Health Burdens and SES in Alabama: Using Geographic Information System to Examine Prostate Cancer Health Disparity.
Health Burdens and SES in Alabama: Using Geographic Information System to Examine Prostate Cancer Health Disparity.
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DOI：
10.3390/cancers14194824
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发表时间：
2022-10-02
期刊：
影响因子：
5.2
通讯作者：
Mishra, Manoj
中科院分区：
文献类型：
--
作者：
Aladuwaka, Seela;Alagan, Ram;Singh, Rajesh;Mishra, Manoj
该研究的重点是研究阿拉巴马州黑带地区社会经济地位与前列腺癌之间的关系。阿拉巴马州的癌症发病率很高，该州是美国前列腺癌发病率最高的州之一。这项研究旨在找出可能的原因，提高人们的认识，并提出预防癌症的政策。地理信息系统是一项强大的技术，已被用来了解阿拉巴马州县级前列腺癌发病率和死亡率及其与社会经济和健康差距的关系。分析表明，阿拉巴马州的黑带县和非黑带县之间存在明显的社会经济差异。黑带县的贫困率更高。数据显示，先前存在的糖尿病和肥胖状况与前列腺癌密切相关。此外，发病率和死亡率的差异与社会经济地位密切相关，并且先前存在的肥胖和糖尿病状况增加了前列腺癌的发病率。贫困是教育、收入和医疗设施不平等的根源，在非裔美国人中尤其如此，是阿拉巴马州前列腺癌健康负担的原因之一。该研究提出了有效的卫生政策干预，以预防和减少前列腺病例和死亡率在服务不足的社区在阿拉巴马州。社会经济差异影响许多疾病的风险，包括癌症。阿拉巴马州的癌症发病率很高，该州是美国前列腺癌发病率最高的州之一。阿拉巴马州的各县存在着社会经济差异、政治、种族、民族和压迫，其中社会公平和社会经济地位（SES）与前列腺癌密切相关。地理信息系统（GIS）已成为了解公共卫生的一项有价值的技术，在许多应用中，包括癌症。本研究整合了阿拉巴马州县级前列腺癌发病率和死亡率及其与社会经济和健康差距的关系。我们从几个数据源进行了稳健的数据挖掘，如阿拉巴马州癌症概况数据、阿拉巴马州卫生部、美国癌症协会、疾病控制中心和国家癌症研究所。研究方法是地理信息系统（GIS），我们使用GIS中的前列腺癌数据来了解阿拉巴马州与SES相关的前列腺癌患病率。GIS分析表明，阿拉巴马州的黑带县和非黑带县之间存在明显的社会经济差异。黑带县的贫困率也明显高于非黑带县。此外，我们还按种族分析了家庭收入中位数。我们的分析表明，与非西班牙裔白人和非洲裔美国人相比，该州亚裔背景人口的收入中位数最高。此外，数据还显示，先前存在的糖尿病和肥胖状况与前列腺癌密切相关。GIS分析表明，前列腺癌发病率和死亡率的差异与SES密切相关。此外，先前存在的肥胖和糖尿病状况增加了前列腺癌的发病率。贫困还反映了教育、收入和医疗设施方面的不平等，尤其是在非裔美国人中，这是阿拉巴马州前列腺癌健康负担的原因之一。
The focus of the research was to examine the relationship between Socioeconomic status and prostate cancer in Alabama’s Black Belt region. The cancer rate in Alabama is high, and the state has one of the highest rates of prostate cancer in the USA. The research aims to identify probable reasons, raise awareness, and propose cancer prevention policies. The Geographic Information System, a robust technology, has been adopted to understand Alabama’s county-level prostate cancer incidence and mortality and its association with socioeconomic and health disparities. The analysis indicated an apparent socioeconomic disparity between the Black Belt and Non-Black Belt counties of Alabama. The poverty rate is higher in Black Belt counties. The data revealed that the preexisting condition of diabetes and obesity is closely associated with prostate cancer. Also, incidence and mortality disparities strongly relate to socioeconomic status, and the preexisting condition of obesity and diabetes adds to prostate cancer incidences. Poverty is the root course of inequalities in education, income, and healthcare facilities, particularly among African Americans, contributing to Alabama’s health burden of prostate cancer. The study proposes effective health policy intervention to prevent and reduce prostate cases and mortality among underserved communities in Alabama. Socioeconomic disparities influence the risk of many diseases, including cancer. The cancer rate in Alabama is high, and the state has one of the highest rates of prostate cancer in the USA. Alabama’s counties are embedded with socioeconomic disparities, politics, race, ethnicity, and oppression, among which social equity and socioeconomic status (SES) been closely associated with prostate cancer. The Geographic Information System (GIS) has become a valuable technology in understanding public health in many applications, including cancer. This study integrates Alabama’s county-level prostate cancer incidence and mortality and its association with socioeconomic and health disparities. We conducted robust data mining from several data sources such as the Alabama State Cancer Profile data, Alabama Department of Health, American Cancer Society, Center for Disease Control, and National Cancer Institute. The research method is the Geographic Information System (GIS), and we employed prostate cancer data within GIS to understand Alabama’s prostate cancer prevalence regarding SES. The GIS analysis indicated an apparent socioeconomic disparity between the Black Belt and Non-Black Belt counties of Alabama. The Black Belt counties’ poverty rate is also remarkably higher than non-Black Belt counties. In addition, we analyzed the median household income by race. Our analysis demonstrates that the Asian background population in the state earned the highest median income compared to non-Hispanic whites and the African American population. Furthermore, the data revealed that the preexisting condition of diabetes and obesity is closely associated with prostate cancer. The GIS analysis suggests that prostate cancer incidence and mortality disparities are strongly related to SES. In addition, the preexisting condition of obesity and diabetes adds to prostate cancer incidences. Poverty also reflects inequalities in education, income, and healthcare facilities, particularly among African Americans, contributing to Alabama’s health burden of prostate cancer.
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DOI：
10.1016/j.juro.2017.04.101
发表时间：
2017-10
期刊：
The Journal of urology
影响因子：
--
作者：
Fulgham PF;Rukstalis DB;Turkbey IB;Rubenstein JN;Taneja S;Carroll PR;Pinto PA;Bjurlin MA;Eggener S
通讯作者：
Eggener S
影响因子：
4.7
作者：
Abel, Mary Kathryn;Liao, Cheng-, I;Chan, John K.
通讯作者：
Chan, John K.
影响因子：
0.9
作者：
Ben Khadhra, H.;Saint, F.;Ganry, O.
通讯作者：
Ganry, O.
影响因子：
3.5
作者：
Ilie, Gabriela;Rutledge, Robert;Sweeney, Ellen
通讯作者：
Sweeney, Ellen
影响因子：
6.4
作者：
Ferlay, Jacques;Colombet, Murielle;Bray, Freddie
通讯作者：
Bray, Freddie