Suarez L, Martin J, Weiss N
Bureau of Disease Control & Epidemiology, Texas Department of Health, Austin 78756.
Tex Med. 1991 Aug;87(8):70-7.
The percentage of excess mortality based on the ratio of the race-ethnic-sex-specific regional rate to the state rate was used to identify regions with differing risks of lung, breast, and cervical cancer. Mortality maps show wide variation in mortality risks for these cancers not only by race and ethnicity but also by geographic region. Cancer-staging information from the State Cancer Registry indicated that excess mortality for breast and cervical cancers in black and Mexican-American women results largely from the later detection of these cancers. Together with geographic mapping of data on cancer mortality, data on the prevalence of tobacco use and on the use of Papanicolaou's tests and mammograms can be used to select and direct interventions to specific regions and to the highest risk populations. Evaluation of routinely collected cancer data, particularly in state health departments, is a primary step in implementing programs to control and prevent cancer in Texas.
基于种族-族裔-性别特异性区域发病率与州发病率之比的超额死亡率百分比，被用于识别肺癌、乳腺癌和宫颈癌风险不同的地区。死亡率地图显示，这些癌症的死亡风险不仅因种族和族裔而异，还因地理区域而异。州癌症登记处的癌症分期信息表明，黑人女性和墨西哥裔美国女性乳腺癌和宫颈癌的超额死亡率在很大程度上是由于这些癌症发现较晚。结合癌症死亡率数据的地理定位，烟草使用流行率数据以及巴氏涂片检查和乳房X光检查的使用数据，可用于选择特定区域和最高风险人群并对其进行针对性干预。评估常规收集的癌症数据，尤其是州卫生部门的数据，是在德克萨斯州实施癌症控制和预防计划的首要步骤。
