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Title: Municipal distribution of bladder cancer mortality in Spain: Possible role of mining and industry
Authors: Lopez-Abente, Gonzalo
Aragones, Nuria
Ramis, Rebeca
Hernandez-Barrera, Valentin
Perez-Gomez, Beatriz
Escolar-Pujolar, Antonio
Pollan, Marina
metadata.dc.contributor.authoraffiliation: [Lopez-Abente, G; Aragones, N; Ramis, R; Hernández-Barrera, V; Pérez-Gómez, B; Pollán, M] Environmental and Cancer Epidemiology Unit, National Centre for Epidemiology, Carlos III Institute of Health, Madrid, Spain. [Escolar-Pujolar, A] Servicio de Medicina Preventiva, Hospital Universitario Puerta del Mar, Cádiz, Spain
Keywords: Teorema de Bayes;Adulto;Neoplasias pulmonares;Mediana edad;Exposición Profesional;Epidemiología;Factores de riesgo;Distribución por sexo;Fumadores;España;Salud urbana;Neoplasias de la vejiga;Adolescente
metadata.dc.subject.mesh: Medical Subject Headings::Named Groups::Persons::Age Groups::Adult
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Probability::Bayes Theorem
Medical Subject Headings::Check Tags::Female
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Technology, Industry, Agriculture::Technology, Industry, and Agriculture::Industry
Medical Subject Headings::Diseases::Respiratory Tract Diseases::Respiratory Tract Neoplasms::Lung Neoplasms
Medical Subject Headings::Check Tags::Male
Medical Subject Headings::Named Groups::Persons::Age Groups::Adult::Middle Aged
Medical Subject Headings::Technology, Industry, Agriculture::Technology, Industry, and Agriculture::Industry::Extraction and Processing Industry::Mining
Medical Subject Headings::Health Care::Environment and Public Health::Public Health::Environmental Pollution::Environmental Exposure::Occupational Exposure
Medical Subject Headings::Health Care::Environment and Public Health::Public Health::Epidemiologic Methods::Statistics as Topic::Probability::Odds Ratio
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Data Collection::Vital Statistics::Morbidity::Prevalence
Medical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Quality of Health Care::Epidemiologic Factors::Causality::Risk Factors
Medical Subject Headings::Disciplines and Occupations::Social Sciences::Demography::Sex Distribution
Medical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Behavior::Habits::Smoking
Medical Subject Headings::Geographicals::Geographic Locations::Europe::Spain
Medical Subject Headings::Health Care::Population Characteristics::Health::Urban Health
Medical Subject Headings::Diseases::Neoplasms::Neoplasms by Site::Urogenital Neoplasms::Urologic Neoplasms::Urinary Bladder Neoplasms
Medical Subject Headings::Named Groups::Persons::Age Groups::Adolescent
Issue Date: 27-Jan-2006
Publisher: Biomed Central Ltd
Citation: Lopez-Abente G, Aragones N, Ramis R, Hernandez-Barrera V, Perez-Gomez B, Escolar-Pujolar A, et al. Municipal distribution of bladder cancer mortality in Spain: possible role of mining and industry. BMC Public Health; 2006, 6:17
Abstract: BACKGROUND Spain shows the highest bladder cancer incidence rates in men among European countries. The most important risk factors are tobacco smoking and occupational exposure to a range of different chemical substances, such as aromatic amines. METHODS This paper describes the municipal distribution of bladder cancer mortality and attempts to "adjust" this spatial pattern for the prevalence of smokers, using the autoregressive spatial model proposed by Besag, York and Molliè, with relative risk of lung cancer mortality as a surrogate. RESULTS It has been possible to compile and ascertain the posterior distribution of relative risk for bladder cancer adjusted for lung cancer mortality, on the basis of a single Bayesian spatial model covering all of Spain's 8077 towns. Maps were plotted depicting smoothed relative risk (RR) estimates, and the distribution of the posterior probability of RR>1 by sex. Towns that registered the highest relative risks for both sexes were mostly located in the Provinces of Cadiz, Seville, Huelva, Barcelona and Almería. The highest-risk area in Barcelona Province corresponded to very specific municipal areas in the Bages district, e.g., Suría, Sallent, Balsareny, Manresa and Cardona. CONCLUSION Mining/industrial pollution and the risk entailed in certain occupational exposures could in part be dictating the pattern of municipal bladder cancer mortality in Spain. Population exposure to arsenic is a matter that calls for attention. It would be of great interest if the relationship between the chemical quality of drinking water and the frequency of bladder cancer could be studied.
Description: Comparative Study; Journal Article;
metadata.dc.identifier.doi: 10.1186/1471-2458-6-17
ISSN: 1471-2458 (Online)
Appears in Collections:01- Artículos - Hospital Puerta del Mar

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