Colorectal cancer and socioeconomic status in Miami-Dade County

Neighborhood-level associations before and after the Welfare Reform Act

M. N. Hernandez, R. Roy Chowdhury, L. E. Fleming, D. A. Griffith

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

This study analyzed spatial patterns of colorectal cancer (CRC) in Miami-Dade County (MDC), Florida, evaluating them in relation to neighborhood characteristics and the 1996 Welfare Reform Act. Late-stage CRC cases and CRC-related mortality from the Florida Cancer Data System were mapped. Age-adjusted spatial patterns of CRC were then analyzed in relation to indices of neighborhood-level socioeconomic status (SES) derived from United States Bureau of the Census data releases. Statistical analyses were repeated for two distinct time periods corresponding to before and after the 1996 Welfare Reform Act. CRC incidence and mortality are significantly associated with poverty-related factors in the first time period, and race-related factors in the second. There was a possible shift in the role of SES in mediating CRC outcomes at this scale of analysis after the Welfare Reform Act implementation.

Original languageEnglish
Pages (from-to)1019-1025
Number of pages7
JournalApplied Geography
Volume31
Issue number3
DOIs
StatePublished - Jul 1 2011
Externally publishedYes

Fingerprint

welfare reform
socioeconomic status
colorectal neoplasms
social status
cancer
welfare
act
reform
mortality
census data
poverty
Welfare reform
Colorectal cancer
Socioeconomic status
census
incidence
neoplasms

Keywords

  • Colorectal cancer
  • Medical geography
  • Miami-Dade county
  • Socioeconomic status
  • Spatial analysis

ASJC Scopus subject areas

  • Forestry
  • Tourism, Leisure and Hospitality Management
  • Environmental Science(all)
  • Geography, Planning and Development

Cite this

Colorectal cancer and socioeconomic status in Miami-Dade County : Neighborhood-level associations before and after the Welfare Reform Act. / Hernandez, M. N.; Roy Chowdhury, R.; Fleming, L. E.; Griffith, D. A.

In: Applied Geography, Vol. 31, No. 3, 01.07.2011, p. 1019-1025.

Research output: Contribution to journalArticle

Hernandez, M. N. ; Roy Chowdhury, R. ; Fleming, L. E. ; Griffith, D. A. / Colorectal cancer and socioeconomic status in Miami-Dade County : Neighborhood-level associations before and after the Welfare Reform Act. In: Applied Geography. 2011 ; Vol. 31, No. 3. pp. 1019-1025.
@article{e2a97632ef6e4a389700a9ae3ef225eb,
title = "Colorectal cancer and socioeconomic status in Miami-Dade County: Neighborhood-level associations before and after the Welfare Reform Act",
abstract = "This study analyzed spatial patterns of colorectal cancer (CRC) in Miami-Dade County (MDC), Florida, evaluating them in relation to neighborhood characteristics and the 1996 Welfare Reform Act. Late-stage CRC cases and CRC-related mortality from the Florida Cancer Data System were mapped. Age-adjusted spatial patterns of CRC were then analyzed in relation to indices of neighborhood-level socioeconomic status (SES) derived from United States Bureau of the Census data releases. Statistical analyses were repeated for two distinct time periods corresponding to before and after the 1996 Welfare Reform Act. CRC incidence and mortality are significantly associated with poverty-related factors in the first time period, and race-related factors in the second. There was a possible shift in the role of SES in mediating CRC outcomes at this scale of analysis after the Welfare Reform Act implementation.",
keywords = "Colorectal cancer, Medical geography, Miami-Dade county, Socioeconomic status, Spatial analysis",
author = "Hernandez, {M. N.} and {Roy Chowdhury}, R. and Fleming, {L. E.} and Griffith, {D. A.}",
year = "2011",
month = "7",
day = "1",
doi = "10.1016/j.apgeog.2011.01.025",
language = "English",
volume = "31",
pages = "1019--1025",
journal = "Applied Geography",
issn = "0143-6228",
publisher = "Elsevier BV",
number = "3",

}

TY - JOUR

T1 - Colorectal cancer and socioeconomic status in Miami-Dade County

T2 - Neighborhood-level associations before and after the Welfare Reform Act

AU - Hernandez, M. N.

AU - Roy Chowdhury, R.

AU - Fleming, L. E.

AU - Griffith, D. A.

PY - 2011/7/1

Y1 - 2011/7/1

N2 - This study analyzed spatial patterns of colorectal cancer (CRC) in Miami-Dade County (MDC), Florida, evaluating them in relation to neighborhood characteristics and the 1996 Welfare Reform Act. Late-stage CRC cases and CRC-related mortality from the Florida Cancer Data System were mapped. Age-adjusted spatial patterns of CRC were then analyzed in relation to indices of neighborhood-level socioeconomic status (SES) derived from United States Bureau of the Census data releases. Statistical analyses were repeated for two distinct time periods corresponding to before and after the 1996 Welfare Reform Act. CRC incidence and mortality are significantly associated with poverty-related factors in the first time period, and race-related factors in the second. There was a possible shift in the role of SES in mediating CRC outcomes at this scale of analysis after the Welfare Reform Act implementation.

AB - This study analyzed spatial patterns of colorectal cancer (CRC) in Miami-Dade County (MDC), Florida, evaluating them in relation to neighborhood characteristics and the 1996 Welfare Reform Act. Late-stage CRC cases and CRC-related mortality from the Florida Cancer Data System were mapped. Age-adjusted spatial patterns of CRC were then analyzed in relation to indices of neighborhood-level socioeconomic status (SES) derived from United States Bureau of the Census data releases. Statistical analyses were repeated for two distinct time periods corresponding to before and after the 1996 Welfare Reform Act. CRC incidence and mortality are significantly associated with poverty-related factors in the first time period, and race-related factors in the second. There was a possible shift in the role of SES in mediating CRC outcomes at this scale of analysis after the Welfare Reform Act implementation.

KW - Colorectal cancer

KW - Medical geography

KW - Miami-Dade county

KW - Socioeconomic status

KW - Spatial analysis

UR - http://www.scopus.com/inward/record.url?scp=79952510938&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79952510938&partnerID=8YFLogxK

U2 - 10.1016/j.apgeog.2011.01.025

DO - 10.1016/j.apgeog.2011.01.025

M3 - Article

VL - 31

SP - 1019

EP - 1025

JO - Applied Geography

JF - Applied Geography

SN - 0143-6228

IS - 3

ER -