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Area-Level Determinants in Colorectal Cancer Spatial Clustering Studies: A Systematic Review

Author

Listed:
  • Sharifah Saffinas Syed Soffian

    (Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur 56000, Malaysia)

  • Azmawati Mohammed Nawi

    (Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur 56000, Malaysia)

  • Rozita Hod

    (Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur 56000, Malaysia)

  • Huan-Keat Chan

    (Clinical Research Center, Sultanah Bahiyah Hospital, Alor Setar 05400, Malaysia)

  • Muhammad Radzi Abu Hassan

    (Clinical Research Center, Sultanah Bahiyah Hospital, Alor Setar 05400, Malaysia)

Abstract

The increasing pattern of colorectal cancer (CRC) in specific geographic region, compounded by interaction of multifactorial determinants, showed the tendency to cluster. The review aimed to identify and synthesize available evidence on clustering patterns of CRC incidence, specifically related to the associated determinants. Articles were systematically searched from four databases, Scopus, Web of Science, PubMed, and EBSCOHost. The approach for identification of the final articles follows PRISMA guidelines. Selected full-text articles were published between 2016 and 2021 of English language and spatial studies focusing on CRC cluster identification. Articles of systematic reviews, conference proceedings, book chapters, and reports were excluded. Of the final 12 articles, data on the spatial statistics used and associated factors were extracted. Identified factors linked with CRC cluster were further classified into ecology (health care accessibility, urbanicity, dirty streets, tree coverage), biology (age, sex, ethnicity, overweight and obesity, daily consumption of milk and fruit), and social determinants (median income level, smoking status, health cost, employment status, housing violations, and domestic violence). Future spatial studies that incorporate physical environment related to CRC cluster and the potential interaction between the ecology, biology and social determinants are warranted to provide more insights to the complex mechanism of CRC cluster pattern.

Suggested Citation

  • Sharifah Saffinas Syed Soffian & Azmawati Mohammed Nawi & Rozita Hod & Huan-Keat Chan & Muhammad Radzi Abu Hassan, 2021. "Area-Level Determinants in Colorectal Cancer Spatial Clustering Studies: A Systematic Review," IJERPH, MDPI, vol. 18(19), pages 1-20, October.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:19:p:10486-:d:650572
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