Impact of Foreign born East Asian Density on Liver Cancer Incidence Rate among Neighborhoods in New York City during 2009 - 2013| Multilevel Analysis

• Main Author: Lee, Sangwon
• Language: EN
• Published: State University of New York at Albany 2017
• Subjects: Biostatistics|Epidemiology
• Online Access: http://pqdtopen.proquest.com/#viewpdf?dispub=10617718

<p> Objective: To investigate the impact of the density of foreign born Asian population on geographical incidence rate of liver cancer in New York City during 2009 &ndash; 2013 in order to find specific geographic areas in NYC where liver cancer intervention should be targeted. Method: We chose to employ cross-sectional and ecologic study design. We collected count data for liver cancer cases and sociodemographic characteristics from the 2010 U.S. census tracts (n = 2120) and health indicators from the United Hospital Funded neighborhoods (n = 34) in New York City during 2009 &ndash; 2013. We performed multilevel analysis in order to investigate the association between the density of foreign born Asian population and geographical incidence rate of liver cancer, controlling for sociodemographic characteristics at the census tract level and health indicators at the UHF neighborhood level. Result: We found that for each one-percentage increase in the foreign born East Asian population in a census tract region, there is a significant increase in the expected incidence rate of liver cancer by 1.0%, controlling for other variables. Conclusion: There was significant impact of the density of foreign born East Asian population on geographical incidence rate of liver cancer in NYC. We expected that the UHF neighborhoods with relatively high density of foreign born East Asian population and high liver cancer incidence rate should be targeted for the public health intervention of liver cancer.</p><p>