1. Optimal locations of establishing smoking cessation services for cancer patients in Crete, Greece
- Author
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Christos Lionis, Vasiliki-Eirini Chatzea, Filippos Koinis, Dimitra Sifaki-Pistolla, Nikos Tzanakis, Vasilis Georgoulias, and Georgia Pistolla
- Subjects
030505 public health ,Health (social science) ,Epidemiology ,business.industry ,medicine.medical_treatment ,lcsh:Public aspects of medicine ,Public Health, Environmental and Occupational Health ,Cancer ,lcsh:RA1-1270 ,medicine.disease ,Health Professions (miscellaneous) ,3. Good health ,smoking cessation ,geographical information systems ,03 medical and health sciences ,0302 clinical medicine ,Environmental health ,medicine ,Smoking cessation ,cancer ,030212 general & internal medicine ,0305 other medical science ,business - Abstract
Introduction To identify the optimum geographic locations of establishing smoking cessation services for cancer patients in Crete. Material and Methods Data (1992-2013) for selected tobacco induced cancers (lung, oral cavity and pharynx, nasal cavity and paranasal sinus, larynx, esophagus, stomach, pancreas, kidney, liver, bladder, uterus, cervix, colon/rectum, ovary and leukemia) were obtained from the Cancer Registry of Crete (CRC). Age-Adjusted Incidence Rates (AAIR) and Smoking Attributable Fraction (SAF%) were estimated. Smoking rates were estimated by age group and other selected socio-economic and clinical variables. All rates were mapped and analyzed in the ArcGIS 10.3.1. The Getis ord statistic, K-Means (a=0.05) and multi-criteria model builder were performed. Results The AAIR for tobacco-related cancers was 160 new cases/100,000/year (AAIRmales=222.1/100,000/year; AAIRfemales=98.7/100,000/year). Larynx (SAF=71.4%), esophagus (SAF=42.4%), lung (SAF=41.9%), oral cavity (SAF=38.7%) and bladder (SAF=36.5%) presented the highest SAFs in all the municipalities of Crete. Significant variations were observed in the geographical distribution of all estimated rates (Pvalue
- Published
- 2017