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. 2022 Nov 13;14(11):e31440.
doi: 10.7759/cureus.31440. eCollection 2022 Nov.

Falling Trend in the Epidemiology of Gastric Cancer in Mississippi From 2003 to 2019: What Mississippi Got Right

Basil N Nduma  1 , Solomon Ambe  2 , Chukwuyem Ekhator  3 , Ekokobe Fonkem  4
Affiliations

Falling Trend in the Epidemiology of Gastric Cancer in Mississippi From 2003 to 2019: What Mississippi Got Right

Basil N Nduma et al. Cureus. .

Abstract

Background: The aim of this study is to give insight into the falling trend in gastric cancer epidemiology in the state of Mississippi. The period in focus is between 2003 and 2019. The aim of this study is to uncover what the state got right and the implications for future healthcare.

Methodology: The data for this study was collected from the Mississippi state cancer registry. The geographic locations in focus are the state's cancer coalition regions. The data is presented in tables and graphs, with descriptive and inferential statistical analysis.

Results: An assessment of the respective cancer coalition regions reveals a notable decline in gastric cancer incidence rates between 2003 and 2009. The areas where the state got right were found to include evaluation and surveillance, environmental, systems, and policy changes, treatment, survivorship, early detection, and prevention.

Conclusion: Given that the state is predominantly rural, it is recommended that additional innovative approaches are explored and implemented, including telemedicine implementation to foster real-time services regarding community health education and dissemination or messaging about actions such as gastric cancer screening and the needed environmental changes such as nutrition guideline adherence.

Keywords: cancer registry; epidemiology; gastric cancer; incidence; mississippi.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Gastric cancer incidence per cancer coalition regions for Mississippi state
Age-adjusted to the 2000 U.S. Standard Million Population. The population estimates for 2005 are adjusted to account for population shifts due to Hurricane Katrina (www.seer.cancer.gov/popdata/)
Figure 2
Figure 2. Trend in gastric cancer incidence rate in Mississippi by cancer coalition regions from 2003 to 2019
The unit or denominator for the gastric cancer incidence rate measured is per 100,000
Figure 3
Figure 3. Statewide age-adjusted gastric cancer incidence rate in Mississippi state
Figure 4
Figure 4. Incidence of gastric cancer in male residents per cancer coalition regions in Mississippi state from 2003 to 2019
Age-adjusted to the 2000 U.S. Standard Million population. The population estimates for 2005 are adjusted to account for population shifts due to hurricane Katrina (www.seer.cancer.gov/popdata/)
Figure 5
Figure 5. Incidence of gastric cancer in female residents per cancer coalition regions in Mississippi state from 2003 to 2019
Age-adjusted to the 2000 U.S. Standard Million population. The population estimates for 2005 are adjusted to account for population shifts due to hurricane Katrina (www.seer.cancer.gov/popdata/)
Figure 6
Figure 6. Comparing trends in gastric cancer incidence rate in Mississippi, male vs female residents from 2003 to 2019
Figure 7
Figure 7. Comparing trends in gastric cancer incidence rate in Mississippi, White versus Black residents from 2003 to 2019
Figure 8
Figure 8. Gastric cancer incidence of white residents per cancer coalition regions in Mississippi state
Age-adjusted to the 2000 U.S. Standard Million population. The population estimates for 2005 are adjusted to account for population shifts due to hurricane Katrina (www.seer.cancer.gov/popdata/)
Figure 9
Figure 9. Gastric Cancer incidence of black residents per cancer coalition regions in Mississippi state
Age-adjusted to the 2000 U.S. Standard Million population. The population estimates for 2005 are adjusted to account for population shifts due to hurricane Katrina (www.seer.cancer.gov/popdata/)
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