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Article

Measuring Neighborhood Landscapes: Associations between a Neighborhood’s Landscape Characteristics and Colon Cancer Survival

1
Department of Geography and Urban Studies, Temple University, Philadelphia, PA 19122, USA
2
New Jersey Department of Health, New Jersey State Cancer Registry, Trenton, NJ 08625, USA
3
Rutgers School of Public Health, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ 08901, USA
4
Department of Computer and Information Sciences, Temple University, Philadelphia, PA 19122, USA
5
Fox Chase Cancer Center, Division of Cancer Prevention and Control, Philadelphia, PA 19111, USA
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(9), 4728; https://doi.org/10.3390/ijerph18094728
Received: 25 March 2021 / Revised: 21 April 2021 / Accepted: 27 April 2021 / Published: 29 April 2021
Landscape characteristics have been shown to influence health outcomes, but few studies have examined their relationship with cancer survival. We used data from the National Land Cover Database to examine associations between regional-stage colon cancer survival and 27 different landscape metrics. The study population included all adult New Jersey residents diagnosed between 2006 and 2011. Cases were followed until 31 December 2016 (N = 3949). Patient data were derived from the New Jersey State Cancer Registry and were linked to LexisNexis to obtain residential histories. Cox proportional hazard regression was used to estimate hazard ratios (HR) and 95% confidence intervals (CI95) for the different landscape metrics. An increasing proportion of high-intensity developed lands with 80–100% impervious surfaces per cell/pixel was significantly associated with the risk of colon cancer death (HR = 1.006; CI95 = 1.002–1.01) after controlling for neighborhood poverty and other individual-level factors. In contrast, an increase in the aggregation and connectivity of vegetation-dominated low-intensity developed lands with 20–<40% impervious surfaces per cell/pixel was significantly associated with the decrease in risk of death from colon cancer (HR = 0.996; CI95 = 0.992–0.999). Reducing impervious surfaces in residential areas may increase the aesthetic value and provide conditions more advantageous to a healthy lifestyle, such as walking. Further research is needed to understand how these landscape characteristics impact survival. View Full-Text
Keywords: residential histories; residential mobility; time-varying covariates; survival analysis; geographic disparities; colon cancer; neighborhood socio-economic status; landscape metrics; landscape characteristics residential histories; residential mobility; time-varying covariates; survival analysis; geographic disparities; colon cancer; neighborhood socio-economic status; landscape metrics; landscape characteristics
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MDPI and ACS Style

Wiese, D.; Stroup, A.M.; Maiti, A.; Harris, G.; Lynch, S.M.; Vucetic, S.; Gutierrez-Velez, V.H.; Henry, K.A. Measuring Neighborhood Landscapes: Associations between a Neighborhood’s Landscape Characteristics and Colon Cancer Survival. Int. J. Environ. Res. Public Health 2021, 18, 4728. https://doi.org/10.3390/ijerph18094728

AMA Style

Wiese D, Stroup AM, Maiti A, Harris G, Lynch SM, Vucetic S, Gutierrez-Velez VH, Henry KA. Measuring Neighborhood Landscapes: Associations between a Neighborhood’s Landscape Characteristics and Colon Cancer Survival. International Journal of Environmental Research and Public Health. 2021; 18(9):4728. https://doi.org/10.3390/ijerph18094728

Chicago/Turabian Style

Wiese, Daniel, Antoinette M. Stroup, Aniruddha Maiti, Gerald Harris, Shannon M. Lynch, Slobodan Vucetic, Victor H. Gutierrez-Velez, and Kevin A. Henry 2021. "Measuring Neighborhood Landscapes: Associations between a Neighborhood’s Landscape Characteristics and Colon Cancer Survival" International Journal of Environmental Research and Public Health 18, no. 9: 4728. https://doi.org/10.3390/ijerph18094728

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