消除对早产癌症死亡的社会经济和种族差异的影响
2011-09-18 19:45:45   来源:37度医学网   作者:  评论:0 点击:

147.3
23.0 21.0 13.9 68.3 37.5 8.3 5.3 11.6 8.6 23.1
犹他州 161.7 116.3 22.8 15.1 10.9 31.4 17.6 8.1 5.2 9.8 8.1 25.7
佛蒙特 215.3 156.7 23.5 20.5 15.4 61.8 42.5 8.5 5.1 10.8 8.9 25.2
弗吉尼亚州 235.7 158.0 25.6 21.7 14.7 74.5 42.1 8.2 5.3 13.0 9.8 27.3
华盛顿 214.0 158.5 23.0 18.3 13.4 61.5 44.3 9.0 5.8 12.2 9.6 25.4
西弗吉尼亚州 259.4 175.8 24.3 25.3 17.9 91.0 50.5 10.0 6.4 11.4 7.5 22.3
威斯康星州 223.5 154.5 22.6 19.9 14.0 62.3 38.5 9.3 6.0 12.6 9.4 27.1
怀俄明州 204.6 155.2 23.4 20.1 16.0 55.6 38.4 8.3 6.8 12.3 10.7 21.8
美国 225.4 155.4 24.0 21.2 14.9 68.8 40.6 8.7 5.5 12.3 9.4 24.7

Cancer Occurrence by Race/Ethnicity

Cancer incidence and death rates vary considerably among racial and ethnic groups (Table 9 ). For all cancer sites combined, African American men have a 14% higher incidence rate and a 33% higher death rate than white men, whereas African American women have a 6% lower incidence rate but a 17% higher death rate than white women. For the specific cancer sites listed in Table 9 , incidence and death rates are consistently higher in African Americans than in whites except for cancers of the breast (incidence) and lung (incidence and mortality) among women, and kidney (mortality) among both men and women. Factors known to contribute to racial disparities in mortality vary by cancer site and include differences in exposure to underlying risk factors (eg, historical smoking prevalence for lung cancer among men), access to high-quality screening (breast, cervical, and colorectal cancers), and timely diagnosis and treatment for many cancers. The higher breast cancer incidence rates noted among white women are thought to reflect a combination of factors that affect both diagnosis (historically more prevalent mammography use in white women) and underlying disease occurrence (such as later age at first birth and greater use of menopausal hormone therapy among white women). 22

Table 9. Incidence and Death Rates * by Site, Race, and Ethnicity, United States, 2003-2007
  美国黑人 Asian American and Pacific Islander American Indian and Alaska Native Hispanic/Latino
  • *

    Per 100,000 population, age adjusted to the 2000 US standard population.

  • Data based on Contract Health Service Delivery Areas, comprising about 55% of the US American Indian/Alaska Native population; for more information please see: Espey et al. 23

  • Persons of Hispanic/Latino origin may be of any race.

  • Source: Kohler, et al. 12

发病率
所有网站          
544.9 623.1 332.3 424.6 426.1
418.8 392.9 278.1 359.2 331.2
Breast (female ) 121.9 114.6 82.3 88.2 91.0
结直肠          
56.1 67.2 42.8 51.9 49.2
41.4 50.7 32.5 42.2 34.9
Kidney & renal pelvis          
20.2 21.6 9.6 26.9 18.9
10.6 11.0 4.7 16.5 11.0
Liver & bile duct          
8.2 13.5 21.6 14.3 16.4
2.8 3.9 8.1 7.2 6.2
Lung & bronchus          
84.3 103.5 49.9 70.2 48.0
57.0 51.8 27.7 50.6 27.1
前列腺 143.8 230.0 81.0 101.5 128.0
         
8.7 16.4 17.2 14.5 14.1
4.1 8.4 9.7 7.3 8.6
Uterine cervix 7.7 10.7 7.4 9.7 12.5
死亡率
所有网站          
222.5 296.5 134.2 183.7 150.6
155.0 180.6 94.1 138.0 102.3
Breast (female ) 23.4 32.4 12.2 17.6 15.3
结直肠          
20.6 30.5 13.2 19.2 15.6
14.4 21.0 9.9 12.9 10.5
Kidney & renal pelvis          
6.0 6.0 2.6 8.8 5.2
2.7 2.7 1.2 3.8 2.4
Liver & bile duct          

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