Liu T, Wang X, Waterbor J W, Weiss H L, Soong S J
Division of Biostatistics and Epidemiology, University of Cincinnati College of Medicine, OH 45267-0769, USA.
J Health Care Poor Underserved. 1998 Nov;9(4):420-32. doi: 10.1353/hpu.2010.0482.
The association between low socioeconomic status (SES) in minority groups and higher incidence and mortality from cervical cancer was examined using two large U.S. databases. With cases from 1973 to 1992, all registries of the Surveillance, Epidemiology, and End Results (SEER) (except Hawaii) were used to calculate incidence rates of in situ and invasive cervical cancers by race group. SES indicators were derived from the Regional Economic Information System, Department of Commerce. Higher levels of SES indicators were related to decreased risk and lower incidence of invasive cancers in all race groups, but especially white and black populations, and to increased incidence of situ cancer in these populations. Results suggest that higher SES status is related to a decrease in invasive cervical cancer, but an increase in in situ cervical cancer in recent years. These findings may explain the racial differences in cervical cancer incidence and help target intervention programs.
利用两个大型美国数据库，研究了少数群体中低社会经济地位（SES）与宫颈癌较高发病率和死亡率之间的关联。以1973年至1992年的病例为基础，使用监测、流行病学和最终结果（SEER）（夏威夷除外）的所有登记处数据，按种族群体计算原位癌和浸润性宫颈癌的发病率。SES指标源自商务部的区域经济信息系统。SES指标水平较高与所有种族群体（尤其是白人和黑人）浸润性癌症风险降低及发病率降低相关，而与这些人群原位癌发病率增加相关。结果表明，较高的SES状况与浸润性宫颈癌发病率下降相关，但近年来与原位宫颈癌发病率上升相关。这些发现可能解释宫颈癌发病率的种族差异，并有助于确定干预项目的目标人群。
