ArticleAmerican journal of public health1994
Using census and mortality data to target small areas for breast, colorectal, and cervical cancer screening.
Article in American journal of public health, 1994. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
8 citing papers in PubMed.
- Applying the small-area estimation method to estimate a population eligible for breast cancer detection services.Preventing chronic disease · 2008Article
- Immigration and geographic access to prenatal clinics in Brooklyn, NY: a geographic information systems analysis.American journal of public health · 2005Article
- Targeting the underserved for breast and cervical cancer screening: the utility of ecological analysis using the National Health Interview Survey.American journal of public health · 1998Article
- Breast cancer detection: maps of 2 San Francisco Bay area counties.American journal of public health · 1998Article
- Enthusiasm or uncertainty: small area variations in the use of mammography services in Ontario, Canada.Journal of epidemiology and community health · 1997Article
- Low-income neighborhoods and the risk of severe pediatric injury: a small-area analysis in northern Manhattan.American journal of public health · 1994Article
- Using data to plan public health programs: experience from state cancer prevention and control programs.Public health reports (Washington, D.C. : 1974)Article
- Urban/Rural Differences in Breast and Cervical Cancer Incidence: The Mediating Roles of Socioeconomic Status and Provider Density.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectivesThe goal of this study was to develop and validate quantitative models for estimating cancer incidence in small areas.
methodsThe outcome for each cancer site was the incidence of disease that had reached a late stage at the time of diagnosis. Two sets of predictors were used: (1) census-based demographic variables and (2) census-based demographic variables together with the cancer-specific mortality rate.
resultsThe best models accounted for a substantial percentage of between area variability in late-stage rates for cancer of the breast (46%), cervix (61%), and colon/rectum (58%). A validation procedure indicated that correct identification of small areas with high rates of late-stage disease was two to three times more likely when model-based estimates were used than when areas were selected at random.
conclusionsAdditional testing is needed to establish the generality of the geographic targeting methodology developed in this paper. However, there are strong indications that small-area estimation models will be useful in many regions where planners wish to target cancer screening programs on a geographic basis.
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Registered trials
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