies are effective instruments for detecting risk areas that may otherwise remain concealed on a more reduced scale. SN - 1471-2407 UR - https://www.unboundmedicine.com/medline/citation/18789142/Municipal_distribution_of_ovarian_cancer_mortality_in_Spain_ L2 - https://bmccancer.biomedcentral.com/articles/10.1186/1471-2407-8-258 DB - PRIME DP - Unbound Medicine ER -