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U.S. cancer mortality 1950-1978: a strategy for analyzing spatial and temporal patterns.

Publication ,  Journal Article
Manton, KG; Stallard, E; Creason, JP; Riggan, WB
Published in: Environmental health perspectives
May 1985

There are a number of technical and statistical problems in monitoring the temporal and spatial variation of local area death rates in the United States for evidence of systematically elevated risks. An analytic strategy is proposed to reduce one of the major statistical concerns, i.e., that of identifying areas with truly elevated mortality risks from a large number of local area comparisons. This analytic strategy involves two stages. The first is a procedure for examining the entire distribution of local area death rates instead of simply selecting high risk "outliers." The second is the development of an analytic procedure to relate the temporal changes in the cross-sectional distribution of local area death rates to models of the disease process operating within the populations in those areas. The procedures are applied to data on cancer mortality for the 3050 counties (or county equivalents) of the United States over the period 1950 to 1978. A number of striking mortality patterns, both within the entire United States and within various regions and states, are identified. For example, perhaps the most persistent finding was that the risk increases in the death rates for respiratory cancer mortality were due to a "catching up" of nonmetropolitan county mortality rates with metropolitan area mortality rates.

Duke Scholars

Published In

Environmental health perspectives

DOI

EISSN

1552-9924

ISSN

0091-6765

Publication Date

May 1985

Volume

60

Start / End Page

369 / 380

Related Subject Headings

  • United States
  • Toxicology
  • Time Factors
  • Space-Time Clustering
  • Sex Factors
  • Risk
  • Neoplasms
  • Middle Aged
  • Mathematics
  • Male
 

Citation

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Manton, K. G., Stallard, E., Creason, J. P., & Riggan, W. B. (1985). U.S. cancer mortality 1950-1978: a strategy for analyzing spatial and temporal patterns. Environmental Health Perspectives, 60, 369–380. https://doi.org/10.1289/ehp.8560369
Manton, K. G., E. Stallard, J. P. Creason, and W. B. Riggan. “U.S. cancer mortality 1950-1978: a strategy for analyzing spatial and temporal patterns.Environmental Health Perspectives 60 (May 1985): 369–80. https://doi.org/10.1289/ehp.8560369.
Manton KG, Stallard E, Creason JP, Riggan WB. U.S. cancer mortality 1950-1978: a strategy for analyzing spatial and temporal patterns. Environmental health perspectives. 1985 May;60:369–80.
Manton, K. G., et al. “U.S. cancer mortality 1950-1978: a strategy for analyzing spatial and temporal patterns.Environmental Health Perspectives, vol. 60, May 1985, pp. 369–80. Epmc, doi:10.1289/ehp.8560369.
Manton KG, Stallard E, Creason JP, Riggan WB. U.S. cancer mortality 1950-1978: a strategy for analyzing spatial and temporal patterns. Environmental health perspectives. 1985 May;60:369–380.

Published In

Environmental health perspectives

DOI

EISSN

1552-9924

ISSN

0091-6765

Publication Date

May 1985

Volume

60

Start / End Page

369 / 380

Related Subject Headings

  • United States
  • Toxicology
  • Time Factors
  • Space-Time Clustering
  • Sex Factors
  • Risk
  • Neoplasms
  • Middle Aged
  • Mathematics
  • Male