Mongan Institute for Health Policy,Massachusetts General Hospital, Boston, Massachusetts, USA.
Oncologist. 2011;16(10):1428-34. doi: 10.1634/theoncologist.2011-0114. Epub 2011 Sep 29.
Racial disparities exist in lung cancer incidence, morbidity, and mortality. Smoking is responsible for the majority of lung cancers, and racial disparities also exist in smoking outcomes. Black smokers are less likely than white smokers to engage in evidence-based tobacco treatment, and black smokers are less likely than white smokers to stop smoking. Continued smoking following a lung cancer diagnosis is a potential indicator of poor lung cancer treatment outcomes, yet lung cancer patients who smoke are unlikely to receive evidence-based tobacco treatment. The risks from continued smoking after diagnosis deserve attention as a modifiable factor toward lessening racial disparities in lung cancer outcomes.
肺癌的发病率、患病率和死亡率存在种族差异。吸烟是导致大多数肺癌的原因，吸烟结果也存在种族差异。与白人烟民相比，黑人烟民更不可能接受基于证据的烟草治疗，黑人烟民也更不可能戒烟。在诊断出肺癌后继续吸烟可能是肺癌治疗效果不佳的一个潜在指标，但吸烟的肺癌患者不太可能接受基于证据的烟草治疗。在诊断后继续吸烟的风险是一个可改变的因素，值得关注，因为它有助于减少肺癌结果中的种族差异。
