RT Journal Article T1 Geographical and Temporal Variations in Female Breast Cancer Mortality in the Municipalities of Andalusia (Southern Spain) A1 Ocaña-Riola, Ricardo A1 Montaño-Remacha, Carmen A1 Mayoral-Cortés, José María K1 Neoplasias de la mama K1 España K1 Mortalidad K1 Teorema de Bayes K1 Sistemas de Información Geográfica K1 Breast cancer K1 Mortality K1 Geographical Information System K1 Bayesian analysis K1 Small areas K1 Spatial statistics K1 Trend analysis K1 Andalusia K1 Spain AB The last published figures have shown geographical variations in mortality with respect to female breast cancer in European countries. However, national health policies need a dynamic image of the geographical variations within the country. The aim of this paper was to describe the spatial distribution of age-specific mortality rates from female breast cancer in the municipalities of Andalusia (southern Spain) and to analyze its evolution over time from 1981 to 2012. An ecological study was devised. Two spatio-temporal hierarchical Bayesian models were estimated. One of these was used to estimate the age-specific mortality rate for each municipality, together with its time trends, and the other was used to estimate the age-specific rate ratio compared with Spain as a whole. The results showed that 98% of the municipalities exhibited a decreasing or a flat mortality trend for all the age groups. In 2012, the geographical variability of the age-specific mortality rates was small, especially for population groups below 65. In addition, more than 96.6% of the municipalities showed an age-specific mortality rate similar to the corresponding rate for Spain, and there were no identified significant clusters. This information will contribute towards a reflection on the past, present and future of breast cancer outcomes in Andalusia PB MDPI Journals YR 2016 FD 2016-11-22 LK http://hdl.handle.net/10668/2656 UL http://hdl.handle.net/10668/2656 LA en NO Ocaña-Riola R, Montaño-Remacha C, Mayoral-Cortés JM. Geographical and Temporal Variations in Female Breast Cancer Mortality in the Municipalities of Andalusia (Southern Spain). Int J Environ Res Public Health. 2016 Nov 22;13(11);13(11) DS RISalud RD Apr 10, 2025