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Spatial distribution of mammography adherence in a Swiss urban population and its association with socioeconomic status

PURPOSE: Local physical and social environment has a defining influence on individual behavior and health‐related outcomes. However, it remains undetermined if its impact is independent of individual socioeconomic status. In this study, we evaluated the spatial distribution of mammography adherence...

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Autores principales: Sandoval, José Luis, Himsl, Rebecca, Theler, Jean‐Marc, Gaspoz, Jean‐Michel, Joost, Stéphane, Guessous, Idris
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6308042/
https://www.ncbi.nlm.nih.gov/pubmed/30362262
http://dx.doi.org/10.1002/cam4.1829
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author Sandoval, José Luis
Himsl, Rebecca
Theler, Jean‐Marc
Gaspoz, Jean‐Michel
Joost, Stéphane
Guessous, Idris
author_facet Sandoval, José Luis
Himsl, Rebecca
Theler, Jean‐Marc
Gaspoz, Jean‐Michel
Joost, Stéphane
Guessous, Idris
author_sort Sandoval, José Luis
collection PubMed
description PURPOSE: Local physical and social environment has a defining influence on individual behavior and health‐related outcomes. However, it remains undetermined if its impact is independent of individual socioeconomic status. In this study, we evaluated the spatial distribution of mammography adherence in the state of Geneva (Switzerland) using individual‐level data and assessed its independence from socioeconomic status (SES). METHODS: Georeferenced individual‐level data from the population‐based cross‐sectional Bus Santé study (n = 5002) were used to calculate local indicators of spatial association (LISA) and investigate the spatial dependence of mammography adherence. Spatial clusters are reported without adjustment; adjusted for neighborhood income and individual educational attainment; and demographic factors (age and Swiss nationality). The association between adjusted clusters and the proximity to the nearest screening center was also evaluated. RESULTS: Mammography adherence was not randomly distributed throughout Geneva with clusters geographically coinciding with known SES distributions. After adjustment for SES indicators, clusters were reduced to 56.2% of their original size (n = 1033). Adjustment for age and nationality further reduced the number of individuals exhibiting spatially dependent behavior (36.5% of the initial size). The identified SES‐independent hot spots and cold spots of mammography adherence were not explained by proximity to the nearest screening center. CONCLUSIONS: SES and demographic factors play an important role in shaping the spatial distribution of mammography adherence. However, the spatial clusters persisted after confounder adjustment indicating that additional neighborhood‐level determinants could influence mammography adherence and be the object of targeted public health interventions.
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spelling pubmed-63080422019-01-03 Spatial distribution of mammography adherence in a Swiss urban population and its association with socioeconomic status Sandoval, José Luis Himsl, Rebecca Theler, Jean‐Marc Gaspoz, Jean‐Michel Joost, Stéphane Guessous, Idris Cancer Med Cancer Prevention PURPOSE: Local physical and social environment has a defining influence on individual behavior and health‐related outcomes. However, it remains undetermined if its impact is independent of individual socioeconomic status. In this study, we evaluated the spatial distribution of mammography adherence in the state of Geneva (Switzerland) using individual‐level data and assessed its independence from socioeconomic status (SES). METHODS: Georeferenced individual‐level data from the population‐based cross‐sectional Bus Santé study (n = 5002) were used to calculate local indicators of spatial association (LISA) and investigate the spatial dependence of mammography adherence. Spatial clusters are reported without adjustment; adjusted for neighborhood income and individual educational attainment; and demographic factors (age and Swiss nationality). The association between adjusted clusters and the proximity to the nearest screening center was also evaluated. RESULTS: Mammography adherence was not randomly distributed throughout Geneva with clusters geographically coinciding with known SES distributions. After adjustment for SES indicators, clusters were reduced to 56.2% of their original size (n = 1033). Adjustment for age and nationality further reduced the number of individuals exhibiting spatially dependent behavior (36.5% of the initial size). The identified SES‐independent hot spots and cold spots of mammography adherence were not explained by proximity to the nearest screening center. CONCLUSIONS: SES and demographic factors play an important role in shaping the spatial distribution of mammography adherence. However, the spatial clusters persisted after confounder adjustment indicating that additional neighborhood‐level determinants could influence mammography adherence and be the object of targeted public health interventions. John Wiley and Sons Inc. 2018-10-25 /pmc/articles/PMC6308042/ /pubmed/30362262 http://dx.doi.org/10.1002/cam4.1829 Text en © 2018 The Authors. Cancer Medicine published by John Wiley & Sons Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Cancer Prevention
Sandoval, José Luis
Himsl, Rebecca
Theler, Jean‐Marc
Gaspoz, Jean‐Michel
Joost, Stéphane
Guessous, Idris
Spatial distribution of mammography adherence in a Swiss urban population and its association with socioeconomic status
title Spatial distribution of mammography adherence in a Swiss urban population and its association with socioeconomic status
title_full Spatial distribution of mammography adherence in a Swiss urban population and its association with socioeconomic status
title_fullStr Spatial distribution of mammography adherence in a Swiss urban population and its association with socioeconomic status
title_full_unstemmed Spatial distribution of mammography adherence in a Swiss urban population and its association with socioeconomic status
title_short Spatial distribution of mammography adherence in a Swiss urban population and its association with socioeconomic status
title_sort spatial distribution of mammography adherence in a swiss urban population and its association with socioeconomic status
topic Cancer Prevention
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6308042/
https://www.ncbi.nlm.nih.gov/pubmed/30362262
http://dx.doi.org/10.1002/cam4.1829
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