Division of Gastroenterology and Hepatology, Veterans Affairs Palo Alto Healthcare System, Palo Alto, California, USA.
Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, California, USA.
Am J Gastroenterol. 2021 Feb 1;116(2):401-406. doi: 10.14309/ajg.0000000000000948.
To evaluate impact of urbanicity and household income on hepatocellular carcinoma (HCC) incidence among US adults.
HCC incidence was evaluated by rural-urban geography and median annual household income using 2004-2017 Surveillance, Epidemiology, and End Results data.
Although overall HCC incidence was highest in large metropolitan regions, average annual percent change in HCC incidence was greatest among more rural regions. Individuals in lower income categories had highest HCC incidence and greatest average annual percent change in HCC incidence.
Disparities in HCC incidence by urbanicity and income likely reflect differences in risk factors, health-related behaviors, and barriers in access to healthcare services.
评估城市和家庭收入对美国成年人肝细胞癌（HCC）发病率的影响。
使用 2004-2017 年监测、流行病学和最终结果数据，根据城乡地理和中位数年收入评估 HCC 发病率。
尽管整体 HCC 发病率在大城市地区最高，但 HCC 发病率的年平均百分比变化在较农村地区最大。收入较低类别的个体 HCC 发病率最高，HCC 发病率的年平均百分比变化最大。
城市和收入对 HCC 发病率的差异可能反映了危险因素、健康相关行为以及获得医疗保健服务方面的差异。
