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University of Southern California

1. Escobedo, Anna Loraine Agustín. Application of geospatial methods to cancer surveillance data to improve cancer prevention and control.

Degree: PhD, Epidemiology, 2015, University of Southern California

Incidence of melanoma is increasing worldwide, over and above the impact of screening. While rates are high in certain parts of the United States, melanoma is still a fairly rare disease and this has contributed to the lack of adequately‐powered randomized clinical trials to examine the effects of population‐based screening on melanoma outcomes. For such settings where the cost‐effectiveness of population‐based campaigns cannot be easily established, experts are leaning towards focusing on high‐risk subpopulations. However, there are currently major gaps in the literature related to the identification of high‐risk subpopulations to target for early‐detection campaigns in the country. Because of the availability of population‐based cancer surveillance data, heterogeneously and widely distributed population and disparities in access‐to‐care, Los Angeles County in California presents an ideal setting to explore important factors to be considered when identifying geographic and demographic priorities for early melanoma detection, a goal of this dissertation. In addition, the combined knowledge of who and where high‐risk subpopulations are were used to evaluate the performance of potential targeted early‐detection campaigns in the county. Study findings can guide and improve the reach of existing early‐detection programs. Finding melanoma early among subpopulations who are more likely to present them in later stages is a cost‐effective approach that will substantially decrease melanoma mortality rates and result to considerable economic savings for the public. Advisors/Committee Members: Cockburn, Myles (Committee Chair), Franklin, Meredith (Committee Member), Wilson, John P. (Committee Member), Peng, David H. (Committee Member), Deapen, Dennis (Committee Member).

Subjects/Keywords: cancer; melanoma; incidence; late stage; neoplasm staging; diagnosis; cancer prevention; cancer control; adult; adolescent; geographic information systems; GIS; spatial; geospatial; geography; demography; California; Los Angeles County; cost‐effective; targeted; screening; early‐detection; high‐risk; population‐based; access to care; health services accessibility; dermatology; health insurance; distance; health care; providers; residence characteristics; priority; minority groups; Latino; Hispanic; non‐Hispanic white; epidemiology; poverty; socioeconomic status; socioeconomic factors; odds ratio; risk; United States; social class; SEER program; Cancer Surveillance Program; SaTScan; cluster; scan statistics; hotspot; Receiver Operating Characteristic

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Escobedo, A. L. A. (2015). Application of geospatial methods to cancer surveillance data to improve cancer prevention and control. (Doctoral Dissertation). University of Southern California. Retrieved from http://digitallibrary.usc.edu/cdm/compoundobject/collection/p15799coll3/id/605025/rec/855

Chicago Manual of Style (16th Edition):

Escobedo, Anna Loraine Agustín. “Application of geospatial methods to cancer surveillance data to improve cancer prevention and control.” 2015. Doctoral Dissertation, University of Southern California. Accessed December 06, 2019. http://digitallibrary.usc.edu/cdm/compoundobject/collection/p15799coll3/id/605025/rec/855.

MLA Handbook (7th Edition):

Escobedo, Anna Loraine Agustín. “Application of geospatial methods to cancer surveillance data to improve cancer prevention and control.” 2015. Web. 06 Dec 2019.

Vancouver:

Escobedo ALA. Application of geospatial methods to cancer surveillance data to improve cancer prevention and control. [Internet] [Doctoral dissertation]. University of Southern California; 2015. [cited 2019 Dec 06]. Available from: http://digitallibrary.usc.edu/cdm/compoundobject/collection/p15799coll3/id/605025/rec/855.

Council of Science Editors:

Escobedo ALA. Application of geospatial methods to cancer surveillance data to improve cancer prevention and control. [Doctoral Dissertation]. University of Southern California; 2015. Available from: http://digitallibrary.usc.edu/cdm/compoundobject/collection/p15799coll3/id/605025/rec/855

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