Howe H L, Lehnherr M, Qualls R Y
Division of Epidemiologic Studies Illinois Department of Public Health, Springfield, USA.
Cancer Causes Control. 1995 Mar;6(2):155-63. doi: 10.1007/BF00052776.
Cases of breast and cervical cancer account for almost 40 percent of all cancers diagnosed in Illinois (United States) women. Information on screening rates, however, is not collected routinely for the populations at risk. This paper reports on surveillance indicators designed to identify target populations and evaluate programs. All cases of cancers of the breast (n = 38,824, including in situ) and invasive cervix (n = 2,763) with a known stage, among women aged 40 to 74, were identified through the population-based Illinois State Cancer Registry for 1986 to 1992. The proportion of breast cancer cases with in situ disease-stage and cervical cancer cases with a late invasive stage were selected as surveillance indicators. Differences by age and race were evaluated, as were age- and race-specific trends. The data suggest that Black women, aged 40 to 74 years, and White women, aged 65 to 74 years, should be targeted for breast-cancer-screening interventions. All women, aged 40 to 74, should be targeted for enhanced cervical-cancer-screening interventions. Significant trends in in situ breast cancer diagnoses were apparent in all age-race groups, however no significant decline in invasive cervical cancer was found for any age-race group. The indicators identified the age- and race-specific disparities among potential target populations for breast and cervical cancer screening.
乳腺癌和宫颈癌病例几乎占美国伊利诺伊州女性确诊癌症总数的40%。然而，并未针对高危人群定期收集筛查率信息。本文报告了旨在识别目标人群并评估项目的监测指标。通过基于人群的伊利诺伊州癌症登记处，确定了1986年至1992年期间40至74岁已知分期的所有乳腺癌病例（n = 38,824，包括原位癌）和浸润性宫颈癌病例（n = 2,763）。选择原位疾病期乳腺癌病例和晚期浸润性宫颈癌病例的比例作为监测指标。评估了年龄和种族差异以及特定年龄和种族的趋势。数据表明，40至74岁的黑人女性和65至74岁的白人女性应作为乳腺癌筛查干预的目标人群。所有40至74岁的女性都应作为加强宫颈癌筛查干预的目标人群。原位乳腺癌诊断在所有年龄种族组中均呈现显著趋势，然而，任何年龄种族组的浸润性宫颈癌均未发现显著下降。这些指标识别出了乳腺癌和宫颈癌筛查潜在目标人群中特定年龄和种族的差异。
