Socioeconomic, environmental, and geographic factors and US lung cancer mortality, 1999–2009
Background: The American Cancer Society estimates that about 25% of all US cancer deaths will be due to lung cancer – more than from cancers of the colon, breast, and prostate combined. Methods: We ascertained county-level age-adjusted and age-specific death rates and 95% confidence intervals from t...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2017-05-01
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| Series: | Family Medicine and Community Health |
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| Online Access: | http://www.ingentaconnect.com/content/cscript/fmch/2017/00000005/00000001/art00002 |
| _version_ | 1828810249543352320 |
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| author | Maria C. Mejia de Grubb Barbara Kilbourne Katy Kilbourne Michael Langston Lisa Gittner Roger J. Zoorob Robert Levine |
| author_facet | Maria C. Mejia de Grubb Barbara Kilbourne Katy Kilbourne Michael Langston Lisa Gittner Roger J. Zoorob Robert Levine |
| author_sort | Maria C. Mejia de Grubb |
| collection | DOAJ |
| description | Background: The American Cancer Society estimates that about 25% of all US cancer deaths will be due to lung cancer – more than from cancers of the colon, breast, and prostate combined. Methods: We ascertained county-level age-adjusted and age-specific death rates and 95% confidence intervals from the Centers for Disease Control and Prevention Compressed Mortality File. Multiple regression analyses were used to estimate the strength and direction of relationships between county poverty, smoking, fine particulate matter (PM2.5) air pollution, and US Census divisions and race- and sex-specific lung cancer deaths. Results: Poverty, smoking, and particulate matter air pollution were positively and significantly related to lung cancer deaths among white men, but of these, only poverty and smoking were significantly associated with lung cancer deaths among white women. Residence in the South Atlantic, East South Central, and West South Central US Census divisions at the time of death was significantly associated with lung cancer deaths for both white men and white women. As with white men, poverty and smoking were associated with lung cancer deaths among black men, but of these, only adult smoking had a statistically significant association among black women. Conclusions: The results support the need for further research, particularly in high-risk areas, to better differentiate factors specific to race and sex and to understand the impact of local risk factors. |
| first_indexed | 2024-12-12T09:09:07Z |
| format | Article |
| id | doaj.art-64f7c58d14b44fe3be8cec10d4c4be43 |
| institution | Directory Open Access Journal |
| issn | 2305-6983 2009-8774 |
| language | English |
| last_indexed | 2024-12-12T09:09:07Z |
| publishDate | 2017-05-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | Family Medicine and Community Health |
| spelling | doaj.art-64f7c58d14b44fe3be8cec10d4c4be432022-12-22T00:29:34ZengBMJ Publishing GroupFamily Medicine and Community Health2305-69832009-87742017-05-015131210.15212/FMCH.2017.0108Socioeconomic, environmental, and geographic factors and US lung cancer mortality, 1999–2009Maria C. Mejia de Grubb0Barbara Kilbourne1Katy Kilbourne2Michael Langston3Lisa Gittner4Roger J. Zoorob5Robert Levine6Department of Family and Community Medicine, Baylor College of Medicine, Houston, TX, USASociology Department, Tennessee State University, Nashville, TN, USADepartment of Family and Community Medicine, Meharry Medical College, Nashville, TN, USADepartment of Electrical Engineering and Computer Science, University of Tennessee, Knoxville, TN, USADepartment of Political Science, Texas Tech University College of Arts and Sciences, Lubbock, TX, USADepartment of Family and Community Medicine, Baylor College of Medicine, Houston, TX, USADepartment of Family and Community Medicine, Baylor College of Medicine, Houston, TX, USABackground: The American Cancer Society estimates that about 25% of all US cancer deaths will be due to lung cancer – more than from cancers of the colon, breast, and prostate combined. Methods: We ascertained county-level age-adjusted and age-specific death rates and 95% confidence intervals from the Centers for Disease Control and Prevention Compressed Mortality File. Multiple regression analyses were used to estimate the strength and direction of relationships between county poverty, smoking, fine particulate matter (PM2.5) air pollution, and US Census divisions and race- and sex-specific lung cancer deaths. Results: Poverty, smoking, and particulate matter air pollution were positively and significantly related to lung cancer deaths among white men, but of these, only poverty and smoking were significantly associated with lung cancer deaths among white women. Residence in the South Atlantic, East South Central, and West South Central US Census divisions at the time of death was significantly associated with lung cancer deaths for both white men and white women. As with white men, poverty and smoking were associated with lung cancer deaths among black men, but of these, only adult smoking had a statistically significant association among black women. Conclusions: The results support the need for further research, particularly in high-risk areas, to better differentiate factors specific to race and sex and to understand the impact of local risk factors.http://www.ingentaconnect.com/content/cscript/fmch/2017/00000005/00000001/art00002Lung cancermortalitygeographicrisk factorsenvironmentalhot spot |
| spellingShingle | Maria C. Mejia de Grubb Barbara Kilbourne Katy Kilbourne Michael Langston Lisa Gittner Roger J. Zoorob Robert Levine Socioeconomic, environmental, and geographic factors and US lung cancer mortality, 1999–2009 Family Medicine and Community Health Lung cancer mortality geographic risk factors environmental hot spot |
| title | Socioeconomic, environmental, and geographic factors and US lung cancer mortality, 1999–2009 |
| title_full | Socioeconomic, environmental, and geographic factors and US lung cancer mortality, 1999–2009 |
| title_fullStr | Socioeconomic, environmental, and geographic factors and US lung cancer mortality, 1999–2009 |
| title_full_unstemmed | Socioeconomic, environmental, and geographic factors and US lung cancer mortality, 1999–2009 |
| title_short | Socioeconomic, environmental, and geographic factors and US lung cancer mortality, 1999–2009 |
| title_sort | socioeconomic environmental and geographic factors and us lung cancer mortality 1999 2009 |
| topic | Lung cancer mortality geographic risk factors environmental hot spot |
| url | http://www.ingentaconnect.com/content/cscript/fmch/2017/00000005/00000001/art00002 |
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