title: [Municipal distribution of the incidence of the most common tumours in an area with high cancer mortality].
abstract: OBJECTIVE
  To describe the geographic distribution patterns of the municipal incidence of the most common tumours in the Huelva province (Spain) as compared to the estimated incidence for all of Spain.
  
  
  METHODS
  Relative risk (RR) was computed based on the conditional autoregressive model proposed by Besag, York and Mollié by applying the INLA tool to the cancer data for 2007-2011 for the following tumour locations: colon, rectum and anus (men and women); trachea, bronchia, and lungs, prostate and bladder in men; and breasts in women. The RR was presented in in choropleth and isopleth (with kriging interpolation) risk maps.
  
  
  RESULTS
  RR for bladder cancer in men was greater than 1.0 in all municipalities, with confidence intervals over 1.0 in four municipalities; Madrid having a 1.56 RR (95%CI 1.30-1.67). For prostate cancer, a posteriori probabilities were below 0.1 in 68 of the 79 municipalities. For lung cancer, nine municipalities had confidence limits below 1.0, almost all of them in western Spain. For women, the RR for breast cancer was significantly higher in the capital of province area. The cancer incidence rates for the Huelva province were, in general, similar to those estimated for Spain, standing out bladder cancer in men (35% higher) and prostate cancer (30% lower).
  
  
  CONCLUSIONS
  In the Huelva province, there is a geographical municipal distribution of cancer incidence with well-defined patterns for some specific tumour locations, with overall incidence rates very similar to those in the rest of Spain.
authors.affiliation: Delegación Territorial en Huelva de la Consejería de Salud de la Junta de Andalucía, Huelva, España.
authors.forename: Manuel Jesús
authors.initials: MJ
authors.lastname: Viñas Casasola
authors.affiliation: Área de Epidemiología Ambiental y Cáncer, Centro Nacional de Epidemiología, Instituto de Salud Carlos III, Madrid, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España.
authors.forename: Pablo
authors.initials: P
authors.lastname: Fernández Navarro
authors.affiliation: Delegación Territorial en Huelva de la Consejería de Salud de la Junta de Andalucía, Huelva, España.
authors.forename: María Luisa
authors.initials: ML
authors.lastname: Fajardo Rivas
authors.affiliation: Delegación Territorial en Huelva de la Consejería de Salud de la Junta de Andalucía, Huelva, España. Electronic address: josel.gurucelain@juntadeandalucia.es.
authors.forename: José Luis
authors.initials: JL
authors.lastname: Gurucelain Raposo
authors.affiliation: CIBER de Epidemiología y Salud Pública (CIBERESP), España; Centro de Investigación en Salud y Medio Ambiente (CYSMA), Universidad de Huelva, Huelva, España.
authors.forename: Juan
authors.initials: J
authors.lastname: Alguacil Ojeda
mesh_terms: D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D009369:Neoplasms / Q000453:epidemiology* / Q000401:mortality; D013030:Spain / Q000453:epidemiology; D014504:Urban Health
keywords: Cancer; Cáncer; Epidemiology; Epidemiología; Huelva; Mapas; Maps; Public health; Salud Pública