RT Journal Article
T1 Municipal distribution of bladder cancer mortality in Spain: Possible role of mining and industry
A1 Lopez-Abente, Gonzalo
A1 Aragones, Nuria
A1 Ramis, Rebeca
A1 Hernandez-Barrera, Valentin
A1 Perez-Gomez, Beatriz
A1 Escolar-Pujolar, Antonio
A1 Pollan, Marina
K1 Teorema de Bayes
K1 Adulto
K1 Neoplasias pulmonares
K1 Mediana edad
K1 Exposición Profesional
K1 Epidemiología
K1 Factores de riesgo
K1 Distribución por sexo
K1 Fumadores
K1 España
K1 Salud urbana
K1 Neoplasias de la vejiga
K1 Adolescente
AB BACKGROUNDSpain shows the highest bladder cancer incidence rates in men among European countries. The most important risk factors are tobacco smoking and occupational exposure to a range of different chemical substances, such as aromatic amines.METHODSThis paper describes the municipal distribution of bladder cancer mortality and attempts to "adjust" this spatial pattern for the prevalence of smokers, using the autoregressive spatial model proposed by Besag, York and Molliè, with relative risk of lung cancer mortality as a surrogate.RESULTSIt has been possible to compile and ascertain the posterior distribution of relative risk for bladder cancer adjusted for lung cancer mortality, on the basis of a single Bayesian spatial model covering all of Spain's 8077 towns. Maps were plotted depicting smoothed relative risk (RR) estimates, and the distribution of the posterior probability of RR>1 by sex. Towns that registered the highest relative risks for both sexes were mostly located in the Provinces of Cadiz, Seville, Huelva, Barcelona and Almería. The highest-risk area in Barcelona Province corresponded to very specific municipal areas in the Bages district, e.g., Suría, Sallent, Balsareny, Manresa and Cardona.CONCLUSIONMining/industrial pollution and the risk entailed in certain occupational exposures could in part be dictating the pattern of municipal bladder cancer mortality in Spain. Population exposure to arsenic is a matter that calls for attention. It would be of great interest if the relationship between the chemical quality of drinking water and the frequency of bladder cancer could be studied.
PB Biomed Central Ltd
YR 2006
FD 2006-01-27
LK http://hdl.handle.net/10668/728
UL http://hdl.handle.net/10668/728
LA en
NO Lopez-Abente G, Aragones N, Ramis R, Hernandez-Barrera V, Perez-Gomez B, Escolar-Pujolar A, et al. Municipal distribution of bladder cancer mortality in Spain: possible role of mining and industry. BMC Public Health; 2006, 6:17
NO Comparative Study; Journal Article;
DS RISalud
RD Apr 5, 2025