Vital Signs: Disparities in Tobacco-Related Cancer Incidence and Mortality - United States, 2004-2013
Vital Signs: Disparities in Tobacco-Related Cancer Incidence and Mortality - United States, 2004-2013
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DOI：
10.15585/mmwr.mm6544a3
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发表时间：
2016-11-11
影响因子：
33.9
通讯作者：
Richardson, Lisa C.
中科院分区：
文献类型：
--
作者：
Henley, S. Jane;Thomas, Cheryll C.;Richardson, Lisa C.
背景：烟草使用导致至少12种癌症，是癌症的主要可预防原因。研究方法：2004-2013年美国癌症统计数据集的数据用于评估烟草使用可能导致的癌症的发病率和死亡率以及趋势（烟草相关癌症：口腔和咽;食道;胃;结肠和直肠;肝;胰腺;喉;肺、支气管和气管;肾和肾盂;膀胱;宫颈;和急性髓性白血病）按性别、年龄、种族、民族;州、县级贫困和教育程度以及癌症部位：在2009-2013年期间，美国平均每年有66万人被诊断出患有与烟草有关的癌症，1000人死于这些癌症。与烟草有关的癌症发病率和死亡率男性高于女性;黑人男性和女性最高;大学毕业生比例低或贫困程度高的县较高;西部最低;各州之间差异两倍。在2004 - 2013年期间，烟草相关癌症的发病率每年下降1.3%，死亡率每年下降1.6%，在大多数群体中观察到下降，但速度不同。然而，负担仍然很高，某些群体之间的差距仍然存在，比率较高或下降较慢。通过努力预防和控制烟草使用以及其他全面的癌症控制努力，可以减少与烟草有关的癌症的负担，这些努力侧重于降低癌症风险，早期发现癌症，改善癌症治疗，帮助更多的人从癌症中幸存下来，改善癌症幸存者的生活质量，更好地帮助受癌症影响严重的社区。
Background: Tobacco use causes at least 12 types of cancer and is the leading preventable cause of cancer..Methods: Data from the United States Cancer Statistics dataset for 2004-2013 were used to assess incidence and death rates and trends for cancers that can be caused by tobacco use (tobacco-related cancers: oral cavity and pharynx; esophagus; stomach; colon and rectum; liver; pancreas; larynx; lung, bronchus, and trachea; kidney and renal pelvis; urinary bladder; cervix; and acute myeloid leukemia) by sex, age, race, ethnicity; state, county-level poverty and educational attainment, and cancer site:Results: Each year during 2009-2013, on average, 660,000 persons in the United States received a diagnosis of a tobacco-related cancer, and 343,000 persons died from these cancers. Tobacco-related cancer incidence and death rates were higher among men than women; highest among black men and women; higher in counties with low proportion of college graduates or high level of poverty; lowest in the West; and differed two-fold among states. During 2004-2013, incidence of tobacco-related cancer decreased 1.3% per year and mortality decreased 1.6% per year, with decreases observed across most groups, hot not at the same rate.Conclusions: Tobacco-related cancer declined during 2004-2013. However, the burden remains high, and disparities persist among certain groups with higher rates or slower declines in rates.Implications far Public Health Practice: The burden of tobacco-related cancers can be reduced through efforts to prevent and control tobacco use and other comprehensive cancer control efforts focused on reducing cancer risk, detecting cancer early, improving cancer treatments, helping more persons survive cancer, and improving cancer survivors' quality of life, and better assisting communities disproportionately impacted by cancer.