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Title: Geographical and Temporal Variations in Female Breast Cancer Mortality in the Municipalities of Andalusia (Southern Spain)
Authors: Ocaña-Riola, Ricardo
Montaño-Remacha, Carmen
Mayoral-Cortés, José María
metadata.dc.contributor.authoraffiliation: [Ocaña-Riola,R] Escuela Andaluza de Salud Pública, Spain. [Ocaña-Riola,R] Instituto de Investigación Biosanitaria de Granada, Spain. [Montaño-Remacha,C; Mayoral-Cortés,JM] Servicio de Epidemiología y Salud Laboral, Dirección General de Salud Pública y Ordenación Farmacéutica, Secretaría General de Salud Pública y Consumo, Consejería de Salud de la Junta de Andalucía, Spain.
Keywords: Neoplasias de la mama;España;Mortalidad;Teorema de Bayes;Sistemas de Información Geográfica;Breast cancer;Mortality;Geographical Information System;Bayesian analysis;Small areas;Spatial statistics;Trend analysis;Andalusia;Spain
metadata.dc.subject.mesh: Medical Subject Headings::Diseases::Neoplasms::Neoplasms by Site::Breast Neoplasms
Medical Subject Headings::Geographicals::Geographic Locations::Europe::Spain
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Probability::Bayes Theorem
Medical Subject Headings::Information Science::Information Science::Information Storage and Retrieval::Databases as Topic::Databases, Factual::Geographic Information Systems
Medical Subject Headings::Disciplines and Occupations::Natural Science Disciplines::Earth Sciences::Geography
Medical Subject Headings::Check Tags::Female
Medical Subject Headings::Geographical Locations::Geographic Locations::Europe::Spain
Issue Date: 22-Nov-2016
Publisher: MDPI Journals
Citation: Ocaña-Riola R, Montaño-Remacha C, Mayoral-Cortés JM. Geographical and Temporal Variations in Female Breast Cancer Mortality in the Municipalities of Andalusia (Southern Spain). Int J Environ Res Public Health. 2016 Nov 22;13(11);13(11)
Abstract: The last published figures have shown geographical variations in mortality with respect to female breast cancer in European countries. However, national health policies need a dynamic image of the geographical variations within the country. The aim of this paper was to describe the spatial distribution of age-specific mortality rates from female breast cancer in the municipalities of Andalusia (southern Spain) and to analyze its evolution over time from 1981 to 2012. An ecological study was devised. Two spatio-temporal hierarchical Bayesian models were estimated. One of these was used to estimate the age-specific mortality rate for each municipality, together with its time trends, and the other was used to estimate the age-specific rate ratio compared with Spain as a whole. The results showed that 98% of the municipalities exhibited a decreasing or a flat mortality trend for all the age groups. In 2012, the geographical variability of the age-specific mortality rates was small, especially for population groups below 65. In addition, more than 96.6% of the municipalities showed an age-specific mortality rate similar to the corresponding rate for Spain, and there were no identified significant clusters. This information will contribute towards a reflection on the past, present and future of breast cancer outcomes in Andalusia
metadata.dc.identifier.doi: 10.3390/ijerph13111162
ISSN: 1660-4601 (Online)
Appears in Collections:01- Artículos - Consejería de Salud y Consumo
01- Artículos - EASP. Escuela Andaluza de Salud Pública
01- Artículos - ibsGRANADA. Instituto de Investigación Biosanitaria de Granada

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