Dataset Information

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

ABSTRACT:

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.

SUBMITTER: Sandoval JL

PROVIDER: S-EPMC6308042 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature

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Publications

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

Sandoval José Luis JL Himsl Rebecca R Theler Jean-Marc JM Gaspoz Jean-Michel JM Joost Stéphane S Guessous Idris I

Cancer medicine 20181025 12

<h4>Purpose</h4>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).<h4>Methods</h4>Georeferenced individual-level data from the popul ...[more]

PMID: 30362262

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Dataset Information

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

Purpose

Methods

Results

Conclusions

Publications

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

Similar Datasets

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