Skip Navigation
Skip to contents

JPMPH : Journal of Preventive Medicine and Public Health


Author index

Page Path
HOME > Browse Articles > Author index
Mohsen Asadi-Lari 1 Article
Spatial Inequalities in the Incidence of Colorectal Cancer and Associated Factors in the Neighborhoods of Tehran, Iran: Bayesian Spatial Models
Kamyar Mansori, Masoud Solaymani-Dodaran, Alireza Mosavi-Jarrahi, Ali Ganbary Motlagh, Masoud Salehi, Alireza Delavari, Mohsen Asadi-Lari
J Prev Med Public Health. 2018;51(1):33-40.   Published online January 2, 2018
  • 6,150 View
  • 236 Download
  • 6 Citations
AbstractAbstract PDF
The aim of this study was to determine the factors associated with the spatial distribution of the incidence of colorectal cancer (CRC) in the neighborhoods of Tehran, Iran using Bayesian spatial models.
This ecological study was implemented in Tehran on the neighborhood level. Socioeconomic variables, risk factors, and health costs were extracted from the Equity Assessment Study conducted in Tehran. The data on CRC incidence were extracted from the Iranian population-based cancer registry. The Besag-York-Mollié (BYM) model was used to identify factors associated with the spatial distribution of CRC incidence. The software programs OpenBUGS version 3.2.3, ArcGIS 10.3, and GeoDa were used for the analysis.
The Moran index was statistically significant for all the variables studied (p<0.05). The BYM model showed that having a women head of household (median standardized incidence ratio [SIR], 1.63; 95% confidence interval [CI], 1.06 to 2.53), living in a rental house (median SIR, 0.82; 95% CI, 0.71 to 0.96), not consuming milk daily (median SIR, 0.71; 95% CI, 0.55 to 0.94) and having greater household health expenditures (median SIR, 1.34; 95% CI, 1.06 to 1.68) were associated with a statistically significant elevation in the SIR of CRC. The median (interquartile range) and mean (standard deviation) values of the SIR of CRC, with the inclusion of all the variables studied in the model, were 0.57 (1.01) and 1.05 (1.31), respectively.
Inequality was found in the spatial distribution of CRC incidence in Tehran on the neighborhood level. Paying attention to this inequality and the factors associated with it may be useful for resource allocation and developing preventive strategies in atrisk areas.


Citations to this article as recorded by  
  • Colorectal cancer spatial pattern in the northeast region of São Paulo, Brazil
    Adeylson Guimarães Ribeiro, Allini Mafra da Costa, Talita Fernanda Pereira, Denise Peixoto Guimarães, José Humberto Tavares Guerreiro Fregnani
    Global Epidemiology.2023; 5: 100097.     CrossRef
  • Impacts of some clinicopathodemography and colorectal tissues key cell cycle and mucin stabilizing molecules on the metastasis trend in colorectal cancer patients
    Ali Ghorbani Ranjbary, Jalil Mehrzad, Nasrollah Rahbar, Hesam Dehghani
    Molecular Biology Reports.2023; 50(10): 8589.     CrossRef
  • Area-Level Determinants in Colorectal Cancer Spatial Clustering Studies: A Systematic Review
    Sharifah Saffinas Syed Soffian, Azmawati Mohammed Nawi, Rozita Hod, Huan-Keat Chan, Muhammad Radzi Abu Hassan
    International Journal of Environmental Research and Public Health.2021; 18(19): 10486.     CrossRef
  • Favorable colorectal cancer mortality-to-incidence ratios in countries with high expenditures on health and development index
    Chi-Chih Wang, Wen-Wei Sung, Pei-Yi Yan, Po-Yun Ko, Ming-Chang Tsai
    Medicine.2021; 100(41): e27414.     CrossRef
  • Spatial autocorrelation of breast cancer mortality in the Metropolitan Region, Chile: an ecological study
    Doris Durán, María José Monsalves
    Medwave.2020; 20(01): e7766.     CrossRef
  • Premature mortality of gastrointestinal cancer in Iran: trends and projections 2001–2030
    Fatemeh Khosravi Shadmani, Farshad Farzadfar, Moein Yoosefi, Kamyar Mansori, Reza Khosravi Shadman, Aliakbar Haghdoost
    BMC Cancer.2020;[Epub]     CrossRef

JPMPH : Journal of Preventive Medicine and Public Health