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Cancer statistics for African Americans
C C Boring1, T S Squires, C W Health
1Department of Epidemiology and Statistics, American Cancer Society, Atlanta, Georgia.
CA: a Cancer Journal for Clinicians
|January 11, 1992
Summary
Cancer mortality rates are declining for African Americans, with significant drops in stomach and uterine cancers. Public health initiatives and addressing socioeconomic factors are key to further reducing cancer
Area of Science:
- Public Health
- Cancer Epidemiology
- Health Disparities
Background:
- Cancer represents a significant public health challenge for African Americans.
- Despite this burden, notable progress has been made in reducing cancer mortality rates.
- Declines in stomach and uterine cancer death rates are particularly significant over the past 30 years.
Purpose of the Study:
- To summarize the progress in reducing cancer burden among African Americans.
- To identify the key factors contributing to cancer morbidity and mortality in this population.
- To highlight opportunities for public health action to further diminish cancer's impact.
Main Methods:
- Analysis of cancer mortality trends since 1984.
- Examination of changes in tobacco use among Black populations.
- Review of screening practices, such as Pap smears, in Black women.
- Evaluation of socioeconomic determinants of cancer, including poverty, education, and access to care.
Main Results:
- Cancer mortality rates have declined by two percent since 1984.
- Significant decreases in stomach and uterine cancer death rates have been observed.
- Tobacco use is declining among Black individuals, with lower rates in adolescents compared to White counterparts.
- Black women exhibit higher rates of Pap smear screenings compared to other ethnic groups.
Conclusions:
- Evidence suggests that socioeconomic factors like poverty, education, and healthcare access, rather than inherent racial characteristics, are primary drivers of cancer disparities in African Americans.
- Community programs and public health interventions offer significant opportunities to reduce the impact of cancer on this population.