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Motivated by recent interest in the possible spatial clustering of rare diseases, the paper presents two approaches to the assessment of spatial clustering. The first approach emphasizes estimation of the nature and physical scale of the clustering effects rather than testing for their existence. The second approach presents a scan statistic that can detect irregular shaped clusters within relatively small neighborhoods of each region. A Monte Carlo test of significance is given and the performance is examined in comparison with that of the Kulldorff's circular spatial scan statistic. An application to data on the spatial distribution of childhood leukemia and lymphoma in Nord Pas de Calais region (France) is described.
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  • lntitute for Mathematical Statistics and Applied Mathematics, Academy of Romania, Bucharest, Romania
Bibliografia
  • 1. Marshall R J.: A review of the statistical analysis of spatial patterns of disease. Journal of Royal Statistical Society 1991, Series A, 154, 421-441.
  • 2. Lawson A., Bigger A., Böhning D., Lesaffre E., Viel J. F., Bertollini R. (Eds): Disease Mapping and Risk Assessment for Public Health. John Wiley & Sons, London 1999.
  • 3. Elliot P., Wakefield J., Best N., Briggs D. (Eds.): Spatial Epidemiology, Methods and Applications, Oxford Univ. Press, 2000.
  • 4. Waller L.A., Gotway C. A.: Applied Spatial Statistics for Public Health Data, John Wiley & Sons, New York 2004.
  • 5. Ripley B. D.: Spatial Statistics. Wiley, New York 1981.
  • 6. Cuzick J., Edwards R.: Spatial clustering for inhomogeneous populations (with Discussion). Journal of the Royal Statistical Society 1990, Series B, 52, 73-104.
  • 7. Diggle P. J., Chetwynd A. G.: Second-Order Analysis of Spatial Clustering for Inhomogeneous Populations. Biometrics 1991,47, 1155-1163.
  • 8. Besag J., Diggle P. J.: Simple Monte Carlo tests for spatial patterns. Applied Statistics 1977, 26, 327-333.
  • 9. Tango T., Takahashi K.: A flexibly shaped spatial scan statistic for detecting cluster. Inert. J. of Health Geographics 2005, 4, 11, [Open Access], http://www.ij-healthgeographics .com/.
  • 10. Kulldorff M.: A spatial scan statistic. Communications in Statistics, 1997, 26, 1481-1496.
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Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-article-BPZ3-0030-0019
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