2002
DOI: 10.1016/s0277-9536(01)00316-1
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The effects of migration on the detection of geographic differences in disease risk

Abstract: Human migration can make it more difficult to detect geographic differences in disease risk because of the spatial diffusion of people originally exposed in a given geographic area. There are also situations where migration can facilitate the detection of disease attributable to environmental hazards. This paper assesses the effects that migration has on the ability to detect regional variability in disease risk. Several characteristics of migration are discussed, including some that are not widely known. Beca… Show more

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Cited by 36 publications
(22 citation statements)
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“…However, the diagnostic delay between symptom onset and diagnosis is short and residential mobility rates in Manitoba are low [43]. Further, most migration in North America occurs over short distances to adjacent neighborhoods [44,45;] therefore, it is unlikely that this affected the geographic mapping of our cases. We assumed that our MS cases are rare to be able to use Poisson model in our BYM method.…”
Section: Discussionmentioning
confidence: 99%
“…However, the diagnostic delay between symptom onset and diagnosis is short and residential mobility rates in Manitoba are low [43]. Further, most migration in North America occurs over short distances to adjacent neighborhoods [44,45;] therefore, it is unlikely that this affected the geographic mapping of our cases. We assumed that our MS cases are rare to be able to use Poisson model in our BYM method.…”
Section: Discussionmentioning
confidence: 99%
“…These findings suggest the importance of early or lifetime exposure in relation to disease risk in adult life, and also the potential role of the effects of migration on exposures and disease risk. Although migration can have a serious effect on the detection of geographical differences in disease risk, it has not been adequately addressed in previous clustering analyses [21]. Further investigations are required to prove any relationship between geographic clustering of residence and breast cancer risk, and the effects of residential changes on exposures should be considered in these studies.…”
Section: Discussionmentioning
confidence: 99%
“…This may indicate that Stroke Belt exposure in adulthood is harmless, but selective migration may also contribute to this finding. 27 Stroke Belt in-migrants may be moving to relatively urban, low-stroke-risk southern communities and thereby avoid excess risk. Most research on migration suggests migrants tend to be healthier than the nonimmigrants they leave behind.…”
Section: Study Limitationsmentioning
confidence: 99%