作者: Nancy Krieger , Charles Quesenberry Jr , Tiffany Peng , Pamela Horn-Ross , Susan Stewart
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摘要: Background: To date only eight US studies have simultaneously examined cancer incidence in relation to social class and race/ethnicity; all but one included black white Americans. address gaps knowledge we thus investigated socioeconomic gradients among four mutually exclusive racial/ethnic groups – Asian Pacific Islander, black, Hispanic, for five major sites: breast, cervix, colon, lung, prostate cancer. Methods: We generated age-adjusted rates stratified by position using: (a) geocoded registry records, (b) census population counts, (c) 1990 block-group measures. Cases (n = 70,899) were diagnosed between 1988 1992 lived seven counties located California's San Francisco Bay Area. Results: Incidence varied as much if not more than race/ethnicity, each site the magnitude some cases direction of gradient differed race/ethnicity and, where applicable, gender. Breast increased with affluence Hispanic women. cervical deprivation groups, trends strongest Lung Hispanics, whom affluence. Colon inconsistently associated position. Conclusions: These complex patterns defy easy generalization illustrate why data should be position, along gender, so improve surveillance, research, control.