17
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Análisis de la distribución geográfica del cáncer en Montevideo

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Con el fin de examinar los patrones de distribución geográfica en Montevideo de los tumores primarios malignos en todas las localizaciones anatómicas (y testar su posible homogeneidad), se estudiaron los datos de incidencia de cáncer en la capital en el quinquenio 1993-97, provenientes del Registro Nacional de Cáncer del Ministerio de Salud Pública (MSP). Agrupando los barrios de Montevideo según su cercanía geográfica y su similitud en estilo de vida -con la guía de índices de carencia de abastecimiento de agua y de carencias en general-, se determinaron ocho zonas, cinco urbanas -costera, central, este, norte y oeste- y tres rurales -oeste, norte y este-. Se sometieron los datos a análisis descriptivos básicos y a un test de correspondencias con el fin de analizar la asociación o independencia entre las variables estudiadas. Se constató una mayor frecuencia de cáncer, en general, en las zonas urbanas que en las rurales. En mayores de 65 años, las zonas costera y central aparecieron asociadas por su alta incidencia de cáncer de mama, próstata, colon y recto; la zona rural este presentó baja incidencia de tumores en todas las localizaciones. Se plantea la realización de futuros estudios para investigación del rol de posibles factores ambientales y de estilos de vida asociados con los cánceres examinados

          Translated abstract

          Résumé Dans le but d’examiner les données de distribution géogra-phique à Montevideo des tumeurs primaires malignes à toutes les localisations anatomiques (et de tester leur probable homogénéité), on a étudié les données d’incidence du cancer à la capitale en 1993-97 du Registre National de Cancer du Ministère de la Santé Publique (MSP). On a regroupé les quartiers de Montevideo selon leur proximité géographique et leur style de vie -avec le repère d’indicateurs du manque d’approvisionnement en eau et d’autres carences-, et on a déterminé huit zones dont cinq urbaines -côtière, centrale, est, nord et ouest- et trois rurales-ouest, nord et est. On a fait une analyse descriptive de base et un test de correspondances des données, afin d’étudier le lien ou l’indépendance parmi les variables obtenues. On a constaté une plus grande fréquence de cancer, en général, dans les zones urbaines que dans les rurales. Pour les majeurs de 65 ans, les zones côtière et centrale ont été associées à une grande incidence de cancer de sein, de prostate, de colon et de rectum; la zone rurale Est a présenté une basse incidence de tumeurs. On propose la réalisation d’autres études pour analyser le rôle des facteurs environnants et du style de vie associés aux cancers examinés.

          Translated abstract

          Summary To analyse pattern of geographic distribution of patients with any primary neoplasm in Montevideo, we examined data of cancer incidence for five years (1993-1997) provided by the National Cancer Record, Ministry of Health (Registro Nacional de Cáncer, Ministerio de Salud Pública, MSP). Neighbourhoods were grouped according to geographic and lifestyle closeness, considering water supply and other services scarcity indexes. Five urban areas (coastal, central, eastern, northern and western) and three suburban areas were drawn. Associations between variables were studied by means of descriptive and correspondence analysis. Results showed higher incidence of cancer in urban areas comparing to suburban areas. The coastal and central areas were associated with high incidence of breast, prostate, colon and rectum cancer among people older than 65 years. Suburban areas showed lower incidence of any kind of cancer. Further studies need to be done to detect environmental and lifestyle factors associated with cancer.

          Related collections

          Most cited references23

          • Record: found
          • Abstract: found
          • Article: not found

          Interactive spatial data analysis in medical geography.

          Interactive spatial data analysis involves the use of software environments that permit the visualization, exploration and, perhaps, modelling of geographically-referenced data. Such systems are of obvious value in epidemiological research, both of an environmental and geographical nature. There is an increasing number of such software environments available on a variety of platforms and operating systems. This paper considers the use of the proprietary Geographical Information System, ARC/INFO, in a spatial analysis context, showing how the spatial analytic tools that may be added to it can be exploited by geographical epidemiologists; such tools include those for modelling possible raised incidence of disease around suspected sources of pollution. The paper also reviews the use of systems such as S-Plus and XLISP-STAT, statistical programming environments to which spatial analysis functions or libraries may be added. The use of INFO-MAP, a system designed to aid in the teaching of interactive spatial data analysis, is also highlighted. The various software environments are illustrated with reference to examples concerned with: clustering of childhood leukaemia in part of Lancashire, England; Burkitt's lymphoma in Uganda; larynx cancer in Lancashire; and childhood mortality in Auckland, New Zealand.
            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            SPSS Inc

            (2009)
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Multi-level modelling of geographically aggregated health data: a case study on malignant melanoma mortality and UV exposure in the European Community.

              A multi-level modelling approach is used to examine the variance in mortality rates from malignant melanoma at different geographical scales within nine European nations with reference to exposure to ultraviolet light (UVB). For males and females, the greatest variations in the relationship between UVB exposure and mortality are seen between nations, rather than regions and sub-regions within nations. This suggests that factors and characteristics acting at a national scale, such as genetic and behavioural differences, are of importance. Multi-level modelling is used to show how a previous suggestion of a quadratic association between UVB exposure and malignant melanoma across Europe is unlikely to be true. The general usefulness of multi-level modelling in the analysis of disease data which is structured in a hierarchy is discussed, with particular reference to geographical analyses of small area data.
                Bookmark

                Author and article information

                Contributors
                Role: ND
                Role: ND
                Journal
                rmu
                Revista Médica del Uruguay
                Rev. Méd. Urug.
                Sindicato Médico del Uruguay (Montevideo )
                1688-0390
                May 2002
                : 18
                : 1
                : 36-47
                Article
                S1688-03902002000100005
                fd1382a3-4d09-46cf-9372-5ff06d64ae8d

                http://creativecommons.org/licenses/by/4.0/

                History
                Product

                SciELO Uruguay

                Self URI (journal page): http://www.scielo.edu.uy/scielo.php?script=sci_serial&pid=1688-0390&lng=en
                Categories
                MEDICAL LABORATORY TECHNOLOGY
                MEDICINE, GENERAL & INTERNAL
                MEDICINE, LEGAL
                MEDICINE, RESEARCH & EXPERIMENTAL
                ONCOLOGY
                SURGERY

                Oncology & Radiotherapy,Social law,Medicine,Surgery,Clinical chemistry,Internal medicine
                FACTORES EPIDEMOLOGICOS.,NEOPLASMAS,URUGUAY

                Comments

                Comment on this article