Ocaña-Riola, RicardoMontaño-Remacha, CarmenMayoral-Cortés, José María2017-05-222017-05-222016-11-22Ocaña-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)http://hdl.handle.net/10668/2656The 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 AndalusiaenNeoplasias de la mamaEspañaMortalidadTeorema de BayesSistemas de Información GeográficaBreast cancerMortalityGeographical Information SystemBayesian analysisSmall areasSpatial statisticsTrend analysisAndalusiaSpainMedical Subject Headings::Diseases::Neoplasms::Neoplasms by Site::Breast NeoplasmsMedical Subject Headings::Geographicals::Geographic Locations::Europe::SpainMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Probability::Bayes TheoremMedical Subject Headings::Information Science::Information Science::Information Storage and Retrieval::Databases as Topic::Databases, Factual::Geographic Information SystemsMedical Subject Headings::Disciplines and Occupations::Natural Science Disciplines::Earth Sciences::GeographyMedical Subject Headings::Check Tags::FemaleMedical Subject Headings::Geographical Locations::Geographic Locations::Europe::Spainresearch article27879690open access10.3390/ijerph131111621660-4601PMC5129372