Spat Spatiotemporal Epidemiol - Spatial patterns of human papillomavirus-associated cancers within the state of Minnesota, 1998-2007.

Tópicos

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Resumo

Human papillomavirus (HPV) infection in women is a concern because it is considered a necessary cause of cervical cancer. Male HPV infection is also an important concern, both for the HPV-associated cancer burden in men and for the risk of transmission to women. Effective screening programs have greatly reduced cervical cancer incidence and mortality. HPV vaccines are expected to further reduce the burden of cervical cancer and other HPV-related cancers. However, disparities in terms of screening and HPV vaccination exist across the United States. In order to accurately identify areas of disparity, the spatial distributions of HPV-associated cancers has to be determined. To date, the geographic distribution and pattern exhibited by all HPV-associated cancers that accounts for spatial dependence have not been analyzed at a local level (i.e. county or ZIP code). This study analyzed the spatial dependence and pattern of HPV-associated cancers in Minnesota from 1998 to 2007 using sparse spatial generalized linear mixed models and scan statistics for cluster detection. A strong clustering pattern was seen in the northern region of Minnesota for both men and women. Separate cluster analyses by gender identified areas of overlapping disease burden. The patterns observed in this analysis demonstrate the need to account for spatial dependence when analyzing disease rates for geographic areas (i.e. county or ZIP codes) since spatial analyses of HPV-associated cancers have the potential to identify areas with the highest HPV disease burden and may serve to uncover areas where policies and HPV vaccination strategies can be most beneficial.

Resumo Limpo

human papillomavirus hpv infect women concern consid necessari caus cervic cancer male hpv infect also import concern hpvassoci cancer burden men risk transmiss women effect screen program great reduc cervic cancer incid mortal hpv vaccin expect reduc burden cervic cancer hpvrelat cancer howev dispar term screen hpv vaccin exist across unit state order accur identifi area dispar spatial distribut hpvassoci cancer determin date geograph distribut pattern exhibit hpvassoci cancer account spatial depend analyz local level ie counti zip code studi analyz spatial depend pattern hpvassoci cancer minnesota use spars spatial general linear mix model scan statist cluster detect strong cluster pattern seen northern region minnesota men women separ cluster analys gender identifi area overlap diseas burden pattern observ analysi demonstr need account spatial depend analyz diseas rate geograph area ie counti zip code sinc spatial analys hpvassoci cancer potenti identifi area highest hpv diseas burden may serv uncov area polici hpv vaccin strategi can benefici

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