Lee J Y, Soong S J
Comprehensive Cancer Center, University of Alabama, Birmingham 35294.
South Med J. 1990 Feb;83(2):185-90. doi: 10.1097/00007611-199002000-00012.
The overall cancer mortality for white and nonwhite men rose twice as rapidly in the South as in the rest of the nation, largely influenced by the rapid growth in lung cancer mortality among southern men in both race groups, and by the significant increase in prostate cancer mortality among southern, nonwhite men. Although the overall cancer mortality rate among white and nonwhite women in the South remained stable, the relative contributions of cervical and lung cancer changed considerably with time. The proportion of cancer deaths in southern women attributed to cervical cancer decreased by 50% while the proportion ascribed to lung cancer tripled. The South's cancer mortality experience differed substantially from that of the rest of the United States, which suggests that southerners diverge from residents of other parts of the United States in their risk of cancer, and in their access to and use of services for cancer prevention, diagnosis, and treatment. This study provides information for planning strategies for the reduction of cancer mortality in the South.
白人和非白人男性的总体癌症死亡率在南方的上升速度是美国其他地区的两倍，这在很大程度上受到两个种族群体中南方男性肺癌死亡率快速增长以及南方非白人男性前列腺癌死亡率显著上升的影响。尽管南方白人和非白人女性的总体癌症死亡率保持稳定，但宫颈癌和肺癌的相对贡献率随时间发生了很大变化。南方女性因宫颈癌导致的癌症死亡比例下降了50%，而因肺癌导致的比例则增加了两倍。南方的癌症死亡率情况与美国其他地区有很大不同，这表明南方人与美国其他地区居民在患癌风险以及获得和使用癌症预防、诊断和治疗服务方面存在差异。这项研究为制定降低南方癌症死亡率的策略提供了信息。
