Department of Health Sciences, Boston University , Boston, MA , USA.
Slone Epidemiology Center, Boston University , Boston, MA , USA.
Front Public Health. 2015 Apr 15;3:51. doi: 10.3389/fpubh.2015.00051. eCollection 2015.
Declining cancer incidence and mortality rates in the United States (U.S.) have continued through the first decade of the twenty-first century. Reductions in tobacco use, greater uptake of prevention measures, adoption of early detection methods, and improved treatments have resulted in improved outcomes for both men and women. However, Black Americans continue to have the higher cancer mortality rates and shorter survival times. This review discusses and compares the cancer mortality rates and mortality trends for Blacks and Whites. The complex relationship between socioeconomic status and race and its contribution to racial cancer disparities is discussed. Based on current trends and the potential and limitations of the patient protection and affordable care act with its mandate to reduce health care inequities, future trends, and challenges in cancer mortality disparities in the U.S. are explored.
美国的癌症发病率和死亡率在 21 世纪的第一个十年持续下降。减少烟草使用、更多地采取预防措施、采用早期检测方法以及改进治疗方法,使男性和女性的预后都得到了改善。然而,非裔美国人的癌症死亡率仍然较高,存活时间也较短。本综述讨论并比较了黑人和白人的癌症死亡率和死亡率趋势。讨论了社会经济地位与种族之间的复杂关系及其对癌症差异的贡献。基于当前的趋势以及《患者保护与平价医疗法案》(其任务是减少医疗保健方面的不平等)的潜力和局限性,探讨了美国癌症死亡率差异的未来趋势和挑战。