Mapping cancer incidence across Western Victoria: The association with age, accessibility, and socioeconomic status among men and women

Cowdery, Stephanie P., Sajjad, Muhammad A., Holloway-Kew, Kara L., Mohebbi, Mohammadreza, Williams, Lana J., Kotowicz, Mark A., Livingston, Patricia M., Khasraw, Mustafa, Hakkennes, Sharon, Dunning, Trisha L., Brumby, Susan, Page, Richard S., Sutherland, Alasdair G., Brennan-Olsen, Sharon L., Berk, Michael, Campbell, David and Pasco, Julie A. 2019, Mapping cancer incidence across Western Victoria: The association with age, accessibility, and socioeconomic status among men and women, BMC cancer, vol. 19, pp. 1-10, doi: 10.1186/s12885-019-6070-x.

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Title Mapping cancer incidence across Western Victoria: The association with age, accessibility, and socioeconomic status among men and women
Author(s) Cowdery, Stephanie P.
Sajjad, Muhammad A.
Holloway-Kew, Kara L.ORCID iD for Holloway-Kew, Kara L.
Mohebbi, MohammadrezaORCID iD for Mohebbi, Mohammadreza
Williams, Lana J.ORCID iD for Williams, Lana J.
Kotowicz, Mark A.ORCID iD for Kotowicz, Mark A.
Livingston, Patricia M.ORCID iD for Livingston, Patricia M.
Khasraw, MustafaORCID iD for Khasraw, Mustafa
Hakkennes, Sharon
Dunning, Trisha L.ORCID iD for Dunning, Trisha L.
Brumby, SusanORCID iD for Brumby, Susan
Page, Richard S.ORCID iD for Page, Richard S.
Sutherland, Alasdair G.ORCID iD for Sutherland, Alasdair G.
Brennan-Olsen, Sharon L.
Berk, MichaelORCID iD for Berk, Michael
Campbell, David
Pasco, Julie A.ORCID iD for Pasco, Julie A.
Journal name BMC cancer
Volume number 19
Article ID 892
Start page 1
End page 10
Total pages 10
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2019-09
ISSN 1471-2407
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Cancer incidence
Socio economic status
Demographic characteristics
Gender or sex
Western Victoria
Summary Background: Cancer is a leading burden of disease in Australia and worldwide, with incidence rates varying with age, sex and geographic location. As part of the Ageing, Chronic Disease and Injury study, we aimed to map the incidence rates of primary cancer diagnoses across western Victoria and investigate the association of age, accessibility/remoteness index of Australia (ARIA) and area-level socioeconomic status (SES) with cancer incidence. Methods: Data on cancer incidence in the study region were extracted from the Victorian Cancer Registry (VCR) for men and women aged 40+ years during 2010-2013, inclusive. The age-adjusted incidence rates (per 10,000 population/year), as well as specific incidence for breast, prostate, lung, bowel and melanoma cancers, were calculated for the entire region and for the 21 Local Government Areas (LGA) that make up the whole region. The association of aggregated age, ARIA and SES with cancer incidence rates across LGAs was determined using Poisson regression. Results: Overall, 15,120 cancer cases were identified; 8218 (54%) men and 6902 women. For men, the age-standardised rate of cancer incidence for the whole region was 182.1 per 10,000 population/year (95% CI 177.7-186.5) and for women, 162.2 (95% CI: 157.9-166.5). The incidence of cancer (overall) increased with increasing age for men and women. Geographical variations in cancer incidence were also observed across the LGAs, with differences identified between men and women. Residents of socioeconomically disadvantaged and less accessible areas had higher cancer incidence (p < 0.001). Conclusion: Cancer incidence rates varied by age, sex, across LGAs and with ARIA. These findings not only provide an evidence base for identifying gaps and assessing the need for services and resource allocation across this region, but also informs policy and assists health service planning and implementation of preventative intervention strategies to reduce the incidence of cancer across western Victoria. This study also provides a model for further research across other geographical locations with policy and clinical practice implications, both nationally and internationally.
Language eng
DOI 10.1186/s12885-019-6070-x
Indigenous content off
Field of Research 1112 Oncology and Carcinogenesis
HERDC Research category C1 Refereed article in a scholarly journal
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Document type: Journal Article
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School of Medicine
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