Winkelstein W, Sacks S T, Ernster V L, Selvin S
Am J Epidemiol. 1977 May;105(5):407-19. doi: 10.1093/oxfordjournals.aje.a112399.
Incidence date from the Third National Cancer Survey were used to study geographic variation in the occurrence of nine common cancers of nonsexual sites and five sexual sites. It was hypothesized that cancers which varied together across the nine survey communities might have common etiologic factors. The variation was measured by a series of rank and product-moment correlation coefficients in order to summarize the association between pairs of cancers in white males and in white females. The most notable findings were the high correlations between the incidence rates for the three gastrointestinal sites (stomach, colon, and rectum) and bladder cancer in both men and women and the high correlation between three female sexual sites (breast, corpus, and ovary). These two clusters are also correlated with one another. A number of other substantial correlations between pairs of cancers were observed and discussed. These associations suggest possible common etiologic agents, despite the fact that the individual secular trends for some of these cancers differ.
来自第三次全国癌症调查的发病日期被用于研究非性器官部位的九种常见癌症和性器官部位的五种癌症在地理分布上的差异。研究假设,在九个调查社区中发病率共同变化的癌症可能具有共同的病因。通过一系列等级相关系数和积差相关系数来衡量这种差异,以便总结白人男性和白人女性中各对癌症之间的关联。最显著的发现是,男性和女性的三个胃肠道部位(胃、结肠和直肠)与膀胱癌的发病率之间存在高度相关性,以及女性的三个性器官部位(乳房、子宫体和卵巢)之间存在高度相关性。这两个聚类彼此之间也存在相关性。还观察并讨论了各对癌症之间的其他一些显著相关性。这些关联表明可能存在共同的病因,尽管其中一些癌症的个体长期趋势有所不同。