ArticleInternational journal of health geographics2008
Cluster of liver cancer and immigration: a geographic analysis of incidence data for Ontario 1998-2002.
Article in International journal of health geographics, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- Increased Incidence and Mortality of Gastric Cancer in Immigrant Populations from High to Low Regions of Incidence: A Systematic Review and Meta-Analysis.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2020Pooled it
- Global, regional, and national burden of liver cancer in adolescents and young adults from 1990 to 2021: an analysis of the global burden of disease study 2021 and forecast to 2040.Frontiers in public health · 2025Article
- Spatial epidemiologic analysis of the liver cancer and gallbladder cancer incidence and its determinants in South Korea.BMC public health · 2021Article
- Disease Burden of Hepatocellular Carcinoma: A Global Perspective.Digestive diseases and sciences · 2019Review
- Spatial Clusters of Breast Cancer Mortality and Incidence in the Contiguous USA: 2000-2014.Journal of general internal medicine · 2019Article
- Combination of individualized local control and target-specific agent to improve unresectable liver cancer managements: a matched case-control study.Targeted oncology · 2015Article
- Spatial clustering of physical activity and obesity in relation to built environment factors among older women in three U.S. states.BMC public health · 2014Article
- Hepatocellular carcinoma in a large Canadian urban centre: stage at treatment and its potential determinants.Canadian journal of gastroenterology & hepatology · 2014Article
- Canadian trends in liver cancer: a brief clinical and epidemiologic overview.Current oncology (Toronto, Ont.) · 2013Article
- The spatial epidemiology of tuberculosis in Linyi City, China, 2005-2010.BMC public health · 2012Article
- Multiple target-specific molecular imaging agents detect liver cancer in a preclinical model.Current molecular medicine · 2012Article
- Socioeconomic status and hepatocellular carcinoma in the United States.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2012Article
- Increasing incidence in liver cancer in Canada, 1972-2006: Age-period-cohort analysis.Journal of gastrointestinal oncology · 2011Article
- An eight-year snapshot of geospatial cancer research (2002-2009): clinico-epidemiological and methodological findings and trends.Medical oncology (Northwood, London, England) · 2011Review
- Disparities in liver cancer incidence by nativity, acculturation, and socioeconomic status in California Hispanics and Asians.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2010Article
- Evaluation of the performance of tests for spatial randomness on prostate cancer data.International journal of health geographics · 2009Article
- A cross-border comparison of hepatitis B testing among chinese residing in Canada and the United States.Asian Pacific journal of cancer prevention : APJCPArticle
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Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLiver cancer is not common in Canada in general; however, clustering of the disease causes a concern. We conducted a spatial analysis to determine the geographic variation of liver cancer and its association with the proportion of immigration in Ontario. Liver cancer incidence data between 1998 and 2002 were obtained from the Ontario Cancer Registry. The Canadian Community Health Survey (CCHS) in 2001 provided information on potential risk factors.
resultsAge standardized incidence ratios (SIR) for liver cancer and prevalence of potential risk factors were calculated for each of 35 health regions. The SIRs for liver cancer varied across the 35 health regions (p < 0.01). Toronto and York health regions had a significantly higher SIR than other regions, indicated by the Scan method (p < 0.001). Poisson models with and without random effects were fitted to determine independent ecological contributors. After adjustment for sex, age and spatial location, the proportion of immigrants remained a significant determinant. Smoking, alcohol drinking, physical activity, education, income, obesity and diabetes did not substantially explain the geographic variation of liver cancer in Ontario.
conclusionImmigration is an important reason for the clustering of liver cancer in Ontario. More attention should be paid to areas with a high proportion of immigrants.
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