ArticleCancer2012
Cancer mortality-to-incidence ratios in Georgia: describing racial cancer disparities and potential geographic determinants.
Article in Cancer, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.
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Who cites it
40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 60 citations in OpenAlex.
- Value of Geographical Information Systems in Analyzing Geographic Accessibility to Inform Radiotherapy Planning: A Systematic Review.JCO global oncology · 2022Pooled it
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- Effective recruitment strategies and community-based participatory research: community networks program centers' recruitment in cancer prevention studies.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2014Trial
- Populational analysis of the mortality-to-incidence ratio across 20 cancer groupings in the Russian Federation.Journal of global health · 2026Article
- Oral Cancer Prognostic Disparities among Black Individuals: A Scoping Review.Journal of racial and ethnic health disparities · 2026Review
- Inequalities in breast cancer incidence and mortality in women with and without disabilities in South Korea: A population-based cohort study.Preventive medicine reports · 2025Article
- Structural Racism in Cervical Cancer Care and Survival Outcomes: A Systematic Review of Inequities and Barriers.Current epidemiology reports · 2025Review
- Equity in oncology care: addressing disparities in cancer treatment in Georgia.Frontiers in public health · 2024Article
- Population-based temporal trends and ethnic disparity in breast cancer mortality in South Africa (1999-2018): Joinpoint and age-period-cohort regression analyses.Frontiers in oncology · 2023Article
- Understanding geographic and racial/ethnic disparities in mortality from four major cancers in the state of Georgia: a spatial epidemiologic analysis, 1999-2019.Scientific reports · 2022Article
- Racial disparity and prognosis in patients with mouth and oropharynx cancer in Brazil.Medicina oral, patologia oral y cirugia bucal · 2022Article
- Article
- Geospatial analysis, web-based mapping and determinants of prostate cancer incidence in Georgia counties: evidence from the 2012-2016 SEER data.BMC cancer · 2021Article
- A Health Survey of African American Men Seen at an Academic Medical Center in the Southern United States.Journal of community medicine (Reno, Nev.) · 2021Article
- Geographic Distribution of Racial Differences in Prostate Cancer Mortality.JAMA network open · 2020Article
- Mortality-to-incidence ratios by US Congressional District: Implications for epidemiologic, dissemination and implementation research, and public health policy.Preventive medicine · 2019Article
- The Mortality-to-Incidence Ratio Is Not a Valid Proxy for Cancer Survival.Journal of global oncology · 2019Article
- Literature review of data-based models for identification of factors associated with racial disparities in breast cancer mortality.Health systems (Basingstoke, England) · 2019Review
- The mortality-incidence ratio as an indicator of five-year cancer survival in metropolitan Lima.Ecancermedicalscience · 2018Article
- Breast Cancer Screening Among Women with Medicaid, 2006-2008: a Multilevel Analysis.Journal of racial and ethnic health disparities · 2017Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundThe objective of this study was to evaluate racial cancer disparities in Georgia by calculating and comparing mortality-to-incidence ratios (MIRs) by health district and in relation to geographic factors.
methodsData sources included cancer incidence (Georgia Comprehensive Cancer Registry), cancer mortality (Georgia Vital Records), and health factor (County Health Rankings) data. Age-adjusted incidence and mortality rates were calculated by cancer site (all sites combined, lung, colorectal, prostate, breast, oral, and cervical) for 2003-2007. MIRs and 95% confidence intervals were calculated overall and by district for each cancer site, race, and sex. MIRs were mapped by district and compared with geographic health factors.
resultsIn total, 186,419 incident cases and 71,533 deaths were identified. Blacks had higher MIRs than whites for every cancer site evaluated, and especially large differentials were observed for prostate, cervical, and oral cancer in men. Large geographic disparities were detected, with larger MIRs, chiefly among blacks, in Georgia compared with national data. The highest MIRs were detected in west and east central Georgia, and the lowest MIRs were detected in and around Atlanta. Districts with better health behavior, clinical care, and social/economic factors had lower MIRs, especially among whites.
conclusionsMore fatal cancers, particularly prostate, cervical, and oral cancer in men were detected among blacks, especially in central Georgia, where health behavior and social/economic factors were worse. MIRs are an efficient indicator of survival and provide insight into racial cancer disparities. Additional examination of geographic determinants of cancer fatality in Georgia as indicated by MIRs is warranted.
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