Cancer incidence among incarcerated and formerly incarcerated individuals: A statewide retrospective cohort study.
Cancer incidence among incarcerated and formerly incarcerated individuals: A statewide retrospective cohort study.
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由于缺乏相关的数据集，很少研究有监禁暴露的个人的癌症发病率。本研究使用全州范围内的连锁队列研究了监禁期间和监禁后的癌症发病率与一般人群的比较。我们根据2005年至2016年康涅狄格州居民的州肿瘤登记和矫正系统数据建立了一个回顾性队列，并确定了在监禁期间和监禁后12个月内诊断的癌症。我们估计了发病率（包括筛查可检测的癌症），并计算了监禁和最近释放的人群相对于普通人群的标准化发病率比（SIR）。我们还按种族和民族检查了各组的癌症发病率。与一般人群相比，在所有种族和民族分层中，监禁人员的癌症发病率较低（SIR = 0.64，95% CI 0.56-0.72），但最近释放的人员较高（SIR = 1.34，95% CI 1.23-1.47）。同样，与一般人群相比，监禁人群中的非筛查可检测癌症发病率较低，而最近释放的人群中的发病率较高。然而，在所有三个人群中，与非西班牙裔白色个体相比，非西班牙裔黑人个体的筛查可检测癌症发生率升高（嵌顿，SIR = 1.66，95% CI 1.03-2.53;最近发布，SIR = 1.83，95% CI 1.32-2.47;和一般人群，SIR = 1.18，95% CI 1.16-1.21）。与一般人口相比，被监禁者的癌症发病率较低，而最近获释者的癌症发病率较高。无论监禁状况如何，与非西班牙裔白色个体相比，非西班牙裔黑人个体的筛查可检测癌症发生率更高。需要对监禁期间的癌症筛查和诊断进行补充研究，以查明观察到的发病率差异的原因。最近从监禁中释放出来的人被发现与一般人群相比有更高的癌症发病率。与非西班牙裔白色个体相比，非西班牙裔黑人个体的筛查可检测癌症发生率更高，无论监禁暴露如何。
Cancer incidence among individuals with incarceration exposure has been rarely studied due to the absence of linked datasets. This study examined cancer incidence during incarceration and postincarceration compared to the general population using a statewide linked cohort. We constructed a retrospective cohort from a linkage of state tumor registry and correctional system data for Connecticut residents from 2005 to 2016, and identified cancers diagnosed during and within 12 months postincarceration. We estimated incidence rates (including for screen‐detectable cancers) and calculated the standardized incidence ratios (SIR) for the incarcerated and recently released populations, relative to the general population. We also examined cancer incidence by race and ethnicity within each group. Cancer incidence was lower in incarcerated individuals (SIR = 0.64, 95% CI 0.56–0.72), but higher in recently released individuals (SIR = 1.34, 95% CI 1.23–1.47) compared with the general population, and across all race and ethnic strata. Similarly, nonscreen‐detectable cancer incidence was lower in incarcerated and higher in recently released populations compared to the general population. However, non‐Hispanic Black individuals had elevated incidence of screen‐detectable cancers compared with non‐Hispanic White individuals across all three populations (incarcerated, SIR = 1.66, 95% CI 1.03–2.53; recently released, SIR = 1.83, 95% CI 1.32–2.47; and general population, SIR = 1.18, 95% CI 1.16–1.21). Compared with the general population, incarcerated persons have a lower cancer incidence, whereas recently released persons have a higher cancer incidence. Irrespective of incarceration status, non‐Hispanic Black individuals have a higher incidence of screen‐detectable cancers compared with non‐Hispanic White individuals. Supplemental studies examining cancer screening and diagnoses during incarceration are needed to discern the reasons for observed disparities in incidence. Individuals recently released from incarceration were found to have a higher cancer incidence compared with the general population. Non‐Hispanic Black individuals had a higher incidence of screen‐detectable cancers compared with non‐Hispanic White individuals, irrespective of incarceration exposure.
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结直肠癌筛查和筛查结果的黑白差异：叙述性回顾。
DOI：
10.1158/1055-9965.epi-19-1537
发表时间：
2021-01
期刊：
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
影响因子：
--
作者：
Rutter CM;Knudsen AB;Lin JS;Bouskill KE
通讯作者：
Bouskill KE
对 2000 年至 2009 年美国子宫切除术流行率进行校正后，特定年龄和种族的宫颈癌发病率有所增加。
影响因子：
6.2
作者：
Rositch, Anne F.;Nowak, Rebecca G.;Gravitt, Patti E.
通讯作者：
Gravitt, Patti E.
影响因子：
3.3
作者：
Morris, Joan K.;Tan, Joachim;Bestwick, Jonathan
通讯作者：
Bestwick, Jonathan
影响因子：
3.7
作者：
Kouyoumdjian, Fiona G.;Pivnick, Lucie;Hwang, Stephen W.
通讯作者：
Hwang, Stephen W.
影响因子：
5.5
作者：
McConnon, Andres;Fung, Kinwah;Kouyoumdjian, Fiona G.
通讯作者：
Kouyoumdjian, Fiona G.