Hoffman-Goetz L, Breen N L, Meissner H
Division of Cancer Prevention and Control, National Cancer Institute, Bethesda, Maryland, USA.
Ethn Dis. 1998 Winter;8(1):43-51.
Despite the consistent and strong association of social class with health status, the extent to which racial/ethnic disparities in cancer screening reflect social class is rarely addressed. We hypothesized that the use of cancer screening is positively correlated with social class for black, white and Hispanic Americans. Data from the 1987 and 1992 National Health Interview Survey Cancer Control Supplements were compared for each racial/ethnic group by income, education, age, and gender. For each racial/ethnic group, individuals with less education or income are less likely to be screened. Although specific subgroups increased their use of screening modalities between 1987 and 1992, older black Americans who were poor or had less education reported less screening than similar older white Americans. Although social class is a powerful explanatory variable for younger Americans, racial disparities in cancer screening persist among older black Americans.
尽管社会阶层与健康状况之间存在持续且紧密的关联，但癌症筛查中的种族/族裔差异在多大程度上反映社会阶层这一问题却很少被提及。我们假设，对于美国黑人、白人和西班牙裔美国人而言，癌症筛查的使用与社会阶层呈正相关。通过收入、教育程度、年龄和性别，对1987年和1992年全国健康访谈调查癌症控制补充调查中每个种族/族裔群体的数据进行了比较。对于每个种族/族裔群体，受教育程度较低或收入较少的个体接受筛查的可能性较小。尽管在1987年至1992年期间，特定亚群体增加了筛查方式的使用，但贫困或受教育程度较低的老年美国黑人报告的筛查次数少于类似的老年美国白人。尽管社会阶层是美国年轻人的一个强有力的解释变量，但老年美国黑人在癌症筛查方面的种族差异仍然存在。
