title: Spatial analysis of county-level breast cancer mortality in Texas.
abstract: OBJECTIVE
  The objectives of the study were to detect high-risk areas and to examine how racial and ethnic status affect the geographic distribution of female breast cancer mortality in Texas. Analyses were based on county-level data for the years from 2000 to 2008.
  
  
  METHODS
  Breast cancer mortality data were obtained from the Texas Cancer Registry, and the Spatial Scan Statistics method was used to run Purely Spatial Analyses using the Discrete Poisson, Bernoulli, and Multinomial models.
  
  
  CONCLUSIONS
  Highest rates of female breast cancer mortality in Texas have shifted over time from southeastern areas towards northern and eastern areas, and breast cancer mortality at the county level is distributed heterogeneously based on racial/ethnic status. Non-Hispanic blacks were at highest risk in the northeastern region and lowest risk in the southern region, while Hispanics were at highest risk in the southern region along the border with Mexico and lowest risk in the northeastern region.
authors.affiliation: Division of Epidemiology, Human Genetics and Environmental Science, University of Texas School of Public Health, Houston, TX 77030, USA.
authors.forename: Arvind B
authors.initials: AB
authors.lastname: Bambhroliya
authors.forename: Keith D
authors.initials: KD
authors.lastname: Burau
authors.forename: Ken
authors.initials: K
authors.lastname: Sexton
mesh_terms: D000328:Adult; D001741:Black or African American; D016010:Binomial Distribution; D001943:Breast Neoplasms / Q000453:epidemiology / Q000401:mortality*; D016000:Cluster Analysis; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D016012:Poisson Distribution; D012306:Risk; D062206:Spatial Analysis; D015996:Survival Rate; D013781:Texas / Q000453:epidemiology