Determining the effects of social–environmental factors on the incidence and mortality of lung cancer in China based on remote sensing and GIS technology during 2007–2016

作者：Bin Xie, Jingwen Wang, Chunhui Wang, Dongjiu Zhao, Yanhua Kang, Hongping Yin, Zhe Lu · 发表于：BMC Public Health · 年份：2025 · DOI：10.1186/s12889-025-22591-w · 被引用次数：7 · 研究领域：Data-Driven Disease Surveillance、Advanced Technologies in Various Fields、Global Cancer Incidence and Screening

Lung cancer is the leading cause of cancer-related death in China. However, its relationship with social–environmental factors has not been revealed comprehensively. We are the first group to determine cold and hot spots associated with the incidence and mortality of lung cancer (IMLC) in both females and males and their spatiotemporal changes and to explore the social‒environmental burden of lung cancer in China between 2007 and 2016. The explanatory powers of various social–environmental factors for the IMLC were evaluated through correlation analysis and the Geodetector tool. Spatial analysis models were applied to determine the relationships between the IMLC and social–environmental factors. The results are as follows: (1) The distribution of the IMLC exhibited significant spatial heterogeneity; the Global Moran’s index values for incidence ranged from 0.04–0.2 and 0.09–0.33 in males and females, respectively, and the values for mortality ranged from 0.01–0.12 and 0.11–0.32 in males and females, respectively. (2) The IMLC was spatially clustered with an overall positive autocorrelation. Male population-related hot spots were observed in the central–southern region of China, and cold spots were observed in western China. Female population-related hot spots were observed primarily in northeastern China. The cold spots occurred primarily in southern and some western regions of China. (3) The effects of social–environmental factors on the IMLC showed significant spatial and t...