Samelson E J, Speers M A, Ferguson R, Bennett C
Cervical Cancer Demonstration and Control Project, Illinois Department of Public Health, Chicago.
Am J Public Health. 1994 Jun;84(6):1007-9. doi: 10.2105/ajph.84.6.1007.
Racial differences in cervical cancer mortality in Chicago were examined. Age-adjusted mortality in Blacks (10.0/100,000) was over twice the rate found in Whites (4.6/100,000). Age-specific rates also showed significant excess mortality among Blacks. After stratification by a group-level defined poverty indicator, the race differential in age-adjusted rates remained significant. The race differential in age-specific rates diminished in the group with more than 30% living below the national poverty level, in contrast to the group with 30% or fewer living below the national poverty level, in whom race differences were more marked. Methodological issues concerning hysterectomy prevalence, Hispanic ethnicity, and social class must be considered with respect to interpretation of these findings.
对芝加哥宫颈癌死亡率的种族差异进行了研究。黑人的年龄调整死亡率(10.0/100,000)是白人(4.6/100,000)的两倍多。年龄别死亡率也显示黑人的死亡率显著过高。按群体层面定义的贫困指标分层后,年龄调整率的种族差异仍然显著。在生活在国家贫困线以下人口超过30%的群体中,年龄别率的种族差异减小,而在生活在国家贫困线以下人口为30%或更少的群体中,种族差异更为明显。在解释这些发现时,必须考虑与子宫切除术患病率、西班牙裔种族和社会阶层有关的方法学问题。