Estimated and Interactively Visualized Female Breast Cancer Incidence Rates in Missouri Senate Districts 2008-2012

Awatef Ahmed Ben Ramadan, Jeannette Jackson-Thompson, Chester Lee Schmaltz


Objectives: To measure and interactively visualize female breast cancer (FBC) incidence rates in Missouri by age, race, stage and grade, and senate district of residence at diagnosis from 2008 to 2012.

Methods: An observational epidemiological study. The FBC cases in counties split by senate districts were geocoded. Population database was created. A database was created within SEER*Stat. The incidence rates and the 95% Confidence Interval (CI) were age standardized using US 2000 Standard Population. The Census Bureau’s Cartographic Boundary Files were used to create maps showing Missouri senate districts. Incidence results were loaded along with the maps into InstantAtlas™ software to produce interactive reports.

Results: Cancer profiles were created for all 34 Missouri senate districts. An area profile and a double map that included interactive maps, graphs, and tables for the 34 Missouri senate districts were built.

Conclusion: The results may provide an estimation of social inequality within the state and could provide clues about the impact of level of coverage and accessibility to screening and health care services on disease prevention and early diagnosis.

Key Words: Female Breast Cancer, Incidence, Interactive Mapping, Missouri, Senate Districts.


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Online Journal of Public Health Informatics * ISSN 1947-2579 *