Lung cancer mortality clusters in urban and rural areas of Shandong Province, China: A spatial scan statistical analysis

Precision Radiation Oncology

article

Zhentao Fu¹  Yingmei Li²  Jie Chu¹  Jiandong Sun³  Zilong Lu¹  Jiyu Zhang¹  Xianxian Chen¹  Gaohui Zhang¹  Fuzhong Xue⁴  Xiaolei Guo¹  Aiqiang Xu¹ 

[1] Shandong Center for Disease Control and Prevention;The Second People's Hospital of Jinan;School of Public Health and Social Work, Queensland University of Technology;School of Public Health, Shandong University

关键词: lung cancer;    mortality;    Shandong;    spatial scan statistics;   

DOI  :  10.1002/pro6.62

学科分类：社会科学、人文和艺术（综合）

来源: Wiley

【 摘 要 】

Objective: To detect the spatial distribution and high-risk clusters of lung cancer mortality for the years 2011–2013 in Shandong Province, China. The urban–rural differences in the spatial distribution and clusters of disease mortality were also examined. Methods: Lung cancer mortality data were obtained from Shandong Death Registration System during 2011–2013, and were adjusted with the underreporting rate. The purely spatial scan statistics method was carried out using a discrete Poisson model. Results: Seven significant spatial clusters of high mortality of lung cancer were detected in Shandong Province at the county level, mainly in the eastern, northern, central, and southwestern regions. The spatial distributions were different between urban and rural populations. Population aging influenced the distribution of lung cancer clusters for the urban and rural eastern region residents. Conclusions: This study provided evidence for the presence of clusters of lung cancer mortality in Shandong, China, and found urban–rural differences in the clusters, which might be helpful in developing effective strategies to control lung cancer in different areas.

【 授权许可】

CC BY|CC BY-NC|CC BY-NC-ND