Social class, race/ethnicity, and incidence of breast, cervix, colon, lung, and prostate cancer among Asian, black, Hispanic, and white residents of the San Francisco Bay Area, 1988-92 (United States)
Social class, race/ethnicity, and incidence of breast, cervix, colon, lung, and prostate cancer among Asian, black, Hispanic, and white residents of the San Francisco Bay Area, 1988-92 (United States)
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DOI：
10.1023/a:1008950210967
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发表时间：
1999-01-01
影响因子：
2.3
通讯作者：
Ward, F
中科院分区：
文献类型：
--
作者：
Krieger, N;Quesenberry, C;Ward, F
背景资料：迄今为止，只有8项美国研究同时研究了癌症发病率与社会阶层和种族/民族的关系;除一项研究外，所有研究都只包括黑人和白色美国人。为了解决知识的差距，我们因此调查了四个相互排斥的美国种族/民族-亚洲和太平洋岛民，黑人，西班牙裔和白色-癌症发病率的社会经济梯度，五个主要癌症部位：乳腺癌，宫颈癌，结肠癌，肺癌和前列腺癌。（a）地理编码的癌症登记记录，（B）人口普查计数，（c）1990年人口普查区块组社会经济指标。1988年和1992年之间诊断的情况下（n = 70,899），住在七个县位于加州的旧金山弗朗西斯科areas.Results：发病率变化一样多，如果不是更多的社会经济地位比种族/民族，每个网站的大小-在某些情况下，方向-的社会经济梯度不同的种族/民族，并在适用的情况下，性别。乳腺癌的发病率只在西班牙裔妇女中随着富裕程度的增加而增加。在所有四个种族/族裔群体中，宫颈癌的发病率随着社会经济贫困而增加，白色妇女的趋势最强。肺癌发病率随着社会经济贫困而增加，但西班牙裔人的发病率随着富裕而增加。结肠癌和前列腺癌的发病率不一致与socioeconomic position.Conclusions：这些复杂的模式藐视容易概括，并说明为什么美国的癌症数据应分层的社会经济地位，沿着与种族/民族和性别，以提高癌症的监测，研究和控制。
Background: To date only eight US studies have simultaneously examined cancer incidence in relation to social class and race/ethnicity; all but one included only black and white Americans. To address gaps in knowledge we thus investigated socioeconomic gradients in cancer incidence among four mutually exclusive US racial/ethnic groups - Asian and Pacific Islander, black, Hispanic, and white - for five major cancer sites: breast, cervix, colon, lung, and prostate cancer.Methods: We generated age-adjusted cancer incidence rates stratified by socioeconomic position using: (a) geocoded cancer registry records, (b) census population counts, and (c) 1990 census block-group socioeconomic measures. Cases (n = 70,899) were diagnosed between 1988 and 1992 and lived in seven counties located in California's San Francisco Bay Area.Results: Incidence rates varied as much if not more by socioeconomic position than by race/ethnicity, and for each site the magnitude - and in some cases direction - of the socioeconomic gradient differed by race/ethnicity and, where applicable, by gender. Breast cancer incidence increased with affluence only among Hispanic women. Incidence of cervical cancer increased with socioeconomic deprivation among all four racial/ethnic groups, with trends strongest among white women. Lung cancer incidence increased with socioeconomic deprivation among all but Hispanics, for whom incidence increased with affluence. Colon and prostate cancer incidence were inconsistently associated with socioeconomic position.Conclusions: These complex patterns defy easy generalization and illustrate why US cancer data should be stratified by socioeconomic position, along with race/ethnicity and gender, so as to improve cancer surveillance, research, and control.