Clapp R W
Boston University School of Public Health, MA 02118, USA.
Int J Health Serv. 1998;28(4):747-55. doi: 10.2190/MU87-5MMV-BUK3-L7GK.
In 1996, a series of articles and news stories about cancer mortality in the United States proclaimed a "turning point in the 25-year war on cancer." While these articles and stories pointed to a recent decline in overall cancer mortality, they missed some important points about increases in specific types. They also ignored the politics behind the emphasis on smoking and diet as the main contributors to the cancer rates and the racial disparities in the U.S. data. In addition, recent articles on the decline in cancer mortality fail to note the much sharper decline in heart disease mortality. Continued efforts to reduce carcinogenic exposures at work and in the environment are needed to truly reduce the cancer burden.
1996年，一系列关于美国癌症死亡率的文章和新闻报道宣称“抗癌25年战争迎来转折点”。虽然这些文章和报道指出近期总体癌症死亡率有所下降，但它们忽略了某些特定类型癌症发病率上升的一些要点。它们还忽视了将吸烟和饮食视为癌症发病率及美国数据中种族差异的主要成因背后的政治因素。此外，近期关于癌症死亡率下降的文章没有提及心脏病死亡率下降幅度大得多这一点。要真正减轻癌症负担，仍需继续努力减少工作场所和环境中的致癌物质暴露。
