Socioeconomic factors and breast carcinoma in multicultural women
Socioeconomic factors and breast carcinoma in multicultural women
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DOI：
10.1002/(sici)1097-0142(20000301)88:5
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发表时间：
2000-03-01
期刊：
影响因子：
6.2
通讯作者：
Commiskey, P
中科院分区：
文献类型：
--
作者：
Baquet, CR;Commiskey, P
乳腺癌是美国女性最常见的癌症，也是女性癌症死亡的第二大原因。此外，乳腺癌的发病率、死亡率和存活率存在种族差异。正在审查种族/族裔群体内的社会和经济因素，这些因素不仅是乳腺癌死亡率和存活率的风险因素，而且也是发病率罕见的决定因素。在文献中，社会和经济因素主要与癌症死亡率和生存率相关。当考虑社会经济地位（SES）时，某些研究表明，乳腺癌的种族差异小于单独检查社会和经济因素时的差异，但这些差异仍然存在。本次讨论的数据来源包括国家癌症研究所（NCI）（监测、流行病学和最终结果（SEER）计划，这是一组基于人群的癌症登记处，覆盖了高达14%的美国人口。SEER报告癌症发病率、死亡率和存活率），美国。人口普查局，国家卫生统计中心（NCHS），以及科学文献中的许多文章。社会经济因素或社会经济地位可被视为“交叉风险因素”（即，它们可能与患乳腺癌的风险[发病率]以及死于这种疾病的风险[死亡率]有关）。它们也是“跨越”种族和族裔人口的风险因素。社会经济因素与多文化妇女的乳腺癌死亡率和存活率有关。乳腺癌死亡率和生存率的种族差异可以部分解释为诊断时的分期分布，这可能与SES有关。例如，非裔美国妇女比白色妇女具有更晚期的乳腺癌分期分布。同样，SES较低的女性表现出较高的疾病分期，SES较高的女性表现出更多的局限性乳腺癌。缺乏有关舞者患者SES的数据限制了我们对SES对癌症发病率和死亡率的贡献的理解。SES似乎与乳腺癌的发病率、死亡率和生存率有关。低社会经济地位的妇女乳腺癌死亡率较高。需要对社会经济地位、种族、文化以及这些因素与癌症发病率的关系进行更多的研究。(C)2000美国癌症协会
Breast carcinoma is the most common cancer in women in the U.S. and the second Leading cause of cancer death in women Furthermore, there are racial differences in breast carcinoma incidence, mortality, and survival rates. Social and economic factors within racial/ethnic groups are being examined as risk factors not only for breast carcinoma mortality and survival but also as determinants of the rare of incidence. Social and economic factors have been associated in the literature predominantly with cancer mortality and survival. When socioeconomic status (SES) is considered, certain studies suggest that racial disparities in breast carcinoma are smaller than when social and economic factors are examined alone, but these disparities still persist. Sources of data fur this discussion include the National Cancer Institute (NCI) (the Surveillance, Epidemiology, and End Results (SEER) program, a group of population-based cancer registries that cover up to 14% of the U.S. population. SEER reports cancer incidence, mortality, and survival rates), the U,S. Bureau of the Census, the National Center for Health Statistics (NCHS), and numerous articles from the scientific literature. Socioeconomic factors or SES can be considered "cross-cutting risk factors" (i.e., they can be related to the risk of developing breast carcinoma [rate of incidence] as well as to the risk of dying [mortality] from this disease). They also are the risk factors that "cut across" racial and ethnic populations. Socioeconomic factors are related to breast carcinoma mortality and survival rates in multicultural women. Racial disparities in breast carcinoma mortality and survival rates can be explained partially by stage distribution at the time of diagnosis, which may be related to SES. For example, African-American women present with more advanced stage distributions for breast carcinoma than white women. Similarly women of lower SES present with higher stage disease Chan women of upper SES who present with more localized breast carcinoma. The lack of data regarding the SES of dancer patients limits our understanding of the contributions of SES Co cancer incidence and mortality rates. SES appears to be related to breast carcinoma incidence, mortality, and survival rates. Breast carcinoma mortality is higher in women of lower SES. Additional research on SES, race, culture, and the relation of these factors to cancer incidence rate is needed. (C) 2000 American Cancer Society.