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APPLICATION OF GEOSPATIAL METHODS TO CANCER SURVEILLANCE
DATA TO IMPROVE CANCER PREVENTION AND CONTROL
by
Anna Loraine Agustin Escobedo
A Dissertation Presented to the
FACULTY OF THE USC GRADUATE SCHOOL
UNIVERSITY OF SOUTHERN CALIFORNIA
In Partial Fulfillment of the
Requirements for the Degree
DOCTOR OF PHILOSOPHY
(EPIDEMIOLOGY)
August 2015
Copyright 2015 Anna Loraine Agustin Escobedo
Object Description
| Title | Application of geospatial methods to cancer surveillance data to improve cancer prevention and control |
| Author | Escobedo, Anna Loraine Agustín; Escobedo, Anna Loraine Agustin |
| Author email | aagustin@usc.edu;alagustin@gmail.com |
| Degree | Doctor of Philosophy |
| Document type | Dissertation |
| Degree program | Epidemiology |
| School | Keck School of Medicine |
| Date defended/completed | 2015-06-11 |
| Date submitted | 2015-07-22 |
| Date approved | 2015-07-23 |
| Restricted until | 2015-07-23 |
| Date published | 2015-07-23 |
| Advisor (committee chair) | Cockburn, Myles |
| Advisor (committee member) |
Franklin, Meredith Wilson, John P. Peng, David H. Deapen, Dennis |
| Abstract | Incidence of melanoma is increasing worldwide, over and above the impact of screening. While rates are high in certain parts of the United States, melanoma is still a fairly rare disease and this has contributed to the lack of adequately‐powered randomized clinical trials to examine the effects of population‐based screening on melanoma outcomes. For such settings where the cost‐effectiveness of population‐based campaigns cannot be easily established, experts are leaning towards focusing on high‐risk subpopulations. However, there are currently major gaps in the literature related to the identification of high‐risk subpopulations to target for early‐detection campaigns in the country. Because of the availability of population‐based cancer surveillance data, heterogeneously and widely distributed population and disparities in access‐to‐care, Los Angeles County in California presents an ideal setting to explore important factors to be considered when identifying geographic and demographic priorities for early melanoma detection, a goal of this dissertation. In addition, the combined knowledge of who and where high‐risk subpopulations are were used to evaluate the performance of potential targeted early‐detection campaigns in the county. Study findings can guide and improve the reach of existing early‐detection programs. Finding melanoma early among subpopulations who are more likely to present them in later stages is a cost‐effective approach that will substantially decrease melanoma mortality rates and result to considerable economic savings for the public. |
| Keyword | cancer; melanoma; incidence; late stage; neoplasm staging; diagnosis; cancer prevention; cancer control; adult; adolescent; geographic information systems; GIS; spatial; geospatial; geography; demography; California; Los Angeles County; cost‐effective; targeted; screening; early‐detection; high‐risk; population‐based; access to care; health services accessibility; dermatology; health insurance; distance; health care; providers; residence characteristics; priority; minority groups; Latino; Hispanic; non‐Hispanic white; epidemiology; poverty; socioeconomic status; socioeconomic factors; odds ratio; risk; United States; social class; SEER program; Cancer Surveillance Program; SaTScan; cluster; scan statistics; hotspot; Receiver Operating Characteristic |
| Language | English |
| Format (imt) | application/pdf |
| Part of collection | University of Southern California dissertations and theses |
| Publisher (of the original version) | University of Southern California |
| Place of publication (of the original version) | Los Angeles, California |
| Publisher (of the digital version) | University of Southern California. Libraries |
| Provenance | Electronically uploaded by the author |
| Type | texts |
| Legacy record ID | usctheses-m |
| Contributing entity | University of Southern California |
| Rights | Escobedo, Anna Loraine Agustín; Escobedo, Anna Loraine Agustin |
| Physical access | The author retains rights to his/her dissertation, thesis or other graduate work according to U.S. copyright law. Electronic access is being provided by the USC Libraries in agreement with the author, as the original true and official version of the work, but does not grant the reader permission to use the work if the desired use is covered by copyright. It is the author, as rights holder, who must provide use permission if such use is covered by copyright. The original signature page accompanying the original submission of the work to the USC Libraries is retained by the USC Libraries and a copy of it may be obtained by authorized requesters contacting the repository e-mail address given. |
| Repository name | University of Southern California Digital Library |
| Repository address | USC Digital Library, University of Southern California, University Park Campus MC 7002, 106 University Village, Los Angeles, California 90089-7002, USA |
| Repository email | cisadmin@lib.usc.edu |
| Filename | etd-EscobedoAn-3684.pdf |
| Archival file | Volume2/etd-EscobedoAn-3684.pdf |
Description
| Title | Page 1 |
| Repository email | cisadmin@lib.usc.edu |
| Full text | APPLICATION OF GEOSPATIAL METHODS TO CANCER SURVEILLANCE DATA TO IMPROVE CANCER PREVENTION AND CONTROL by Anna Loraine Agustin Escobedo A Dissertation Presented to the FACULTY OF THE USC GRADUATE SCHOOL UNIVERSITY OF SOUTHERN CALIFORNIA In Partial Fulfillment of the Requirements for the Degree DOCTOR OF PHILOSOPHY (EPIDEMIOLOGY) August 2015 Copyright 2015 Anna Loraine Agustin Escobedo |
