Satariano W A, Albert S, Belle S H
J Gerontol. 1982 Nov;37(6):642-7. doi: 10.1093/geronj/37.6.642.
One form of the double jeopardy hypothesis states that health declines more dramatically with age for blacks than it does for whites. This paper tests the hypothesis for black and white differences by age in cancer incidence rates. Age-specific incidence rates for 14 major cancer sites were compared in black and white, male and female populations in Detroit. Rates were based on 57,275 invasive cancer cases, diagnosed between 1973 and 1978, and drawn from the Michigan Cancer Foundation Registry, a member of the National Cancer Institute's Surveillance, Epidemiology, and End Results program. For men, differences between blacks and whites for most sites dissipate with age, reflecting a leveling trend. For women, there is no consistent trend for most sites. Double jeopardy is reflected in rates for cervical cancer. Public health programs should be targeted to elderly black women for cervical cancer screening and to middle-aged black men for multiphasic cancer prevention services.
双重危险假说的一种形式认为，黑人健康状况随年龄下降的幅度比白人更为显著。本文通过癌症发病率来检验该假说中关于黑人和白人年龄差异的部分。对底特律的黑人和白人男性及女性群体中14个主要癌症部位的年龄别发病率进行了比较。发病率基于1973年至1978年间确诊的57275例浸润性癌症病例，这些病例来自密歇根癌症基金会登记处，该登记处是美国国家癌症研究所监测、流行病学和最终结果项目的成员之一。对于男性而言，大多数部位的黑人和白人发病率差异会随着年龄增长而消失，呈现出一种趋同趋势。对于女性来说，大多数部位没有一致的趋势。宫颈癌发病率体现了双重危险。公共卫生项目应针对老年黑人女性进行宫颈癌筛查，并针对中年黑人男性提供多阶段癌症预防服务。
