Batista Hernández Norma E, Alegret Rodriguez Milagros, Antón Fleites Oscar
Unidad de Investigaciones Biomédicas, Universidad de Ciencias Médicas de Villa Clara, Cuba.
Rev Esp Salud Publica. 2013 Jan-Feb;87(1):49-57. doi: 10.4321/S1135-57272013000100006.
Breast and cervix cancers continues being a problem of health, in spite of the existence of prevention and precocius diagnosis programs, and for not existing in our county similar studies, its decide to realized this investigations to identify space and temporal space conglomerate that allow us the analysis of breast and cervix cancer morbimortality in Villa Clara.
observational descriptive study to detection space and temporal space of incidence and mortality, using the statistical technique of temporal-space exploration (SatScan programs v .7.01), the sample embraced the entirety of patients diagnosed during the year 2004, to those that were carried out pursuit in the 5 serial years to the diagnosis, until the closing of the year 2009.
the breast cancer showed agreement in the results so much space as temporal-space with a risk of suffering the illness of 1.63 and 1.91 respectively, the municipalities that conformed significant conglomerates, were located toward the center and northeast of the county, headed by Santa Clara the municipality provincial head. The cervix cancer evidenced from the temporary point of view the diagnosis of prospective 100 cases of 68.8 during the months of March to July of the 2004. The study temporal-space showed a conglomerate of incidence in the municipalities located to the northeast of the county, the women that live in these areas have 3.46 times more risk of presenting this illness that those of the rest of the county.
the presence of significant conglomerates so much was shown space as temporal-space, of the areas of more risk of to make sick for breast and cervix cancers. Not existing of mortality and late diagnosis conglomerates.
尽管存在预防和早期诊断项目,但乳腺癌和宫颈癌仍是一个健康问题。由于我国没有类似研究,因此决定开展此项调查,以确定时空聚集区,从而分析比那尔德里奥省乳腺癌和宫颈癌的发病与死亡情况。
采用观察性描述性研究,利用时空探索统计技术(SatScan程序v.7.01)检测发病率和死亡率的时空分布。样本涵盖2004年确诊的所有患者,并对其进行连续5年的随访,直至2009年底。
乳腺癌在空间和时空结果上显示一致,患病风险分别为1.63和1.91。构成显著聚集区的市位于该省中部和东北部,以省会圣克拉拉市为首。宫颈癌从时间角度来看,2004年3月至7月期间前瞻性诊断出100例中的68.例。时空研究显示,在该省东北部的市存在一个发病聚集区,生活在这些地区的女性患此病的风险是该省其他地区女性的3.46倍。
乳腺癌和宫颈癌高风险区域在空间和时空上均存在显著聚集区。不存在死亡和晚期诊断聚集区。