145740 Staten Island female cancer project: Differences in mortality with relation to environmental justice factors, length of residence and spatial distribution

Wednesday, November 7, 2007

Donna Gerstle, MA, MS, JD , Center for Environmental Science, College of Staten Island, Staten Island, NY
Alfred Levine, PhD , Center for Environmental Science, College of Staten Island, Staten Island, NY
Robert Silich, MD , Department of Plastic Surgery, Cornell University Medical School/NY Hospital, New York, NY
Alan Benimoff, PhD , Center for Environmental Science, College of Staten Island, Staten Island, NY
Michael Kress, PhD , Center for Environmental Science, College of Staten Island, Staten Island, NY
Elena McCoy, PhD , Center for Environmental Science, College of Staten Island, Staten Island, NY
Michelle Dresser, MPH , Center for Environmental Science, College of Staten Island, Staten Island, NY
Ann Teresa Lubrano, PhD , Center for Environmental Science, College of Staten Island, Staten Island, NY
Karen Schwartz, MD , Department of Endocrinology, North Shore University Hospital, Manhasset, NY
Regina Pepe-Martorana, JD , Center for Environmental Science, College of Staten Island, Staten Island, NY
Meagan Devereaux, MS , Center for Environmental Science, College of Staten Island, Staten Island, NY
Ann Torino , Center for Environmental Science, College of Staten Island, Staten Island, NY
Staten Island, NY (SI) is downwind from the largest petrochemical industry in the world, home of Brookfield (EPA Superfund site) and Fresh Kills landfill. Using cancer incidence and mortality data from NY State Health Department (NYSDOH) and NY City Department of Health and Hygiene (NYCDOHH) respectively, it has been determined that SI has among the highest female age-adjusted incidence and mortality rates for various cancers in the metropolitan region. Our study investigates the association between cancer, and length of residence on SI. Researchers at the Center for Environmental Science developed and validated a methodology for obtaining data from a combination of newspaper obituaries and death certificates. Death certificate data for females were obtained for1980-1990 from NYCDOHH as well as a set of female controls. Controls were randomly matched by age. Life histories were complied through in-person, surrogate and obituary interviews for both cases and controls. Preliminary analysis using logistic regression demonstrated a significantly increased risk for female cancers: [breast (ICD 174.0): p < 0.001, OR = 1.2], [colorectal (ICD 153.0-154.9): p < 0.001, OR = 1.01], [lung (ICD 162.0): p < 0.02, OR = 1.12], [leukemia (ICD 204.0-206.0): p < 0.001, OR = 1.01], [endocrine (ICD 193.0-199.0): p < 0.05, OR = 1.02], [CNS (ICD 190.0-192.0): p = 0.003, OR = 1.02], [pancreas (ICD 157.0): p < 0.01, OR = 1.02], [lymphoma (ICD 200.0-202.8): < 0.01, OR = 1.01] associated with length of residence on SI. All data are mapped using Geographic Information Systems (GIS).

Learning Objectives:
At the conclusion of the session, the participant (learner) will be able to identify female cancer risk factors and environmental justice issues for urban populations due to environmental perturbations.

Keywords: Environmental Exposures, Geographic Information Systems

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.