Area-based socioeconomic position and adult glioma: a hierarchical analysis of surveillance epidemiology and end results data

Glioma rates vary by demographic factors and geo-political boundaries and this variation suggests higher glioma rates in groups of higher socioeconomic position. The primary goal of this analysis is to investigate the relationship between glioma and county socioeconomic position using U.S. Surveilla...

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Veröffentlicht in:PloS one 2013-04, Vol.8 (4), p.e60910
Hauptverfasser: Plascak, Jesse J, Fisher, James L
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description Glioma rates vary by demographic factors and geo-political boundaries and this variation suggests higher glioma rates in groups of higher socioeconomic position. The primary goal of this analysis is to investigate the relationship between glioma and county socioeconomic position using U.S. Surveillance Epidemiology and End Results (SEER) data. Cases were individuals 25+ years diagnosed with glioma between 2000 and 2006 and residing within the SEER-17 catchment area. County-, sex-, race-, age-specific rates were created in order to investigate individual-level associations (population data from U.S. Census 2000). A Bayesian hierarchical Poisson spatial conditionally autoregressive (CAR) model was utilized to simultaneously estimate individual- and county-level associations while controlling for county spatial dependence. Those residing in counties of the second, third, and fourth highest quartiles of socioeconomic position have glioma incidence rates that are 1.10 (95% CI: 1.02,1.19), 1.11 (95% CI: 1.02,1.20), 1.14 (95% CI: 1.05,1.23) times that of the first quartile, respectively. A CAR model properly controlled for error spatial dependence. Investigated lag times suggest year 2000 census data yields superior model fit. Demographically adjusted rates of glioma are elevated in counties of higher socioeconomic position. More well-grounded theory concerning the glioma-socioeconomic position association along with socioeconomic data collected at multiple levels is recommended for future studies investigating this relationship.
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subjects Adult
Adults
Age
Aged
Autoregressive models
Bayes Theorem
Bayesian analysis
Black or African American
Black People
Brain cancer
Brain research
Brain tumors
Catchment areas
Catchments
Census
Central Nervous System Neoplasms - diagnosis
Central Nervous System Neoplasms - economics
Central Nervous System Neoplasms - ethnology
Central Nervous System Neoplasms - pathology
Demographics
Epidemiology
Error analysis
Female
Geospatial data
Glioma
Glioma - diagnosis
Glioma - economics
Glioma - ethnology
Glioma - pathology
Health aspects
Health risk assessment
Histology
Humans
Ionizing radiation
Male
Medical diagnosis
Medicine
Middle Aged
Models, Statistical
Nervous system
Political factors
Population
Principal components analysis
Quartiles
SEER Program - statistics & numerical data
Social and Behavioral Sciences
Social Class
Socioeconomic factors
Socioeconomics
Studies
Surveillance
Tumors
United States - epidemiology
White People
title Area-based socioeconomic position and adult glioma: a hierarchical analysis of surveillance epidemiology and end results data
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