A Neighborhood-Based Intervention to Reduce Prostate Cancer Disparities
Abstract
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 (n=10750) 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.
Document Details
- Document Type
- Technical Report
- Publication Date
- Oct 01, 2016
- Accession Number
- AD1034627
Entities
People
- Amy Leader
- Charnita M Zeigler-Johnson
Organizations
- Thomas Jefferson University