Int J Health Geogr - Utilizing spatial statistics to identify cancer hot spots: a surveillance strategy to inform community-engaged outreach efforts.


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CKGROUND: Utilization of spatial statistics and Geographic Information Systems (GIS) technologies remain underrepresented in the community-engagement literature, despite its potential role in informing community outreach efforts and in identifying populations enthusiastic to participate in biomedical and health research. Such techniques are capable not only of examining the epidemiological relationship between the environment and a disease, but can also focus limited resources and strategically inform where on the landscape outreach efforts may be optimized.METHODS: These analyses present several spatial statistical techniques among the HealthStreet population, a community-engaged organization with aims to link underrepresented populations to medical and social care as well as opportunities to participate in University-sponsored research. Local Indicators of Spatial Association (LISA) and Getis-Ord Gi*(d) statistics are utilized to examine where cancer-related "hot spots" exist among minority and non-minority HealthStreet respondents within Alachua County, Florida, United States (US). Interest in research is also reported, by minority status and lifetime history of cancer.RESULTS: Overall, spatial clustering of cancer was observed to vary by minority status, suggesting disparities may exist among minorities and non-minorities in regards to where cancer is occurring. Specifically, significant hot spots of cancer were observed among non-minorities in more urban areas throughout Alachua County, Florida, US while more rural clusters were observed among minority members, specifically west and southwest of urban city limits.CONCLUSIONS: These results may help focus future outreach efforts to include underrepresented populations in health research, as well as focus preventative and palliative oncological care. Further, global community engaged studies and community outreach efforts outside of the United States may use similar methods to focus limited resources and recruit underrepresented populations into health research.

Resumo Limpo

ckground util spatial statist geograph inform system gis technolog remain underrepres communityengag literatur despit potenti role inform communiti outreach effort identifi popul enthusiast particip biomed health research techniqu capabl examin epidemiolog relationship environ diseas can also focus limit resourc strateg inform landscap outreach effort may optimizedmethod analys present sever spatial statist techniqu among healthstreet popul communityengag organ aim link underrepres popul medic social care well opportun particip universitysponsor research local indic spatial associ lisa getisord gid statist util examin cancerrel hot spot exist among minor nonminor healthstreet respond within alachua counti florida unit state us interest research also report minor status lifetim histori cancerresult overal spatial cluster cancer observ vari minor status suggest dispar may exist among minor nonminor regard cancer occur specif signific hot spot cancer observ among nonminor urban area throughout alachua counti florida us rural cluster observ among minor member specif west southwest urban citi limitsconclus result may help focus futur outreach effort includ underrepres popul health research well focus prevent palliat oncolog care global communiti engag studi communiti outreach effort outsid unit state may use similar method focus limit resourc recruit underrepres popul health research

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