Understanding geographic and racial/ethnic disparities in mortality from four major cancers in the state of Georgia: a spatial epidemiologic analysis, 1999–2019
Abstract We examined geographic and racial variation in cancer mortality within the state of Georgia, and investigated the correlation between the observed spatial differences and county-level characteristics. We analyzed county-level cancer mortality data collected by the Centers for Disease Contro...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2022-08-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-022-18374-7 |
| _version_ | 1818497889446395904 |
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| author | Justin Xavier Moore Martha S. Tingen Steven S. Coughlin Christine O’Meara Lorriane Odhiambo Marlo Vernon Samantha Jones Robert Petcu Ryan Johnson K. M. Islam Darryl Nettles Ghadeer Albashir Jorge Cortes |
| author_facet | Justin Xavier Moore Martha S. Tingen Steven S. Coughlin Christine O’Meara Lorriane Odhiambo Marlo Vernon Samantha Jones Robert Petcu Ryan Johnson K. M. Islam Darryl Nettles Ghadeer Albashir Jorge Cortes |
| author_sort | Justin Xavier Moore |
| collection | DOAJ |
| description | Abstract We examined geographic and racial variation in cancer mortality within the state of Georgia, and investigated the correlation between the observed spatial differences and county-level characteristics. We analyzed county-level cancer mortality data collected by the Centers for Disease Control and Prevention on breast, colorectal, lung, and prostate cancer mortality among adults (aged ≥ 18 years) in 159 Georgia counties from years 1999 through 2019. Geospatial methods were applied, and we identified hot spot counties based on cancer mortality rates overall and stratified by non-Hispanic white (NH-white) and NH-black race/ethnicity. Among all adults, 5.0% (8 of 159), 8.2% (13 of 159), 5.0% (8 of 159), and 6.9% (11 of 159) of Georgia counties were estimated hot spots for breast cancer, colorectal, lung, and prostate cancer mortality, respectively. Cancer mortality hot spots were heavily concentrated in three major areas: (1) eastern Piedmont to Coastal Plain regions, (2) southwestern rural Georgia area, or (3) northern-most rural Georgia. Overall, hot spot counties generally had higher proportion of NH-black adults, older adult population, greater poverty, and more rurality. In Georgia, targeted cancer prevention strategies and allocation of health resources are needed in counties with elevated cancer mortality rates, focusing on interventions suitable for NH-black race/ethnicity, low-income, and rural residents. |
| first_indexed | 2024-12-10T18:51:04Z |
| format | Article |
| id | doaj.art-95067ab72adf481bb663beb76b842473 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-12-10T18:51:04Z |
| publishDate | 2022-08-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-95067ab72adf481bb663beb76b8424732022-12-22T01:37:18ZengNature PortfolioScientific Reports2045-23222022-08-0112111210.1038/s41598-022-18374-7Understanding geographic and racial/ethnic disparities in mortality from four major cancers in the state of Georgia: a spatial epidemiologic analysis, 1999–2019Justin Xavier Moore0Martha S. Tingen1Steven S. Coughlin2Christine O’Meara3Lorriane Odhiambo4Marlo Vernon5Samantha Jones6Robert Petcu7Ryan Johnson8K. M. Islam9Darryl Nettles10Ghadeer Albashir11Jorge Cortes12Department of Medicine, Georgia Prevention Institute, Cancer Prevention, Control, & Population Health, Medical College of Georgia, Georgia Cancer Center, Augusta UniversityDepartment of Medicine, Georgia Prevention Institute, Cancer Prevention, Control, & Population Health, Medical College of Georgia, Georgia Cancer Center, Augusta UniversityInstitute of Preventive and Public Health, Medical College of Georgia, Augusta UniversityDepartment of Medicine, Georgia Prevention Institute, Cancer Prevention, Control, & Population Health, Medical College of Georgia, Georgia Cancer Center, Augusta UniversityInstitute of Preventive and Public Health, Medical College of Georgia, Augusta UniversityDepartment of Medicine, Georgia Prevention Institute, Cancer Prevention, Control, & Population Health, Medical College of Georgia, Georgia Cancer Center, Augusta UniversityDepartment of Medicine, Georgia Prevention Institute, Cancer Prevention, Control, & Population Health, Medical College of Georgia, Georgia Cancer Center, Augusta UniversityDepartment of Medicine, Georgia Prevention Institute, Cancer Prevention, Control, & Population Health, Medical College of Georgia, Georgia Cancer Center, Augusta UniversityDepartment of Medicine, Georgia Prevention Institute, Cancer Prevention, Control, & Population Health, Medical College of Georgia, Georgia Cancer Center, Augusta UniversityInstitute of Preventive and Public Health, Medical College of Georgia, Augusta UniversityDepartment of Medicine, Georgia Prevention Institute, Cancer Prevention, Control, & Population Health, Medical College of Georgia, Georgia Cancer Center, Augusta UniversityDepartment of Medicine, Georgia Prevention Institute, Cancer Prevention, Control, & Population Health, Medical College of Georgia, Georgia Cancer Center, Augusta UniversityGeorgia Cancer Center, Augusta UniversityAbstract We examined geographic and racial variation in cancer mortality within the state of Georgia, and investigated the correlation between the observed spatial differences and county-level characteristics. We analyzed county-level cancer mortality data collected by the Centers for Disease Control and Prevention on breast, colorectal, lung, and prostate cancer mortality among adults (aged ≥ 18 years) in 159 Georgia counties from years 1999 through 2019. Geospatial methods were applied, and we identified hot spot counties based on cancer mortality rates overall and stratified by non-Hispanic white (NH-white) and NH-black race/ethnicity. Among all adults, 5.0% (8 of 159), 8.2% (13 of 159), 5.0% (8 of 159), and 6.9% (11 of 159) of Georgia counties were estimated hot spots for breast cancer, colorectal, lung, and prostate cancer mortality, respectively. Cancer mortality hot spots were heavily concentrated in three major areas: (1) eastern Piedmont to Coastal Plain regions, (2) southwestern rural Georgia area, or (3) northern-most rural Georgia. Overall, hot spot counties generally had higher proportion of NH-black adults, older adult population, greater poverty, and more rurality. In Georgia, targeted cancer prevention strategies and allocation of health resources are needed in counties with elevated cancer mortality rates, focusing on interventions suitable for NH-black race/ethnicity, low-income, and rural residents.https://doi.org/10.1038/s41598-022-18374-7 |
| spellingShingle | Justin Xavier Moore Martha S. Tingen Steven S. Coughlin Christine O’Meara Lorriane Odhiambo Marlo Vernon Samantha Jones Robert Petcu Ryan Johnson K. M. Islam Darryl Nettles Ghadeer Albashir Jorge Cortes Understanding geographic and racial/ethnic disparities in mortality from four major cancers in the state of Georgia: a spatial epidemiologic analysis, 1999–2019 Scientific Reports |
| title | Understanding geographic and racial/ethnic disparities in mortality from four major cancers in the state of Georgia: a spatial epidemiologic analysis, 1999–2019 |
| title_full | Understanding geographic and racial/ethnic disparities in mortality from four major cancers in the state of Georgia: a spatial epidemiologic analysis, 1999–2019 |
| title_fullStr | Understanding geographic and racial/ethnic disparities in mortality from four major cancers in the state of Georgia: a spatial epidemiologic analysis, 1999–2019 |
| title_full_unstemmed | Understanding geographic and racial/ethnic disparities in mortality from four major cancers in the state of Georgia: a spatial epidemiologic analysis, 1999–2019 |
| title_short | Understanding geographic and racial/ethnic disparities in mortality from four major cancers in the state of Georgia: a spatial epidemiologic analysis, 1999–2019 |
| title_sort | understanding geographic and racial ethnic disparities in mortality from four major cancers in the state of georgia a spatial epidemiologic analysis 1999 2019 |
| url | https://doi.org/10.1038/s41598-022-18374-7 |
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