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Cancer mortality rates and spillover effects among different areas: A case study in Campania (southern Italy)

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  • Agovino, Massimiliano
  • Aprile, Maria Carmela
  • Garofalo, Antonio
  • Mariani, Angela

Abstract

The present study analyses the spatial distribution of cancer mortality rates in Campania (an Italian region with the highest population density), in which residents in several areas are exposed to major environmental health hazards. The paper has the methodological aims of verifying the existence, or otherwise, of a spatial correlation between mortality from different types of cancer and the occurrence of some specific area characteristics, using both Bayesian statistics and spatial econometrics. We show that the use of the Spatial Empirical Bayes Smoothed Rate, instead of the more commonly used Raw Rate, allows a more comprehensive analysis of the mortality rate, highlighting the existence of different cluster sizes throughout the region, according to the type of cancer mortality rate analysed. By using a Spatial Durbin model we verify that cancer mortality rates are related to the environmental characteristics of specific areas with spatial spillover effects. Our results validate the hypothesis that living along the coast by Mt Vesuvius and, to a lesser extent, along the Domitio-Flegreo coast NW of Naples and in more urbanised municipalities, increases the risk of dying of cancer. By contrast, living in less urbanised municipalities, with the presence of natural and historical attractions, has a positive effect on the residents’ health, reducing their risk of disease. In both cases significant spillover effects (negative and positive) are found in municipalities close to the areas in question. Despite a number of reasonable limitations, our findings may provide useful information support for policy makers to foster knowledge, awareness and informed participation of citizens.

Suggested Citation

  • Agovino, Massimiliano & Aprile, Maria Carmela & Garofalo, Antonio & Mariani, Angela, 2018. "Cancer mortality rates and spillover effects among different areas: A case study in Campania (southern Italy)," Social Science & Medicine, Elsevier, vol. 204(C), pages 67-83.
    • Handle: RePEc:eee:socmed:v:204:y:2018:i:c:p:67-83
    DOI: 10.1016/j.socscimed.2018.03.027
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    1. Alessio D'Amato & Massimiliano Mazzanti & Francesco Nicolli, 2011. "Waste Sustainability, Environmental Management and Mafia: Analysing Geographical and Economic Dimensions," CEIS Research Paper 213, Tor Vergata University, CEIS, revised 24 Oct 2011.
    2. James P. LESAGE, 2014. "Software For Bayesian Spatial Model Comparison," Region et Developpement, Region et Developpement, LEAD, Universite du Sud - Toulon Var, vol. 40, pages 11-24.
    3. Han, Xiaoyi & Lee, Lung-fei, 2013. "Bayesian estimation and model selection for spatial Durbin error model with finite distributed lags," Regional Science and Urban Economics, Elsevier, vol. 43(5), pages 816-837.
    4. D’Amato, Alessio & Mazzanti, Massimiliano & Nicolli, Francesco, 2015. "Waste and organized crime in regional environments," Resource and Energy Economics, Elsevier, vol. 41(C), pages 185-201.
    5. Olivier Parent & James Lesage, 2005. "Bayesian Model Averaging for Spatial Econometric Models," Post-Print hal-00375489, HAL.
    6. James P. Lesage, 2008. "An Introduction to Spatial Econometrics," Revue d'économie industrielle, De Boeck Université, vol. 0(3), pages 19-44.
    7. Massimo A. Russo & Roberto Gismondi, 2004. "Definizione e calcolo di un indice territoriale di turisticita' un approccio statistico multivariato," Quaderni DSEMS 11-2004, Dipartimento di Scienze Economiche, Matematiche e Statistiche, Universita' di Foggia.
    8. Craig Leisher & Leah H. Samberg & Pieter Van Buekering & M. Sanjayan, 2013. "Focal Areas for Measuring the Human Well-Being Impacts of a Conservation Initiative," Sustainability, MDPI, vol. 5(3), pages 1-14, March.
    9. Maria ABREU & Henri L.F. DE GROOT & Raymond J.G.M. FLORAX, 2005. "Space And Growth: A Survey Of Empirical Evidence And Methods," Region et Developpement, Region et Developpement, LEAD, Universite du Sud - Toulon Var, vol. 21, pages 13-44.
    10. Massimiliano Agovino & Antonio Garofalo & Angela Mariani, 2014. "Urban Environmental Quality and Sustainable Food Sourcing: A Spatial Approach Using Italian Provincial Data," RIVISTA DI STUDI SULLA SOSTENIBILITA', FrancoAngeli Editore, vol. 2014(2), pages 139-157.
    11. Eleonora Lorenzini & Maurizio Pisati & Tomaso Pompili, 2014. "Determinants of international tourist choices in Italian provinces: a joint demand-supply approach with spatial effects," ERSA conference papers ersa14p862, European Regional Science Association.
    12. Alicja Olejnik & Agata Zoltaszek, 2016. "Spatial econometric approach to western diseases modelling," Lodz Economics Working Papers 6/2016, University of Lodz, Faculty of Economics and Sociology.
    13. Luc Anselin & Yong Wook Kim & Ibnu Syabri, 2004. "Web-based analytical tools for the exploration of spatial data," Journal of Geographical Systems, Springer, vol. 6(2), pages 197-218, June.
    14. Massimiliano Agovino & Antonio Garofalo & Angela Mariani, 2017. "Separate waste collection in Italy: the role of socio-cultural factors and targets set by law," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 19(2), pages 589-605, April.
    15. Doğan, Osman & Taşpınar, Süleyman, 2014. "Spatial autoregressive models with unknown heteroskedasticity: A comparison of Bayesian and robust GMM approach," Regional Science and Urban Economics, Elsevier, vol. 45(C), pages 1-21.
    16. Arnab Bhattacharjee & Taps Maiti & Dennis Petrie, 2014. "Spatial structures of health outcomes and health behaviours in Scotland: Evidence from the Scottish Health Survey," SEEC Discussion Papers 1401, Spatial Economics and Econometrics Centre, Heriot Watt University.
    17. J. Paul Elhorst & Sandy Fréret, 2009. "Evidence Of Political Yardstick Competition In France Using A Two‐Regime Spatial Durbin Model With Fixed Effects," Journal of Regional Science, Wiley Blackwell, vol. 49(5), pages 931-951, December.
    18. Agovino, M. & Casaccia, M. & Crociata, A., 2016. "The impact of European Regional Development Fund on separate waste collection: Evidence from Italian regions," Environmental Science & Policy, Elsevier, vol. 61(C), pages 97-107.
    19. Paul Elhorst & Solmaria Halleck Vega, 2013. "On spatial econometric models, spillover effects, and W," ERSA conference papers ersa13p222, European Regional Science Association.
    20. Chen, Susan E. & Florax, Raymond J.G.M. & Snyder, Samantha D., 2009. "Obesity in Urban Food Markets: Evidence from Geo-referenced Micro Data," 2009 Annual Meeting, July 26-28, 2009, Milwaukee, Wisconsin 49512, Agricultural and Applied Economics Association.
    21. Brown, Henry Shelton, 2008. "Do Mexican immigrants substitute health care in Mexico for health insurance in the United States? The role of distance," Social Science & Medicine, Elsevier, vol. 67(12), pages 2036-2042, December.
    22. Paolo Coccorese & Alfonso Pellecchia, 2005. "Un indice per la valutazione dell'attrattivit? turistica potenziale: aspetti metodologici e di calcolo," ECONOMIA E DIRITTO DEL TERZIARIO, FrancoAngeli Editore, vol. 18(2).
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    1. Agovino, Massimiliano & Cerciello, Massimiliano & Musella, Gaetano, 2021. "Campania and cancer mortality: An inseparable pair? The role of environmental quality and socio-economic deprivation," Social Science & Medicine, Elsevier, vol. 287(C).
    2. Elaine Ruth Carnegie & Greig Inglis & Annie Taylor & Anna Bak-Klimek & Ogochukwu Okoye, 2022. "Is Population Density Associated with Non-Communicable Disease in Western Developed Countries? A Systematic Review," IJERPH, MDPI, vol. 19(5), pages 1-17, February.

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