Racial differences in stage at diagnosis of screenable oral cancers in North Carolina.
Racial differences in stage at diagnosis of screenable oral cancers in North Carolina.
复制标题
北卡罗来纳州可筛查口腔癌诊断阶段的种族差异。
DOI：
10.1111/j.1752-7325.1996.tb02464.x
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发表时间：
1996
影响因子：
2.3
通讯作者：
Slade,GD
中科院分区：
文献类型：
--
作者：
Arbes,SJ;Slade,GD
目的：本研究探讨了黑人和白人在诊断可筛查口腔癌时的分期差异。方法：从 1990-92 年诊断出的 1,137 名北卡罗来纳州居民的数据中获得了北卡罗来纳州中央癌症登记处的数据。结果变量是诊断时的阶段，分为局部和晚期。解释变量包括种族、性别、年龄、诊断年份、肿瘤部位以及县级社会经济和医疗保健资源因素。进行了双变量、分层和多元回归分析。结果：在回归分析中，黑人晚期的几率是白人的 2.1 (95% Cl=1.5, 2.9) 倍。其他多变量影响包括性别[男性与女性相比：OR=1.5 (95% Cl=1.2, 2.0)]和肿瘤部位[口咽与上颚相比：OR=4.2 (95% Cl=2.5, 7.0)]。结论：在北卡罗来纳州诊断出患有口腔或口咽癌的黑人和白人居民中，黑人在晚期诊断的几率更大。
Objective: This study examined differences between blacks and whites in stage at diagnosis of screenable oral cancers.Methods: Data for 1,137 North Carolina residents with first primary tumors of the oral cavity (excluding the lip and salivary glands) or oropharynx diagnosed from 1990–92 were obtained from the North Carolina Central Cancer Registry. The outcome variable was stage at diagnosis dichotomized as localized and advanced. The explanatory variables were race, sex, age, year diagnosed, tumor site, and county‐level socioeconomic and health care resource factors. Bivariate, stratified, and multiple regression analyses were conducted.Results: In the regression analysis, the odds of advanced stage was 2.1 (95% Cl=1.5, 2.9) times greater for blacks than whites. Other multivariable effects were sex [males compared to females: OR=1.5 (95% Cl=1.2, 2.0)] and tumor site [oropharynx compared to palate: OR=4.2 (95% Cl=2.5, 7.0)].Conclusion: Among black and white residents of North Carolina diagnosed with cancer of the oral cavity or oropharynx, blacks had a greater odds of diagnosis at advanced stage.