A Neighborhood-Based Intervention to Reduce Prostate Cancer Disparities
Technical Report,30 Sep 2015,29 Sep 2016
Thomas Jefferson University Philadelphia United States
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Background The goal of this study is to develop an educational intervention about prostate cancer PCa. The intervention will be targeted to at-risk men in neighborhoods with poor PCa outcomes. Methods PCa patient addresses n10750 from the Pennsylvania cancer registry 2005-2014 were geocoded and aggregated to create standardized incidence ratios SIRs and standardized mortality ratios SMRs for Philadelphia census tracts CT. Cancer stage and grade were combined to generate an aggressiveness variable. For each CT containing 300 men age 35, a PCa risk composite variable was created by adding the mean-centered SMR, SIR, and aggressiveness variables. CTs with the highest risk composite score were mapped and analyzed by the Steering Committee to choose neighborhoods. Results Of the CTs in Philadelphia with the top 13 PCa risk composite scores, 11 were in West Philadelphia, North Philadelphia, and Northwest Philadelphia. These areas combined adjacent neighborhoods have been chosen for the PCa intervention. Conclusion The selection of neighborhoods in which to conduct PCa interventions was based on 1 ranking of CTs using a PCa risk composite score determined by combining mean SIR, SMR, and aggressiveness. These methods could be utilized by researchers and public health stakeholders when selecting neighborhoods for public health interventions.
- Medicine and Medical Research