SCAN360: A Resource for a 360-Degree View of Cancer Prevention, Risk, and Survival

Zinzi Bailey, ScD, MSPH; Raymond Balise, PhD; Layla Bouzoubaa, MPH; Erin Kobetz, PhD, MPH

Prev Chronic Dis. 2020;17(11):e149

Abstract and Introduction

Abstract

SCAN360, an interactive web platform aiming to provide a "360-degree view" of factors that drive cancer, calculates and integrates several measures of cancer burden from the Florida Cancer Data System, the state's cancer registry, from 2012 to 2016 with cancer risk factors, clinical factors, and social determinants of health on multiple levels of geography — ranging from the entire state to the neighborhood. Integrating various sources of data, the web platform visualizes numerous indicators, including sociodemographic characteristics, cancer histology and staging, risk behaviors, screening behavior, environmental factors, hazardous sites, health insurance access, prevalence of potential comorbidities, housing characteristics, and levels of residential segregation, through maps and easy-to-interpret graphs. By walking through an example of a practical use, we show that SCAN360 provides data that are easily accessible to public health professionals, decision makers, and researchers and can assist them with identifying potential drivers of cancer burden on a localized level.

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Abstract and Introduction
Background
Data Sources and Platform Development
Use of SCAN360 to Explore Cancer Incidence in Florida
Public Health Implications
References
Sidebar

Table 1. American Community Survey Tablesa and Associated Neighborhood Package Functions With Levels Used in SCAN360
Table Name	American Community Survey Table No.	Package Function	Levels
Sex by age	B01001	plot_age	5-year age groups by sex: 0–4/5–9/10–14/15–19/…/75–79/80–84/≥85
Travel time to work	B08303	plot_commute	≥90/<90/<60/<45/<30/<15 min
Educational attainment	B15003	plot_education	Advanced degree/bachelor's degree/associate's degree/some college/high school diploma or GED/some high school/<9th grade/no school
Language spoken at home	B16001	plot_english	Speak other than English/speak only English
Hispanic or Latino origin	B03003	plot_ethnicity	Hispanic or Latino/not Hispanic or Latino
Median household income in the past 12 months	B19013	plot_income	Actual median shown (no levels)
Health insurance coverage by sex and age	B27001	plot_insurance	By sex: male/female; by age: youth (0–17 y)/adult (18–64 y)/senior (≥65 y)
Health insurance coverage by sex, age, and type	B27012	plot_insurance_type	By sex: male/female; by age: youth (0–17 y)/adult (18–64 y)/senior(≥65 y); by type: employer-based/Medicaid/Medicare/private
Nativity	B05012	plot_native	Foreign-born/native
Percentage of population aged >65	B01001	plot_over65	Actual percentage shown (no levels)
Total population in occupied housing units by tenure	B25008_002/B25008_003^b	plot_own_rent	Rent/own
Ratio of income to poverty level	C17002	plot_poverty	>2 times poverty threshold/<2 times poverty threshold/<poverty threshold
Race	B02001	plot_race	≥2 Races/Pacific Islander/Asian/Native American/Black/White
Gross rent as a percentage of household income	B25070	plot_rentincome	Extreme rent burden (>30%)/rent burden <30%
Employment status	B23025	plot_unemployment	Unemployed/employed
Vacancy status	B25004	plot_vacancy	Other vacant/for migrant workers/occasional use/sold, not occupied/for sale only/rented, not occupied/for rent
Means of transportation to work by vehicles available	B08141	plot_vehicle	≥1 Vehicle/no vehicle
Year structure built	B25034	plot_year_built	1939 or earlier/1940–1949/1950–1959/1960–1969/1970–1979/1980–1989/1990–1999/2000–2009/2010–2013/2014 or later

^aUS Census Bureau (9).
^bData for this factor were obtained from 2 separate variables from the same table.

Table 2. Indicators and Data Sources Used in SCAN360
Indicator	Source	Year	Type	URL
Superfund sites	Environmental Protection Agency	2018	Geocoded addresses	https://www.epa.gov/superfund/national-priorities-list-npl-sites-state#FL
Nuclear power plants	Nuclear Energy Institute	2018	Geocoded addresses	https://www.nei.org/CorporateSite/media/filefolder/resources/fact-sheets/state-fact-sheets/Florida-State-Fact-Sheet.pdf
Ultraviolet exposure	National Cancer Institute	2017	Rate	https://gis.cancer.gov/tools/uv-exposure
Radon exposure	Environmental Protection Agency	2017	Index	https://www.epa.gov/radon/zonemap.html; https://www.city-data.com/radon-zones/Florida/Florida.html
Limited access to healthy food	Robert Wood Johnson Foundation (RWJF) County Health Rankings; US Department of Agriculture (USDA) Food Environment Atlas	2015	Rate	https://www.countyhealthrankings.org/rankings/data/FL
Food insecurity	RWJF County Health Rankings; Map the Meal Gap from Feeding America	2015	Rate	https://www.countyhealthrankings.org/rankings/data/FL
Food environment index	RWJF County Health Rankings; USDA Food Environment Atlas; Map the Meal Gap from Feeding America	2015	Index	https://www.countyhealthrankings.org/rankings/data/FL
Exercise opportunities	RWJF County Health Rankings; Business Analyst; Delorme map data; ESRI; US Census Tigerline Files	2016	Rate	https://www.countyhealthrankings.org/rankings/data/FL
Percentage of population living within 0.5 mile of a park	Centers for Disease Control and Prevention (CDC) National Environmental Public Health Tracking Network	2011	Rates	https://ephtracking.cdc.gov/DataExplorer/#
Air quality index	Environmental Protection Agency	2018	Index	https://aqs.epa.gov/aqsweb/airdata/annual_aqi_by_county_2018.zip
Percentage of population within 150 m of highway	CDC National Environmental Public Health Tracking Network	2010	Rate	https://ephtracking.cdc.gov/DataExplorer/#
Percentage of public schools within 150 m of highway	CDC National Environmental Public Health Tracking Network	2010	Rate	https://ephtracking.cdc.gov/DataExplorer/#
Drinking water violations	RWJF County Health Rankings; Safe Drinking Water Information System	2016	Binary	https://www.countyhealthrankings.org/rankings/data/FL
Percentage of severe housing problems	RWJF County Health Rankings; Comprehensive Housing Affordability Strategy (CHAS) data	2010–2014	Rate	https://www.countyhealthrankings.org/rankings/data/FL
Residential segregation	RWJF County Health Rankings; American Community Survey, 5-year estimates	2012–2016	Index	https://www.countyhealthrankings.org/rankings/data/FL
Income inequality	RWJF County Health Rankings; American Community Survey, 5-year estimates	2012–2016	Ratio	https://www.countyhealthrankings.org/rankings/data/FL
Supplemental Nutrition Assistance Program (SNAP) redemptions/SNAP-authorized stores	USDA Food Environment Atlas	2018	Average dollar	https://www.ers.usda.gov/webdocs/DataFiles/48731/DataDownload.xls?v=0
Brownfields	Florida Geographic Data Library Metadata Explorer	2018	shp files	https://download.fgdl.org/pub/state/brownfields_areas_feb18.zip
Hazardous waste sites	Florida Geographic Data Library Metadata Explorer	2018	shp files	https://download.fgdl.org/pub/state/chaz_jul18.zip
Correctional facilities	Florida Geographic Data Library Metadata Explorer	2017	shp files	https://download.fgdl.org/pub/state/gc_correctionalbnd_sep17.zip
Fire stations	Florida Geographic Data Library Metadata Explorer	2018	shp files	https://download.fgdl.org/pub/state/gc_firestat_may18.zip
Health care facilities	Florida Geographic Data Library Metadata Explorer	2014	shp files	https://download.fgdl.org/pub/state/gc_health_aug14.zip
Parks	Florida Geographic Data Library Metadata Explorer	2017	shp files	https://download.fgdl.org/pub/state/gc_parks_sep17.zip
Schools	Florida Geographic Data Library Metadata Explorer	2017	shp files	https://download.fgdl.org/pub/state/gc_schools_sep17.zip
Mobile home and RV parks	Florida Geographic Data Library Metadata Explorer	2018	shp files	https://download.fgdl.org/pub/state/mhrv_mar18.zip
Mammography centers	US Food and Drug Administration	2017	Geocoded addresses	https://www.fda.gov/radiation-emittingproducts/mammographyqualitystandardsactandprogram/consumerinformation/ucm113962.htm
Special Supplemental Nutrition Program for Women, Infants, and Children centers	Special Supplemental Nutrition Program for Women, Infants, and Children	2018	Geocoded addresses	https://www.wicprograms.org/state/florida
Free clinics	FreeClinics.com	2018	Geocoded addresses	https://www.freeclinics.com/co/fl
HIV testing sites	Florida Department of Health	2018	Geocoded addresses	https://flhiv.doh.state.fl.us/ClinicSearch/textsearch.aspx?county=true
Pre-exposure prophylaxis (PrEP) sites	Florida Department of Health	2018	Geocoded addresses	https://flhiv.doh.state.fl.us/ClinicSearch/textsearch.aspx?area=true
Sylvester Comprehensive Cancer Center satellite sites	Sylvester Comprehensive Cancer Center	2018	Geocoded addresses	https://umiamihealth.org/sylvester-comprehensive-cancer-center/locations?category=all&currentaddress=&distance=10
Academic cancer centers	Florida Academic Cancer Center Alliance	2018	Geocoded addresses	https://floridacancerresearch.org
Department of Community Service health fairs	University of Miami Miller School of Medicine, Department of Community Service	2018	Geocoded addresses	https://umdocs.mededu.miami.edu/projects
Tobacco retailers	Florida Department of Business and Professional Regulation	2018	Geocoded addresses	https://www.myfloridalicense.com/wl11.asp?mode=1&SID=&brd=&typ=

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SCAN360: A Resource for a 360-Degree View of Cancer Prevention, Risk, and Survival

Abstract and Introduction

Abstract

Tables

Tables

References

Authors and Disclosures

Authors and Disclosures

Sidebar

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