Jaramillo-Feijoo Leyda Elizabeth1, Galindo-Villardon María Purificación2 , Real-Cotto Jhony Joe3 , González-Rugel José Luis4 & Idrovo-Madezco Segundo Enrique5
La correspondencia debe dirigirse a Leyda Jaramillo Feijoo. Email: firstname.lastname@example.org
Recibido el 16 de Diciembre del 2019. Aceptado el 25 de Enero de 2020
JARAMILLO, L.; GALINDO, M.; REAL, J.; GONZÁLEZ, J. & IDROVO, S. Space cluster of mortality for breast cancer in Ecuador. J. health med. sci., 6(1):29-36, 2020.
ABSTRACT: Currently spatial distribution analyzes through the use of cluster techniques for chronic diseases such as breast cancer are revealing for the identification of spatial patterns of cancer mortality according to geographic areas. Objective. Identify spatial clusters of breast cancer mortality in women at the level of the provinces of Ecuador, between 2004 to 2018. We used an observational, descriptive, ecological multigroup study that compares at a Spatio-temporal level the rates of breast cancer mortality in women according to the provinces of Ecuador, using the Moran index for the autocorrelation analysis and the k-, means algorithm for cluster analysis in five-year periods using the ArcGIS version 10.5 software. Results. In Ecuador, 86.5% of breast cancer deaths in women were recorded in the urban area, these deaths have a non-random pattern according to the Morán Index different from the rural area that has a random pattern; difference was identified in the grouping of breast cancer mortality in urban and rural provinces, where it was obtained for urban areas, clusters with high, medium. high, medium-low and low mortality rates. While in rural areas only clusters with high, medium and low mortality rates were obtained. Conclusions. The spatial distribution and cluster analysis identified clusters of breast cancer mortality in Ecuador; evidencing between urban and rural differences in the clusters obtained, this information is useful for the development of cancer control strategies in the country.
KEY WORDS: Spatial cluster, cluster analysis, breast cancer, mortality
Dirección para correspondencia:
Leyda Jaramillo Feijoo
Departamento Gestión de la Información y Productividad SOLCA- Guayaquil
Av. Pedro Menéndez Gilbert y Atahualpa, parroquia Tarqui.
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