Inequities in health: socio-demographic and spatial analysis of breast cancer in women from Córdoba, Argentina

Autores
Tumas, Natalia; Pou, Sonia Alejandra; Diaz, Maria del Pilar
Año de publicación
2017
Idioma
español castellano
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Objective To identify sociodemographic determinants associated with the spatial distribution of the breast cancer incidence in the province of Córdoba, Argentina, in order to reveal underlying social inequities. Method An ecological study was developed in Córdoba (26 counties as geographical units of analysis). The spatial autocorrelation of the crude and standardised incidence rates of breast cancer, and the sociodemographic indicators of urbanization, fertility and population ageing were estimated using Moran's index. These variables were entered into a Geographic Information System for mapping. Poisson multilevel regression models were adjusted, establishing the breast cancer incidence rates as the response variable, and by selecting sociodemographic indicators as covariables and the percentage of households with unmet basic needs as adjustment variables. Results In Córdoba, Argentina, a non-random pattern in the spatial distribution of breast cancer incidence rates and in certain sociodemographic indicators was found. The mean increase in annual urban population was inversely associated with breast cancer, whereas the proportion of households with unmet basic needs was directly associated with this cancer. Conclusions Our results define social inequity scenarios that partially explain the geographical differentials in the breast cancer burden in Córdoba, Argentina. Women residing in socioeconomically disadvantaged households and in less urbanized areas merit special attention in future studies and in breast cancer public health activities.
Fil: Tumas, Natalia. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas; Argentina
Fil: Pou, Sonia Alejandra. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Investigaciones en Ciencias de la Salud. Universidad Nacional de Córdoba. Instituto de Investigaciones en Ciencias de la Salud; Argentina
Fil: Diaz, Maria del Pilar. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas; Argentina
Materia
ARGENTINA
BREAST CANCER
DEMOGRAPHY
HEALTH INEQUITY
SOCIAL DETERMINANTS OF HEALTH
SPATIAL ANALYSIS
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/57654
Acceder
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network_name_str CONICET Digital (CONICET)
spelling Inequities in health: socio-demographic and spatial analysis of breast cancer in women from Córdoba, ArgentinaInequidades en salud: análisis sociodemográfico y espacial del cáncer de mama en mujeres de Córdoba, ArgentinaTumas, NataliaPou, Sonia AlejandraDiaz, Maria del PilarARGENTINABREAST CANCERDEMOGRAPHYHEALTH INEQUITYSOCIAL DETERMINANTS OF HEALTHSPATIAL ANALYSIShttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Objective To identify sociodemographic determinants associated with the spatial distribution of the breast cancer incidence in the province of Córdoba, Argentina, in order to reveal underlying social inequities. Method An ecological study was developed in Córdoba (26 counties as geographical units of analysis). The spatial autocorrelation of the crude and standardised incidence rates of breast cancer, and the sociodemographic indicators of urbanization, fertility and population ageing were estimated using Moran's index. These variables were entered into a Geographic Information System for mapping. Poisson multilevel regression models were adjusted, establishing the breast cancer incidence rates as the response variable, and by selecting sociodemographic indicators as covariables and the percentage of households with unmet basic needs as adjustment variables. Results In Córdoba, Argentina, a non-random pattern in the spatial distribution of breast cancer incidence rates and in certain sociodemographic indicators was found. The mean increase in annual urban population was inversely associated with breast cancer, whereas the proportion of households with unmet basic needs was directly associated with this cancer. Conclusions Our results define social inequity scenarios that partially explain the geographical differentials in the breast cancer burden in Córdoba, Argentina. Women residing in socioeconomically disadvantaged households and in less urbanized areas merit special attention in future studies and in breast cancer public health activities.Fil: Tumas, Natalia. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas; ArgentinaFil: Pou, Sonia Alejandra. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Investigaciones en Ciencias de la Salud. Universidad Nacional de Córdoba. Instituto de Investigaciones en Ciencias de la Salud; ArgentinaFil: Diaz, Maria del Pilar. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas; ArgentinaElsevier2017-09info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/57654Tumas, Natalia; Pou, Sonia Alejandra; Diaz, Maria del Pilar; Inequities in health: socio-demographic and spatial analysis of breast cancer in women from Córdoba, Argentina; Elsevier; Gaceta Sanitaria; 31; 5; 9-2017; 396-4030213-91111578-1283CONICET DigitalCONICETspainfo:eu-repo/semantics/altIdentifier/doi/10.1016/j.gaceta.2016.12.011info:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/pii/S0213911117300407info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-10T13:09:46Zoai:ri.conicet.gov.ar:11336/57654instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-10 13:09:46.309CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Inequities in health: socio-demographic and spatial analysis of breast cancer in women from Córdoba, Argentina
Inequidades en salud: análisis sociodemográfico y espacial del cáncer de mama en mujeres de Córdoba, Argentina
title Inequities in health: socio-demographic and spatial analysis of breast cancer in women from Córdoba, Argentina
spellingShingle Inequities in health: socio-demographic and spatial analysis of breast cancer in women from Córdoba, Argentina
Tumas, Natalia
ARGENTINA
BREAST CANCER
DEMOGRAPHY
HEALTH INEQUITY
SOCIAL DETERMINANTS OF HEALTH
SPATIAL ANALYSIS
title_short Inequities in health: socio-demographic and spatial analysis of breast cancer in women from Córdoba, Argentina
title_full Inequities in health: socio-demographic and spatial analysis of breast cancer in women from Córdoba, Argentina
title_fullStr Inequities in health: socio-demographic and spatial analysis of breast cancer in women from Córdoba, Argentina
title_full_unstemmed Inequities in health: socio-demographic and spatial analysis of breast cancer in women from Córdoba, Argentina
title_sort Inequities in health: socio-demographic and spatial analysis of breast cancer in women from Córdoba, Argentina
dc.creator.none.fl_str_mv Tumas, Natalia
Pou, Sonia Alejandra
Diaz, Maria del Pilar
author Tumas, Natalia
author_facet Tumas, Natalia
Pou, Sonia Alejandra
Diaz, Maria del Pilar
author_role author
author2 Pou, Sonia Alejandra
Diaz, Maria del Pilar
author2_role author
author
dc.subject.none.fl_str_mv ARGENTINA
BREAST CANCER
DEMOGRAPHY
HEALTH INEQUITY
SOCIAL DETERMINANTS OF HEALTH
SPATIAL ANALYSIS
topic ARGENTINA
BREAST CANCER
DEMOGRAPHY
HEALTH INEQUITY
SOCIAL DETERMINANTS OF HEALTH
SPATIAL ANALYSIS
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Objective To identify sociodemographic determinants associated with the spatial distribution of the breast cancer incidence in the province of Córdoba, Argentina, in order to reveal underlying social inequities. Method An ecological study was developed in Córdoba (26 counties as geographical units of analysis). The spatial autocorrelation of the crude and standardised incidence rates of breast cancer, and the sociodemographic indicators of urbanization, fertility and population ageing were estimated using Moran's index. These variables were entered into a Geographic Information System for mapping. Poisson multilevel regression models were adjusted, establishing the breast cancer incidence rates as the response variable, and by selecting sociodemographic indicators as covariables and the percentage of households with unmet basic needs as adjustment variables. Results In Córdoba, Argentina, a non-random pattern in the spatial distribution of breast cancer incidence rates and in certain sociodemographic indicators was found. The mean increase in annual urban population was inversely associated with breast cancer, whereas the proportion of households with unmet basic needs was directly associated with this cancer. Conclusions Our results define social inequity scenarios that partially explain the geographical differentials in the breast cancer burden in Córdoba, Argentina. Women residing in socioeconomically disadvantaged households and in less urbanized areas merit special attention in future studies and in breast cancer public health activities.
Fil: Tumas, Natalia. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas; Argentina
Fil: Pou, Sonia Alejandra. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Investigaciones en Ciencias de la Salud. Universidad Nacional de Córdoba. Instituto de Investigaciones en Ciencias de la Salud; Argentina
Fil: Diaz, Maria del Pilar. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas; Argentina
description Objective To identify sociodemographic determinants associated with the spatial distribution of the breast cancer incidence in the province of Córdoba, Argentina, in order to reveal underlying social inequities. Method An ecological study was developed in Córdoba (26 counties as geographical units of analysis). The spatial autocorrelation of the crude and standardised incidence rates of breast cancer, and the sociodemographic indicators of urbanization, fertility and population ageing were estimated using Moran's index. These variables were entered into a Geographic Information System for mapping. Poisson multilevel regression models were adjusted, establishing the breast cancer incidence rates as the response variable, and by selecting sociodemographic indicators as covariables and the percentage of households with unmet basic needs as adjustment variables. Results In Córdoba, Argentina, a non-random pattern in the spatial distribution of breast cancer incidence rates and in certain sociodemographic indicators was found. The mean increase in annual urban population was inversely associated with breast cancer, whereas the proportion of households with unmet basic needs was directly associated with this cancer. Conclusions Our results define social inequity scenarios that partially explain the geographical differentials in the breast cancer burden in Córdoba, Argentina. Women residing in socioeconomically disadvantaged households and in less urbanized areas merit special attention in future studies and in breast cancer public health activities.
publishDate 2017
dc.date.none.fl_str_mv 2017-09
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/57654
Tumas, Natalia; Pou, Sonia Alejandra; Diaz, Maria del Pilar; Inequities in health: socio-demographic and spatial analysis of breast cancer in women from Córdoba, Argentina; Elsevier; Gaceta Sanitaria; 31; 5; 9-2017; 396-403
0213-9111
1578-1283
CONICET Digital
CONICET
url http://hdl.handle.net/11336/57654
identifier_str_mv Tumas, Natalia; Pou, Sonia Alejandra; Diaz, Maria del Pilar; Inequities in health: socio-demographic and spatial analysis of breast cancer in women from Córdoba, Argentina; Elsevier; Gaceta Sanitaria; 31; 5; 9-2017; 396-403
0213-9111
1578-1283
CONICET Digital
CONICET
dc.language.none.fl_str_mv spa
language spa
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.1016/j.gaceta.2016.12.011
info:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/pii/S0213911117300407
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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