Gorey K M, Vena J E
School of Social Work, University of Windsor, Ontario, Canada.
J Community Health. 1995 Aug;20(4):359-66. doi: 10.1007/BF02283060.
This cumulative incidence study was accomplished among adults in Upstate New York metropolitan areas (Buffalo, Rochester, Syracuse and Albany--1979-1986). It used a new ecological socioeconomic status measure--near poverty status (i.e., below 200% of the federally established poverty criterion, including the poor and near poor)--and observed its association with site-specific cancer incidence (lung, stomach, cervix uteri, prostate, colon, rectum and breast). Findings were: 1) near poverty status is directly associated with each cancer site's incidence and the strength of the associations are similar among blacks and whites for each one and 2) the prevalence of exposure, of living in high near impoverishment areas, is nearly seven-fold greater among blacks; prevalence ratio [PR] = 6.74 (95% confidence interval [CI]:5.07,8.99).
这项累积发病率研究是在纽约州北部大都市地区(布法罗、罗切斯特、锡拉丘兹和奥尔巴尼——1979 - 1986年)的成年人中完成的。它采用了一种新的生态社会经济地位衡量标准——接近贫困状态(即低于联邦设定的贫困标准的200%,包括贫困者和接近贫困者),并观察其与特定部位癌症发病率(肺癌、胃癌、子宫颈癌、前列腺癌、结肠癌、直肠癌和乳腺癌)的关联。研究结果如下:1)接近贫困状态与每个癌症部位的发病率直接相关,并且每个癌症部位在黑人和白人中的关联强度相似;2)居住在高接近贫困地区的暴露患病率在黑人中几乎高7倍;患病率比[PR] = 6.74(95%置信区间[CI]:5.07, 8.99)。