Recent Trends in Black-White Disparities in Cancer Mortality
Recent Trends in Black-White Disparities in Cancer Mortality
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DOI：
10.1158/1055-9965.epi-08-0131
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发表时间：
2008-11-01
影响因子：
3.8
通讯作者：
Ward, Elizabeth M.
中科院分区：
文献类型：
--
作者：
DeLancey, John Oliver L.;Thun, Michael J.;Ward, Elizabeth M.
尽管自 20 世纪 90 年代初以来，所有种族和族裔群体的总体癌症死亡率均有所下降，但癌症死亡率的种族差异仍然存在。我们研究了所有部位、与吸烟相关的癌症（肺癌和包括口腔、咽、喉、食道、胰腺、膀胱和肾）以及受影响或可能受筛查和治疗影响的部位（乳腺癌、前列腺、结肠/直肠）的黑人和白人癌症死亡率差异的时间趋势。 1975 年至 2004 年黑人与白人的死亡率、比率差异和比率基于国家卫生统计中心的死亡率数据。从 20 世纪 90 年代初到 2004 年，黑人和白人在癌症总体死亡率方面的差异有所缩小，尤其是男性。这一下降的主要原因是黑人与烟草相关的癌症死亡率比白人下降得更快。相比之下，自 1975 年以来的大部分时间段内，可能受筛查和治疗影响的癌症死亡率的种族差异都在增加。协调努力改善所有人群的早期检测和治疗对于消除癌症死亡率的种族差异至关重要。 （癌症流行病学生物标志物，2008 年以前；17(11):2908-12）
Despite decreases in overall cancer death rates across all racial and ethnic groups since the early 1990s, racial disparities in cancer mortality persist. We examined temporal trends in Black-White disparities in cancer mortality from all sites combined, smoking-related cancers (lung and a group including oral cavity, pharynx, larynx, esophagus, pancreas, bladder, and kidney), and sites affected, or potentially affected by screening and treatment (breast, prostate, colon/rectum). Death rates, rate differences, and rate ratios comparing Blacks to Whites from 1975 through 2004 were based on mortality data from the National Center for Health Statistics. The Black-White disparity in overall cancer death rates narrowed from the early 1990s through 2004, especially in men. This reduction was driven predominantly by more rapid decreases in mortality from tobacco-related cancers in Black men than White men. In contrast, racial disparities in mortality from cancers potentially affected by screening and treatment increased over most of the interval since 1975. Coordinated efforts to improve early detection and treatment for all segments of the population are essential to eliminate racial disparities in cancer mortality. (Cancer Epidemiol Biomarkers Prev 2008;17(11):2908-12)