학술논문

Self-Reported Cancer Rates in Two Rural Areas of West Virginia with and Without Mountaintop Coal Mining.
Document Type
Article
Source
Journal of Community Health; Apr2012, Vol. 37 Issue 2, p320-327, 8p, 3 Charts, 1 Map
Subject
Self-evaluation
Data analysis
Chi-squared test
Confidence intervals
Epidemiology
Interviewing
Mineral industries
Statistical hypothesis testing
Statistics
Surveys
T-test (Statistics)
Tumors
Logistic regression analysis
Cross-sectional method
Data analysis software
Descriptive statistics
West Virginia
Language
ISSN
00945145
Abstract
Mountaintop coal mining in the Appalachian region in the United States causes significant environmental damage to air and water. Serious health disparities exist for people who live in coal mining portions of Appalachia, but little previous research has examined disparities specifically in mountaintop mining communities. A community-based participatory research study was designed and implemented to collect information on cancer rates in a rural mountaintop mining area compared to a rural non-mining area of West Virginia. A door-door health interview collected data from 773 adults. Self-reported cancer rates were significantly higher in the mining versus the non-mining area after control for respondent age, sex, smoking, occupational history, and family cancer history (odds ratio = 2.03, 95% confidence interval = 1.32-3.13). Mountaintop mining is linked to increased community cancer risk. Efforts to reduce cancer and other health disparities in Appalachia must focus on mountaintop mining portions of the region. [ABSTRACT FROM AUTHOR]