Socioeconomic status and cancers of the female breast and reproductive organs: a comparison across racial/ethnic populations in Los Angeles County, California (United States)
Socioeconomic status and cancers of the female breast and reproductive organs: a comparison across racial/ethnic populations in Los Angeles County, California (United States)
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DOI：
10.1023/a:1008811432436
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发表时间：
1998-08-01
影响因子：
2.3
通讯作者：
Bernstein, L
中科院分区：
文献类型：
--
作者：
Liu, LH;Deapen, D;Bernstein, L
目的：尽管社会经济地位（SES）已被证明对健康相关问题具有重要影响，但美国基于人群的癌症登记处并未常规收集社会经济地位信息。本研究提出了一个模型来估计注册数据库中癌症患者的SES。方法：在洛杉矶癌症监测项目（CSP）中，我们开发了一个模型，从诊断时居住的人口普查区（n = 1,640）的总测量值中估计每个癌症患者的SES。然后，我们应用SES估计值来观察SES与女性乳房和生殖器官癌症（包括卵巢癌、子宫颈癌和子宫体癌）风险之间的关系。对1972年至1992年间在加州洛杉矶县诊断出的癌症患者的累积记录（n = 127,819）进行了分析，其中包括非西班牙裔白人、西班牙裔白人、黑人、亚洲人和其他种族群体。结果：SES与女性乳腺癌、卵巢癌、子宫癌呈正相关，与宫颈癌呈负相关。在非西班牙裔白人女性中，这些社会经济地位的趋势在各个年龄段都是一致的。社会经济地位模式的种族/民族差异也被发现，亚洲人表现出很少的关联。结论：我们的测量SES的模型是足够敏感的捕捉趋势。采用聚合方法在基于人口的注册表数据中度量SES似乎是有用的。
Objectives: Despite the fact that socioeconomic status (SES) has been shown to have important implications in health related issues, population-based cancer registries in the United States do not routinely collect SES information. This study presents a model to estimate the SES of cancer patients in the registry database.Methods: At the Los Angeles Cancer Surveillance Program (CSP), we developed a model to estimate each cancer patient's SES from aggregate measurements of the census tract of residence (n = 1,640) at time of diagnosis. We then applied the SES estimates to observe the relationship between SES and risk of cancers of the female breast and reproductive organs including cancers of the ovary, cervix uteri, and corpus uteri. The analyses were performed on the cumulative records (n = 127,819) of cancer patients diagnosed between 1972 and 1992 in Los Angeles County, California, for the mutually exclusive racial/ethnic groups of non-Hispanic Whites, Hispanic Whites, Blacks, Asians, and persons of other ethnic groups.Results: We found SES is positively associated with female breast cancer, ovarian cancer, and cancer of the corpus uteri, but inversely associated with cervical cancer. These SES trends were quite consistent across age groups among non-Hispanic White women. Variations by race/ethnicity in the SES patterns were also found, with Asians exhibiting little association.Conclusions: Our model of measuring SES is sufficiently sensitive to capture the trends. Adopting the aggregate approach to measure SES in population-based registry data appears to be useful.