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Concerned citizens collect cancer-incidence data
1Department of Epidemiology, School of Public Health, University of Alabama at Birmingham 35294-0008.
Summary
Community-led mail surveys can accurately collect cancer incidence data in rural areas. This method, when validated with mortality data, offers a viable alternative to statewide registries for identifying cancer trends.
Area of Science:
- Epidemiology
- Public Health
- Cancer Research
Background:
- Cancer surveillance in rural areas presents unique challenges.
- Limited access to comprehensive cancer registries in non-metropolitan regions.
- Need for cost-effective and community-driven data collection methods.
Purpose of the Study:
- To describe and evaluate a community-based mail survey method for collecting cancer incidence data in a rural town.
- To assess the accuracy and completeness of the collected cancer data.
- To determine the utility of this method for rural cancer surveillance.
Main Methods:
- A mail survey was designed and implemented by community members.
- Cancer incidence data were collected through the survey.
- Data were analyzed and compared with local mortality records and national cancer statistics.
Main Results:
- The community-collected cancer incidence data demonstrated reasonable accuracy and completeness when compared to mortality data.
- Observed and expected incident cases and deaths showed close correlation for most cancer sites.
- Statistically significant excesses in incident cases were noted for melanoma and lymphoma in women.
Conclusions:
- A citizen-prompted mail survey is a potentially effective method for gathering cancer incidence data in rural settings.
- Substantial community support is crucial for ensuring data accuracy and completeness.
- This approach can be valuable for rural areas lacking a statewide cancer registry.