Brown J, Harding S, Bethune A, Rosato M
Popul Trends. 1997 Winter(90):40-7, 49-77.
Using data from the Longitudinal Study social class patterns in the incidence of breast, lung and cervical cancer in women, and lung cancer in men, for the period 1976-89 were examined. At working ages, 15 to 64, there was very little difference in breast cancer incidence between women in non-manual and manual classes. At older ages the incidence was higher in women in non-manual classes than in those in manual classes. Cervical cancer incidence was considerably higher among younger women in manual than in non-manual classes and these differences were greatest in 1986-89. Among both younger and older men and women, strong class differentials in the incidence of lung cancer were evident in 1986-89. These findings indicate the need to target prevention strategies sensitively and to ensure equitable access to services.
利用纵向研究的数据,对1976 - 1989年期间女性乳腺癌、肺癌和宫颈癌以及男性肺癌发病率的社会阶层模式进行了研究。在15至64岁的工作年龄段,非体力劳动阶层和体力劳动阶层女性的乳腺癌发病率差异很小。在老年时,非体力劳动阶层女性的发病率高于体力劳动阶层女性。体力劳动阶层年轻女性的宫颈癌发病率明显高于非体力劳动阶层年轻女性,且这些差异在1986 - 1989年最为显著。在1986 - 1989年,无论年轻还是年长的男性和女性中,肺癌发病率都存在明显的阶层差异。这些发现表明需要灵活制定预防策略,并确保公平获得服务。