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Impact of intercensal population projections and error of closure on breast cancer surveillance: examples from 10 California counties.

INTRODUCTION: In 2001, data from the California Cancer Registry suggested that breast cancer incidence rates among non-Hispanic white (nHW) women in Marin County, California, had increased almost 60% between 1991 and 1999. This analysis examines the extent to which these and other breast cancer incidence trends could have been impacted by bias in intercensal population projections. METHOD: We obtained population projections for the year 2000 projected from the 1990 census from the California Department of Finance (DOF) and population counts from the 2000 US Census for nHW women living in 10 California counties and quantified age-specific differences in counts. We also computed age-adjusted incidence rates of invasive breast cancer in order to examine and quantify the impact of differences between the population data sources. RESULTS: Differences between year 2000 DOF projections and year 2000 census counts varied by county and age and ranged from underestimates of 60% to overestimates of 64%. For Marin County, the DOF underestimated the number of nHW women aged 45 to 64 years by 32% compared to the 2000 US census. This difference produced a significant 22% discrepancy between breast cancer incidence rates calculated using the two population data sources. In Los Angeles and Santa Clara counties, DOF-based incidence rates were significantly lower than rates based on census data. Rates did not differ significantly by population data source in the remaining seven counties examined. CONCLUSION: Although year 2000 population estimates from the DOF did not differ markedly from census counts at the state or county levels, greater discrepancies were observed for race-stratified, age-specific groups within counties. Because breast cancer incidence rates must be calculated with age-specific data, differences between population data sources at the age-race level may lead to mis-estimation of breast cancer incidence rates in county populations affected by these differences, as was observed in Marin County. Although intercensal rates based on population projections are important for timely breast cancer surveillance, these rates are prone to bias due to the error of closure between population projections and decennial census population counts. Intercensal rates should be interpreted with this potential bias in mind.

Breast Neoplasms↗

Evaluating the forecast accuracy and bias of alternative population projections for states.

"A common perception among producers (and users) of population projections is that complex and/or sophisticated techniques produce more accurate forecasts than simple and/or naive techniques. In this paper we test the validity of that perception by evaluating the forecast accuracy and bias of eight commonly used projection techniques drawn from...four categories [trend extrapolation, ratio extrapolation, cohort-component, and structural]. Using data for [U.S.] state population projections from a number of different time periods, we find no evidence that complex and/or sophisticated techniques produce more accurate or less biased forecasts than simple, naive techniques."

Americas↗

Tests of forecast accuracy and bias for county population projections.

"This article deals with the forecast accuracy and bias of population projections for 2,971 counties in the United States. It uses three different projection techniques and data from 1950, 1960, 1970, and 1980 to make two sets of 10-year projections and one set of 20-year projections. These projections are compared with census counts to determine forecast errors. The size, direction, and distribution of forecast errors are analyzed by size of place, rate of growth, and length of projection horizon. A number of consistent patterns are noted, and an extension of the empirical results to the production of confidence intervals for population projections is considered." A comment by Paul M. Beaumont and Andrew M. Isserman is included (pp. 1,004-9) together with a rejoinder by the author (pp. 1,009-12). This is a revised version of a paper presented at the 1986 Annual Meeting of the Population Association of America (see Population Index, Vol. 52, No. 3, Fall 1986, p. 456).

Americas↗

An evaluation of population projection errors for census tracts.

"In this article we evaluate the accuracy and bias of projections of total population and population by age group for census tracts in three counties in Florida. We use [U.S. census] data from 1970 and 1980 and several simple extrapolation techniques to produce projections for 1990; we then compare these projections with 1990 census counts and evaluate the differences. For the total sample, we find mean absolute errors of 17%-20% for the three most accurate techniques for projecting total population and find no indication of overall bias. For individual age groups, mean absolute errors range from 20%-29%." This is a revised version of a paper presented at the 1993 Annual Meeting of the Population Association of America.

Age Distribution↗

Interim 2003-based national population projections for the United Kingdom and constituent countries.

The 2003-based national population projections, carried out by the Government Actuary in consultation with the Registrars General, and using essentially the same underlying assumptions as for the previous 2002-based projections, show the population of the United Kingdom rising from 59.6 million in 2003, passing 60 million during 2005, to reach 65.7 million by 2031. Longer-term projections suggest the population will peak around 2050 at nearly 67 million and then very gradually start to fall. The population will become older with the median age expected to rise from 38.4 years in 2003 to 43.3 years by 2031. In 2003, there were around 700 thousand (six per cent) more children aged under 16, than people of state pensionable age. However, from 2007, the population of pensionable age is projected to exceed the number of children.

Adolescent↗

The uses and users of population projections in Australia.

"It is widely recognized that population projections are increasingly used in formulating policy in many public and private sectors. However, little information exists on the nature of the projections or their users. This paper reports the results of a survey conducted to rectify this situation. The results confirm that the applications of projections are very broad and that the prime area of increase has been in small-area projections. At this level many users make their own projections rather than use official projections and the paper reviews the methodology used to make these projections. A number of suggestions are made for improving communication between national and subnational producers and local users." The geographical focus is on Australia.

Australia↗

Density-independent population projection trajectories of chromosome-substituted lines resistant and susceptible to organophosphate insecticides in Drosophila melanogaster.

BACKGROUND: Seasonal fluctuations in susceptibility to organophosphate insecticides were observed in the Katsunuma population of Drosophila melanogaster for two consecutive years; susceptibility to three organophosphates tended to increase in the fall. To examine the hypothesis that variation in fitness among resistant and susceptible genotypes could trigger the change of genetic constitution within the fall population, we investigated density-independent population projection trajectories starting from single adult females with characteristics of chromosome-substituted lines resistant and susceptible to the three organophosphates. RESULTS: Density-independent population projection trajectories, expressed as the ratios of the number of each chromosome-substituted line to that of line SSS, for which all chromosomes were derived from the susceptible line, showed significant declines in numbers with time for all the resistant chromosome-substituted lines. CONCLUSION: The declining tendency in the density-independent population projection trajectories of the resistant chromosome-substituted lines could explain the simultaneous decline in the levels of resistance to the three organophosphates, observed in the Katsunuma population in the fall.

Age Factors↗

Regional population projections: a multiple base-point approach.

Some alternative population projections are presented for Poland's major regions, based on a series of selected base years from 1977 to 1985. The author "interprets the corresponding observed demographic patterns as alternative model patterns on which consecutive projection runs are based." The projections, which are extended to 2050, exclude estimates for international migration.

Developed Countries↗

Interim 2001-based national population projections for the United Kingdom and constituent countries.

This article describes new 2001-based national population projections which were carried out following the publication in September 2002 of the first results of the 2001 Census. These "interim" projections, carried out by the Government Actuary in consultation with the Registrars General, take preliminary account of the results of the Census which showed that the base population used in previous projections was overestimated. The interim projections also incorporate a reduced assumption of net international migration to the United Kingdom, informed by the first results of the 2001 Census and taking account of more recent migration information. The population of the United Kingdom is now projected to increase from an estimated 58.8 million in 2001 to reach 63.2 million by 2026. The projected population at 2026 is about 1.8 million (2.8 per cent) lower than in the previous (2000-based) projections.

Adolescent↗

Aging and social expenditures in Italy: some issues associated with population projections.

"After describing the main results of the recent Italian population projections, and some possible consequences...aging may have on social expenditures, this paper focuses on attempts to improve the accuracy of development assumptions, with special regard to natural components. Emphasis is placed on the importance of applying specific methodological tools to define self-explanatory assumptions for fertility and mortality and to produce projections which could be considered, with reasonable limitations, as real forecasts."

Demography↗

Further thoughts on simplicity and complexity in population projection models.

"This article is a review of--and response to--a special issue of Mathematical Population Studies that focused on the relative performance of simpler vs. more complex population projection models. I do not attempt to summarize or comment on each of the articles in the special issue, but rather present an additional perspective on several points: definitions of simplicity and complexity, empirical evidence regarding population forecast accuracy, the costs and benefits of disaggregation, the potential benefits of combining forecasts, criteria for evaluating projection models, and issues of economic efficiency in the production of population projections."

Cost-Benefit Analysis↗

2002-based national population projections for the United Kingdom and constituent countries.

The 2002-based national population projections, carried out by the Government Actuary in consultation with the Registrars General, show the population of the United Kingdom rising from 59.2 million in 2002 to nearly 65 million by 2031. Longer-term projections suggest the population will peak around 2050 at over 65 million and then gradually start to fall. The population will become gradually older with the median age expected to rise from 38.2 years in 2002 to 43.3 years by 2031. In 2002, there were around 850 thousand (8 per cent) more children aged under 16, than people of state pensionable age. However, from 2007, the population of pensionable age is projected to exceed the number of children.

Adolescent↗

1998-based national population projections for the United Kingdom and constituent countries.

The 1998-based national population projections, carried out by the Government Actuary in consultation with the Registrars General, show the population of the United Kingdom rising from 59.2 million in 1998 to over 63.5 million by 2021. Longer-term projections suggest the population will peak around 2036 and then gradually start to fall. The population will become gradually older with the median age expected to rise from 36.9 years in 1998 to nearly 42 years by 2021. In 1998, there were 1.4 million (13 per cent) more children aged under 16, than people of pensionable age. However, by 2008, the population of pensionable age is projected to exceed the number of children.

Adolescent↗