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Socioeconomic aspect of breast cancer incidence and mortality in women in Lower Silesia (Poland) in 2005–2014 Cover

Socioeconomic aspect of breast cancer incidence and mortality in women in Lower Silesia (Poland) in 2005–2014

Open Access
|Mar 2022

Figures & Tables

Fig. 1

Average population (A) and rates of unemployment (B) of women in Lower Silesia, Poland, within the decade of 2005–2014
Average population (A) and rates of unemployment (B) of women in Lower Silesia, Poland, within the decade of 2005–2014

Fig. 2

Standardized incidence (A) and mortality (B) ratios of breast cancer in Lower Silesia, Poland (2005–2014)
Standardized incidence (A) and mortality (B) ratios of breast cancer in Lower Silesia, Poland (2005–2014)

Fig. 3

Growth rates (GR) of breast cancer incidence (A; mean GR= 1% (−4%, 8%), p= 0.316) and mortality (B; mean GR= −2% (−12%, 9%), p= 0.336) in Lower Silesia, Poland (2005–2014)
Growth rates (GR) of breast cancer incidence (A; mean GR= 1% (−4%, 8%), p= 0.316) and mortality (B; mean GR= −2% (−12%, 9%), p= 0.336) in Lower Silesia, Poland (2005–2014)

Fig. 4

Statistically significant (p< 0.05) spatiotemporal breast cancer (BC) incidence hot (A) and cold (B) spots and statistically significant (p< 0.05) spatiotemporal BC mortality hot spot (C) in Lower Silesia (with geographical centers of administrative units)
Statistically significant (p< 0.05) spatiotemporal breast cancer (BC) incidence hot (A) and cold (B) spots and statistically significant (p< 0.05) spatiotemporal BC mortality hot spot (C) in Lower Silesia (with geographical centers of administrative units)

Moran's I statistic and test p-values

Spatial featureMoran's Ip-value
SIR−0.0570.506
SMR0.0010.308
GR (incidence)0.0790.001
GR (mortality)0.0520.014

Estimates of regression coefficients of the unemployed fraction [%] in the entire female population on breast cancer incidence and mortality in Lower Silesia, Poland (2005–2014)

Spatial featureRegr. coeff.CI95%p-value
BC incidence−0.03(−0.05, −0.01)0.005
BC mortality0.04(0.01, 0.07)0.002

Pearson's r linear correlations between standardized incidence and mortality ratios as well as cancer growth rates (SIRs, SMRs, and GRs) in Lower Silesia Region

CorrelationSMRGR (incidence)GR (mortality)
SIRr= −0.35p= 0.061r= 0.19p= 0.321r= 0.17p= 0.378
SMR--r= 0.34p= 0.066r= 0.60p< 0.001
GR (incidence)----r= 0.13p= 0.506

Statistically significant (p< 0_05) spatiotemporal BC clusters in Lower Silesia (2005–2014)

Spatial featureCluster #N, E CoordinatesRadius [km]CountiesTimeframeRR (CI95%)p-value
Incidence151.13, 16.990Wroclaw2010–20141.42 (1.31–1.53)<0.001
250.79, 16.3020.8Wałbrzych, wałbrzyski, świdnicki, kamiennogórski2011–20131.29 (1.16–1.43)<0.001
351.16, 15.070zgorzelecki2008–20120.48 (0.41–0.56)<0.001
459.9Wałbrzych, wałbrzyski, świdnicki, dzierżoniowski, jaworski, Jelenia Góra, jeleniogórski, kamiennogórski, złotoryjski, średzki, Legnica, legnicki, wrocławski, ząbkowicki, kłodzki, strzeliński, lwówecki2005–20060.74 (0.69–0.79)<0.001
551.26, 17.510oleśnicki2005–20090.53 (0.68–0.81)<0.001
Mortality650.76, 16.0132.5jaworski, Jelenia Góra, jeleniogórski, kamiennogórski, świdnicki, Wałbrzych, wałbrzyski2008–20131.35 (1.19–1.54)<0.001

Characteristics of the female population and oncological care (presence of the full-profile oncology center) of Lower Silesia by counties in 2005–2014

CountySIR incidenceSMR mortalityGR incidenceGR mortalityNumber of urban communesNumber of urban-rural communesNumber of rural communesPresence of oncology center (reorganization/opening year)
bolesławiecki0.940.950.990.89114NO
dzierżoniowski1.041.031.031.01322NO
głogowski0.891.020,961.01105NO
górowski0.981.050.891.08022NO
jaworski1.051.041.031.03114NO
jeleniogórski0.901.071.041.02405NO
kamiennogórski1.061.071.131.10112NO
kłodzki1.130.991.001.06563NO
legnicki0.931.081.010.98116NO
lubański1.140.930,990.92223NO
lubiński0.911.000.911.02112NO
lwówecki0.950.931.100.89050NO
milicki1.150.881.070.86012NO
oleśnicki0.741.141,080.92143NO
oławski1.420.830.880.88112NO
polkowicki0.960.970.960.98033NO
strzeliński1.010.960.990.98023NO
średzki0.851.030,970.98014NO
świdnicki1.121.061.021.04233NO
trzebnicki0.900.991.000.95042NO
wałbrzyski1.081.081.131.01323NO
wołowski1.091.031.000.98021NO
wrocławski1.090.921.000.90036NO
ząbkowicki1.041.091.081.11043NO
zgorzelecki0.551.060.920.88323NO
złotoryjski1.000.881.040.94213NO
Jelenia Góra1.151.091.051.11100NO
Legnica1.101.011.030.93100YES (2014)
Wrocław1.250.950.961.00100YES
Wałbrzych1.241.071.270.99100YES (2008)
Language: English
Page range: 62 - 70
Submitted on: Sep 8, 2021
Accepted on: Dec 17, 2021
Published on: Mar 14, 2022
Published by: Hirszfeld Institute of Immunology and Experimental Therapy
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2022 Dominika Zielecka-Dębska, Edyta Pawlak, Andrzej Tukiendorf, Jolanta Szelachowska, Iwona Wiśniewska, Jerzy Błaszczyk, Marcin Ekiert, Adam Maciejczyk, Rafał Matkowski, published by Hirszfeld Institute of Immunology and Experimental Therapy
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.