Epidemiologic, Racial and Healthographic Mapping of Delaware Pediatric Cancer: 2004–2014

Laurens Holmes, Jonathan Vandenberg, Lavisha McClarin and Kirk Dabney
Additional contact information
Laurens Holmes: Nemours/Alfred I. duPont Hospital for Children, Office of Health Equity and Inclusion, 2200 Concord Pike, Wilmington, DE 19803, USA
Jonathan Vandenberg: Nemours/Alfred I. duPont Hospital for Children, Office of Health Equity and Inclusion, 2200 Concord Pike, Wilmington, DE 19803, USA
Lavisha McClarin: Nemours/Alfred I. duPont Hospital for Children, Office of Health Equity and Inclusion, 2200 Concord Pike, Wilmington, DE 19803, USA
Kirk Dabney: Nemours/Alfred I. duPont Hospital for Children, Office of Health Equity and Inclusion, 2200 Concord Pike, Wilmington, DE 19803, USA

IJERPH, 2015, vol. 13, issue 1, 1-14

Abstract: Childhood cancer remains the leading cause of disease-related death among children 0 to 14 years and incidence varies by race, ethnicity, sex, geographic locale, and age at onset. However, data are unavailable in some regions, indicative of a need for such information for cancer awareness, education and prevention program. We utilized retrospective epidemiologic design to assess and characterize pediatric tumors in the Nemours Electronic Medical Records, between 2004 and 2014. Tumor frequency and children population size were used to determine the period prevalence as cumulative incidence (CI) proportion, as well as chi-square and Poisson Regression. The CI for overall childhood cancer in Delaware was 234 per 100,000 children, and varied by race, black (273 per 100,000), white (189 per 100,000). Similarly, sex variability was observed in CI, boys (237 per 100,000) and girls (230 per 100,000). The most commonly diagnosed malignancies were acute lymphoblastic leukemia (ALL), Central Nervous System (CNS)/brain and renal cancer. The geographic locales with relatively higher cancer CI in the state of DE were zip codes 19804 and 19960, but this does not imply cancer clustering. Differences in overall childhood cancer distribution occurred by race, sex, geography, and age. These findings are indicative of the need for cancer-specific health education, awareness and prevention programs in reducing the observed disparities in Delaware.

Keywords: pediatric cancer; health disparities; cumulative incidence; Delaware (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2015
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/13/1/49/pdf (application/pdf)
https://www.mdpi.com/1660-4601/13/1/49/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:13:y:2015:i:1:p:49-:d:60998

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().