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Fontanet CP, Carlos H, Weiss JE, Diaz MCG, Shi X, Onega T, Loehrer AP. Evaluating Geographic Health Disparities in Cancer Care: Example of the Modifiable Areal Unit Problem. Ann Surg Oncol 2023; 30:6987-6989. [PMID: 37658267 PMCID: PMC11166173 DOI: 10.1245/s10434-023-14140-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2023] [Accepted: 07/30/2023] [Indexed: 09/03/2023]
Affiliation(s)
| | - Heather Carlos
- Geisel School of Medicine at Dartmouth, Hanover, NH, USA
| | | | | | - Xun Shi
- Department of Geography, Dartmouth College, Hanover, NH, USA
| | - Tracy Onega
- University of Utah, Huntsman Cancer Institute, Salt Lake City, UT, USA
| | - Andrew P Loehrer
- Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
- Dartmouth Cancer Center, Lebanon, NH, USA.
- Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
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Jaya IGNM, Folmer H. Spatiotemporal high-resolution prediction and mapping: methodology and application to dengue disease. JOURNAL OF GEOGRAPHICAL SYSTEMS 2022; 24:527-581. [PMID: 35221792 PMCID: PMC8857957 DOI: 10.1007/s10109-021-00368-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Accepted: 10/08/2021] [Indexed: 05/16/2023]
Abstract
Dengue disease has become a major public health problem. Accurate and precise identification, prediction and mapping of high-risk areas are crucial elements of an effective and efficient early warning system in countering the spread of dengue disease. In this paper, we present the fusion area-cell spatiotemporal generalized geoadditive-Gaussian Markov random field (FGG-GMRF) framework for joint estimation of an area-cell model, involving temporally varying coefficients, spatially and temporally structured and unstructured random effects, and spatiotemporal interaction of the random effects. The spatiotemporal Gaussian field is applied to determine the unobserved relative risk at cell level. It is transformed to a Gaussian Markov random field using the finite element method and the linear stochastic partial differential equation approach to solve the "big n" problem. Sub-area relative risk estimates are obtained as block averages of the cell outcomes within each sub-area boundary. The FGG-GMRF model is estimated by applying Bayesian Integrated Nested Laplace Approximation. In the application to Bandung city, Indonesia, we combine low-resolution area level (district) spatiotemporal data on population at risk and incidence and high-resolution cell level data on weather variables to obtain predictions of relative risk at subdistrict level. The predicted dengue relative risk at subdistrict level suggests significant fine-scale heterogeneities which are not apparent when examining the area level. The relative risk varies considerably across subdistricts and time, with the latter showing an increase in the period January-July and a decrease in the period August-December. Supplementary Information The online version contains supplementary material available at 10.1007/s10109-021-00368-0.
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Affiliation(s)
- I. Gede Nyoman Mindra Jaya
- Faculty of Spatial Sciences, University of Groningen, Groningen, The Netherlands
- Statistics Department, Padjadjaran University, Bandung, Indonesia
| | - Henk Folmer
- Faculty of Spatial Sciences, University of Groningen, Groningen, The Netherlands
- Statistics Department, Padjadjaran University, Bandung, Indonesia
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Where Maps Lie: Visualization of Perceptual Fallacy in Choropleth Maps at Different Levels of Aggregation. ISPRS INTERNATIONAL JOURNAL OF GEO-INFORMATION 2022. [DOI: 10.3390/ijgi11010064] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This paper proposes a method for quantitative evaluation of perception deviations due to generalization in choropleth maps. The method proposed is based on comparison of class values assigned to different aggregation units chosen for representing the same dataset. It is illustrated by the results of application of the method to population density maps of Lithuania. Three spatial aggregation levels were chosen for comparison: the 1 × 1 km statistical grid, elderships (NUTS3), and municipalities (NUTS2). Differences in density class values between the reference grid map and the other two maps were calculated. It is demonstrated that a perceptual fallacy on the municipality level population map of Lithuania leads to a misinterpretation of data that makes such maps frankly useless. The eldership level map is, moreover, also largely misleading, especially in sparsely populated areas. The method proposed is easy to use and transferable to any other field where spatially aggregated data are mapped. It can be used for visual analysis of the degree to which a generalized choropleth map is liable to mislead the user in particular areas.
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Gasca-Sanchez FM, Santuario-Facio SK, Ortiz-López R, Rojas-Martinez A, Mejía-Velázquez GM, Garza-Perez EM, Hernández-Hernández JA, López-Sánchez RDC, Cardona-Huerta S, Santos-Guzman J. Spatial interaction between breast cancer and environmental pollution in the Monterrey Metropolitan Area. Heliyon 2021; 7:e07915. [PMID: 34584999 PMCID: PMC8450205 DOI: 10.1016/j.heliyon.2021.e07915] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Revised: 07/03/2021] [Accepted: 08/31/2021] [Indexed: 11/26/2022] Open
Abstract
This research examines the spatial structure of a sample of breast cancer (BC) cases and their spatial interaction with contaminated areas in the Monterrey Metropolitan Area (MMA). By applying spatial statistical techniques that treat the space as a continuum, degrees of spatial concentration were determined for the different study groups, highlighting their concentration pattern. The results indicate that 65 percent of the BC sample had exposure to more than 56 points of PM10. Likewise, spatial clusters of BC cases of up to 39 cases were identified within a radius of 3.5 km, interacting spatially with environmental contamination sources, particularly with refineries, food processing plants, cement, and metals. This study can serve as a platform for other clinical research by identifying geographic clusters that can help focus health policy efforts.
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Affiliation(s)
- Francisco Manuel Gasca-Sanchez
- Universidad de Monterrey, Escuela de Negocios, Departamento de Economia, Morones Prieto Av. 4500 Pte., San Pedro Garza García, Nuevo Leon, 66238, Mexico
- Tecnologico de Monterrey, Escuela de Medicina, Morones Prieto Av, 3000, Los Doctores, Monterrey, Nuevo Leon, 64710, Mexico
| | - Sandra Karina Santuario-Facio
- Tecnologico de Monterrey, Escuela de Medicina, Morones Prieto Av, 3000, Los Doctores, Monterrey, Nuevo Leon, 64710, Mexico
| | - Rocío Ortiz-López
- Tecnologico de Monterrey, Escuela de Medicina, Morones Prieto Av, 3000, Los Doctores, Monterrey, Nuevo Leon, 64710, Mexico
| | - Augusto Rojas-Martinez
- Tecnologico de Monterrey, Escuela de Medicina, Morones Prieto Av, 3000, Los Doctores, Monterrey, Nuevo Leon, 64710, Mexico
| | - Gerardo Manuel Mejía-Velázquez
- Tecnologico de Monterrey, Escuela de Ingenieria y Ciencias, Eugenio Garza Sada Av, 2501, Tecnologico, Monterrey, Nuevo Leon, 64849, Mexico
| | - Erick Meinardo Garza-Perez
- Tecnologico de Monterrey, Escuela de Medicina, Morones Prieto Av, 3000, Los Doctores, Monterrey, Nuevo Leon, 64710, Mexico
| | | | - Rosa del Carmen López-Sánchez
- Tecnologico de Monterrey, Escuela de Medicina, Morones Prieto Av, 3000, Los Doctores, Monterrey, Nuevo Leon, 64710, Mexico
| | - Servando Cardona-Huerta
- Tecnologico de Monterrey, Hospital Zambrano Helion TecSalud, Av. Batallon de San Patricio 112, Real San Agustín, San Pedro Garza García, N.L., 66278, Mexico
| | - Jesús Santos-Guzman
- Tecnologico de Monterrey, Escuela de Medicina, Morones Prieto Av, 3000, Los Doctores, Monterrey, Nuevo Leon, 64710, Mexico
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