Evaluating the intersection of climate vulnerability and cancer burden in North Carolina.

IF 3.4 Q2 ONCOLOGY

JNCI Cancer Spectrum Pub Date : 2025-01-03 DOI:10.1093/jncics/pkae124

Joyce Pak, Ngan Le, Eman M Metwally, Jeanny Wang, Arrianna Marie Planey, Amy M Lowman, Bradford E Jackson, Eboneé N Butler, Jennifer L Lund

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Abstract

Climate-related extreme weather events disrupt health-care systems and exacerbate health disparities, particularly affecting individuals diagnosed with cancer. This study explores the intersection of climate vulnerability and cancer burden in North Carolina (NC). Using county-level data from the US Climate Vulnerability Index (CVI) and the NC Department of Health and Human Services, we analyzed cancer incidence and mortality rates from 2017 to 2021. Our findings reveal a robust correlation between CVI percentiles and cancer mortality (r = 0.72). Counties with high area deprivation like Scotland, Robeson, and Halifax had the highest CVI percentiles of 0.68, 0.67, and 0.66, with respective cancer mortality rates of 193, 195, and 196 per 100 000 person-years. Correlations between CVI and cancer incidence were modest (r = 0.22). These results underscore the need for targeted public health interventions to mitigate climate-related health disparities. Future work could focus on exploring specific climate hazards and cancer outcomes to enhance preparedness and resilience in cancer care.

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评估北卡罗莱纳州气候脆弱性和癌症负担的交集。

与气候相关的极端天气事件扰乱了医疗保健系统，加剧了健康差距，尤其影响到确诊为癌症的患者。本研究探讨了北卡罗来纳州（NC）气候脆弱性与癌症负担的交叉点。利用来自美国气候脆弱性指数（CVI）和北卡罗来纳州卫生与公众服务部的县级数据，我们分析了 2017-2021 年的癌症发病率和死亡率。我们的研究结果表明，CVI 百分位数与癌症死亡率之间存在密切的相关性（r = 0.72）。苏格兰、罗伯逊和哈利法克斯等地区贫困程度较高的县的 CVI 百分位数最高，分别为 0.68、0.67 和 0.66，每 10 万人年的癌症死亡率分别为 193、195 和 196。CVI 与癌症发病率之间的相关性不大（r = 0.22）。这些结果表明，有必要采取有针对性的公共卫生干预措施，以减少与气候相关的健康差异。未来的工作可侧重于探索特定的气候灾害和癌症结果，以加强癌症护理的准备和适应能力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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