U.S. congressional district cancer death rates

<p>Abstract</p> <p>Background</p> <p>Geographic patterns of cancer death rates in the U.S. have customarily been presented by county or aggregated into state economic or health service areas. Herein, we present the geographic patterns of cancer death rates in the U.S. b...

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Main Authors: Pickle Linda W, Jemal Ahmedin, Ward Elizabeth M, Hao Yongping, Thun Michael J
Format: Article
Language:English
Published: BMC 2006-06-01
Series:International Journal of Health Geographics
Online Access:http://www.ij-healthgeographics.com/content/5/1/28
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author Pickle Linda W
Jemal Ahmedin
Ward Elizabeth M
Hao Yongping
Thun Michael J
author_facet Pickle Linda W
Jemal Ahmedin
Ward Elizabeth M
Hao Yongping
Thun Michael J
author_sort Pickle Linda W
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Geographic patterns of cancer death rates in the U.S. have customarily been presented by county or aggregated into state economic or health service areas. Herein, we present the geographic patterns of cancer death rates in the U.S. by congressional district. Many congressional districts do not follow state or county boundaries. However, counties are the smallest geographical units for which death rates are available. Thus, a method based on the hierarchical relationship of census geographic units was developed to estimate age-adjusted death rates for congressional districts using data obtained at county level. These rates may be useful in communicating to legislators and policy makers about the cancer burden and potential impact of cancer control in their jurisdictions.</p> <p>Results</p> <p>Mortality data were obtained from the National Center for Health Statistics (NCHS) for 1990–2001 for 50 states, the District of Columbia, and all counties. We computed annual average age-adjusted death rates for all cancer sites combined, the four major cancers (lung and bronchus, prostate, female breast, and colorectal cancer) and cervical cancer. Cancer death rates varied widely across congressional districts for all cancer sites combined, for the four major cancers, and for cervical cancer. When examined at the national level, broad patterns of mortality by sex, race and region were generally similar with those previously observed based on county and state economic area.</p> <p>Conclusion</p> <p>We developed a method to generate cancer death rates by congressional district using county-level mortality data. Characterizing the cancer burden by congressional district may be useful in promoting cancer control and prevention programs, and persuading legislators to enact new cancer control programs and/or strengthening existing ones. The method can be applied to state legislative districts and other analyses that involve data aggregation from different geographic units.</p>
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spelling doaj.art-55ec009578e4431490ec46ba67b29bcf2022-12-21T20:39:41ZengBMCInternational Journal of Health Geographics1476-072X2006-06-01512810.1186/1476-072X-5-28U.S. congressional district cancer death ratesPickle Linda WJemal AhmedinWard Elizabeth MHao YongpingThun Michael J<p>Abstract</p> <p>Background</p> <p>Geographic patterns of cancer death rates in the U.S. have customarily been presented by county or aggregated into state economic or health service areas. Herein, we present the geographic patterns of cancer death rates in the U.S. by congressional district. Many congressional districts do not follow state or county boundaries. However, counties are the smallest geographical units for which death rates are available. Thus, a method based on the hierarchical relationship of census geographic units was developed to estimate age-adjusted death rates for congressional districts using data obtained at county level. These rates may be useful in communicating to legislators and policy makers about the cancer burden and potential impact of cancer control in their jurisdictions.</p> <p>Results</p> <p>Mortality data were obtained from the National Center for Health Statistics (NCHS) for 1990–2001 for 50 states, the District of Columbia, and all counties. We computed annual average age-adjusted death rates for all cancer sites combined, the four major cancers (lung and bronchus, prostate, female breast, and colorectal cancer) and cervical cancer. Cancer death rates varied widely across congressional districts for all cancer sites combined, for the four major cancers, and for cervical cancer. When examined at the national level, broad patterns of mortality by sex, race and region were generally similar with those previously observed based on county and state economic area.</p> <p>Conclusion</p> <p>We developed a method to generate cancer death rates by congressional district using county-level mortality data. Characterizing the cancer burden by congressional district may be useful in promoting cancer control and prevention programs, and persuading legislators to enact new cancer control programs and/or strengthening existing ones. The method can be applied to state legislative districts and other analyses that involve data aggregation from different geographic units.</p>http://www.ij-healthgeographics.com/content/5/1/28
spellingShingle Pickle Linda W
Jemal Ahmedin
Ward Elizabeth M
Hao Yongping
Thun Michael J
U.S. congressional district cancer death rates
International Journal of Health Geographics
title U.S. congressional district cancer death rates
title_full U.S. congressional district cancer death rates
title_fullStr U.S. congressional district cancer death rates
title_full_unstemmed U.S. congressional district cancer death rates
title_short U.S. congressional district cancer death rates
title_sort u s congressional district cancer death rates
url http://www.ij-healthgeographics.com/content/5/1/28
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AT jemalahmedin uscongressionaldistrictcancerdeathrates
AT wardelizabethm uscongressionaldistrictcancerdeathrates
AT haoyongping uscongressionaldistrictcancerdeathrates
AT thunmichaelj uscongressionaldistrictcancerdeathrates