Age-specific trends in black-white disparities in cervical cancer incidence in the United States: 1975-2009

Age-specific trends in black-white disparities in cervical cancer incidence in the United States: 1975-2009
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DOI:
10.1016/j.ygyno.2012.08.021
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发表时间:
2012-12-01
影响因子:
4.7
通讯作者:
Jemal, Ahmedin
Jemal, Ahmedin
中科院分区:
医学2区
文献类型:
--
作者:
Simard, Edgar P.;Naishadham, Deepa;Jemal, Ahmedin

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背景尽管自20世纪50年代中期以来,由于广泛的筛查,美国黑人和白色妇女的宫颈癌总发病率都有所下降,但黑人的发病率仍然高于白人。然而,这种模式是否因年龄而异尚不清楚。宫颈癌病例(1975-2009年,N= 36,503)来自9个监测、流行病学和最终结果(SEER)计划登记处。按年龄组(≥ 65岁)计算1975-1979年至2005-2009年白色和黑人女性的标准化发病率。率比(RR)和95%置信区间(Os)评估了1975-1979年和2005- 2009年期间按年龄组和诊断时分期划分的黑人与白人的率差异。岁妇女
Background. Although overall cervical cancer incidence rates have decreased in both black and white women in the U.S. since the mid 1950s due to widespread screening, rates continue to be higher among blacks than among whites. However, whether this pattern differs by age is unknown.Methods. Cervical cancer cases (1975-2009, N=36,503) were obtained from nine Surveillance, Epidemiology, and End Results (SEER) Program registries. Age-standardized incidence rates for white and black women were calculated from 1975-1979 through 2005-2009 by age group (= 65 years). Rate ratios (RRs) and 95% confidence intervals (Os) evaluated differences in rates for blacks vs. whites by age group and stage at diagnosis during 1975-1979 and 2005-2009.Results. Among women aged