Socioeconomic aspect of breast cancer incidence and mortality in women in Lower Silesia (Poland) in 2005–2014

Fig. 1

Fig. 2

Fig. 3

Fig. 4

Moran's I statistic and test p-values

Spatial feature	Moran's I	p-value
SIR	−0.057	0.506
SMR	0.001	0.308
GR (incidence)	0.079	0.001
GR (mortality)	0.052	0.014

Estimates of regression coefficients of the unemployed fraction [%] in the entire female population on breast cancer incidence and mortality in Lower Silesia, Poland (2005–2014)

Spatial feature	Regr. coeff.	CI95%	p-value
BC incidence	−0.03	(−0.05, −0.01)	0.005
BC mortality	0.04	(0.01, 0.07)	0.002

Pearson's r linear correlations between standardized incidence and mortality ratios as well as cancer growth rates (SIRs, SMRs, and GRs) in Lower Silesia Region

Correlation	SMR	GR (incidence)	GR (mortality)
SIR	r= −0.35p= 0.061	r= 0.19p= 0.321	r= 0.17p= 0.378
SMR	--	r= 0.34p= 0.066	r= 0.60p< 0.001
GR (incidence)	--	--	r= 0.13p= 0.506

Statistically significant (p< 0_05) spatiotemporal BC clusters in Lower Silesia (2005–2014)

Spatial feature	Cluster #	N, E Coordinates	Radius [km]	Counties	Timeframe	RR (CI95%)	p-value
Incidence	1	51.13, 16.99	0	Wroclaw	2010–2014	1.42 (1.31–1.53)	<0.001
	2	50.79, 16.30	20.8	Wałbrzych, wałbrzyski, świdnicki, kamiennogórski	2011–2013	1.29 (1.16–1.43)	<0.001
	3	51.16, 15.07	0	zgorzelecki	2008–2012	0.48 (0.41–0.56)	<0.001
		4	59.9	Wałbrzych, wałbrzyski, świdnicki, dzierżoniowski, jaworski, Jelenia Góra, jeleniogórski, kamiennogórski, złotoryjski, średzki, Legnica, legnicki, wrocławski, ząbkowicki, kłodzki, strzeliński, lwówecki	2005–2006	0.74 (0.69–0.79)	<0.001
	5	51.26, 17.51	0	oleśnicki	2005–2009	0.53 (0.68–0.81)	<0.001
Mortality	6	50.76, 16.01	32.5	jaworski, Jelenia Góra, jeleniogórski, kamiennogórski, świdnicki, Wałbrzych, wałbrzyski	2008–2013	1.35 (1.19–1.54)	<0.001

Characteristics of the female population and oncological care (presence of the full-profile oncology center) of Lower Silesia by counties in 2005–2014

County	SIR incidence	SMR mortality	GR incidence	GR mortality	Number of urban communes	Number of urban-rural communes	Number of rural communes	Presence of oncology center (reorganization/opening year)
bolesławiecki	0.94	0.95	0.99	0.89	1	1	4	NO
dzierżoniowski	1.04	1.03	1.03	1.01	3	2	2	NO
głogowski	0.89	1.02	0,96	1.01	1	0	5	NO
górowski	0.98	1.05	0.89	1.08	0	2	2	NO
jaworski	1.05	1.04	1.03	1.03	1	1	4	NO
jeleniogórski	0.90	1.07	1.04	1.02	4	0	5	NO
kamiennogórski	1.06	1.07	1.13	1.10	1	1	2	NO
kłodzki	1.13	0.99	1.00	1.06	5	6	3	NO
legnicki	0.93	1.08	1.01	0.98	1	1	6	NO
lubański	1.14	0.93	0,99	0.92	2	2	3	NO
lubiński	0.91	1.00	0.91	1.02	1	1	2	NO
lwówecki	0.95	0.93	1.10	0.89	0	5	0	NO
milicki	1.15	0.88	1.07	0.86	0	1	2	NO
oleśnicki	0.74	1.14	1,08	0.92	1	4	3	NO
oławski	1.42	0.83	0.88	0.88	1	1	2	NO
polkowicki	0.96	0.97	0.96	0.98	0	3	3	NO
strzeliński	1.01	0.96	0.99	0.98	0	2	3	NO
średzki	0.85	1.03	0,97	0.98	0	1	4	NO
świdnicki	1.12	1.06	1.02	1.04	2	3	3	NO
trzebnicki	0.90	0.99	1.00	0.95	0	4	2	NO
wałbrzyski	1.08	1.08	1.13	1.01	3	2	3	NO
wołowski	1.09	1.03	1.00	0.98	0	2	1	NO
wrocławski	1.09	0.92	1.00	0.90	0	3	6	NO
ząbkowicki	1.04	1.09	1.08	1.11	0	4	3	NO
zgorzelecki	0.55	1.06	0.92	0.88	3	2	3	NO
złotoryjski	1.00	0.88	1.04	0.94	2	1	3	NO
Jelenia Góra	1.15	1.09	1.05	1.11	1	0	0	NO
Legnica	1.10	1.01	1.03	0.93	1	0	0	YES (2014)
Wrocław	1.25	0.95	0.96	1.00	1	0	0	YES
Wałbrzych	1.24	1.07	1.27	0.99	1	0	0	YES (2008)