241051 Spatial Cluster of Female Breast Cancer in Missouri

Monday, October 31, 2011

Faustine Williams , Department of Rural Sociology and Master of Public Health Program, University of Missouri, Columbia, MO
Stephen Jeanetta, PhD , Department of Rural Sociology, University of Missouri, Columbia, MO
Stage at cancer diagnosis has a tremendous impact on type of treatment, recovery and survivor. In most cases the earlier the cancer is detected and treated the higher the survival rate for the patient. Various studies have indicated disparities in access to primary care especially access to screening services like mammogram for early detection. Purpose: To examine the role of spatial access to health care services on incidence of female breast cancer in Missouri. Method: Geostatistical analysis was used to compute the proportions of female breast cancer cases in each geographic location diagnosed at early and late stages. The addresses of healthcare providers participating in the breast and cervical cancer program were also geocoded and used to calculate patient travel time from one point of a provider to another. Results: Between 1996-2007 a total of 55,189 breast cancer cases were reported in Missouri. Out of these 38,089 (69%) were diagnosed at early and 17,093 (31%) were late stage. In addition, a large geographic difference exists in proportions of women diagnosed in the state. Eight of the top 10 total incidence cases per county by population were in rural areas. In addition, even though there are 172 screening centers, access to these services are not evenly distributed. A Euclidean analysis also showed that the distance travel to health care providers for services vary from 9.1 miles to77.2 miles. Conclusion: Women living in areas with limited access to health care services are more likely to be diagnosed with late stage breast cancer.

Learning Areas:
Communication and informatics
Program planning
Provision of health care to the public
Public health administration or related administration
Public health or related public policy

Learning Objectives:
(1) Assess the impact of distance travel and availability of health services on late stage breast cancer diagnosis among Missouri women. (2) Assess the differences at stage of diagnosis in metropolitan vs. micropolitan vs. rural areas in Missouri.

Keywords: Breast Cancer, Geographic Information Systems

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be an abstract Author because I hold a MSc. in Health Informatics as well as graduate certificate in Geographic Information Science and Community Development. I'm currently pursing dual degree; PhD. in Rural Sociology with emphasis on Community Development and Informatics as well as a MPH. This study is part of my PhD. dissertation to understand whether geographic location or place of residence has any impact on late stage breast cancer diagnosis in Missouri.
Any relevant financial relationships? No

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.