Hakama M, Hakulinen T, Pukkala E, Saxén E, Teppo L
Am J Epidemiol. 1982 Dec;116(6):990-1000. doi: 10.1093/oxfordjournals.aje.a113501.
Ecologic and individual risk indicators were derived from the population censuses of Finland Cancer Registry. The years covered in the study were 1955-1974 for the ecologic analysis and 1971-1975 for the analysis on individuals. The incidence of both diseases was high in an urban environment with high standard of living. The individuals with high risk of breast cancer were of high socioeconomic status and were well educated, whereas cervical cancer was common among women of low socioeconomic status and with less education. Conceptually similar indicators used on both the ecologic and individual levels characterize different aspects of risk; for example, a woman with a low standard of living in a well-to-do environment has a high risk of cervical cancer.
生态和个体风险指标源自芬兰癌症登记处的人口普查数据。该研究中,生态分析涵盖的年份为1955年至1974年,个体分析涵盖的年份为1971年至1975年。在生活水平较高的城市环境中,这两种疾病的发病率都很高。乳腺癌高危个体具有较高的社会经济地位且受过良好教育,而宫颈癌在社会经济地位较低且受教育较少的女性中较为常见。在生态和个体层面使用的概念上相似的指标表征了风险的不同方面;例如,在富裕环境中生活水平较低的女性患宫颈癌的风险较高。