| Titre : | Excess incidence of squamous cell esophageal cancer among US black men : Role of social class and other risk factors. (2001) |
| Auteurs : | Linda-Morris BROWN ; Dalsu BARIS ; Mustafa DOSEMECI ; Joseph-Fjr FRAUMENI ; Raymond GREENBERG ; Richard HAYES ; Robert HOOVER ; Jonathan LIFF ; Linda POTTERN ; Janet SCHOENBERG ; A.N.N. SCHWARTZ ; Debra SILVERMAN ; Gmarie SWANSON ; Division of Cancer Epidemiology and Genetics. National Cancer Institute. Bethesda. MD. USA |
| Type de document : | Article |
| Dans : | American journal of epidemiology (vol. 153, n° 2, 2001) |
| Pagination : | 114-122 |
| Langues: | Anglais |
| Mots-clés : | Oesophage ; Alcoolisme ; Incidence ; Facteur risque ; Etats Unis ; Amérique ; Homme ; Tabagisme ; Association ; Cancer ; Appareil digestif [pathologie] ; Oesophage [pathologie] ; Toxicologie ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST RR0xWwVB. Diffusion soumise à autorisation]. Data from a population-based case-control study were used to evaluate the relation between social class factors and squamous cell esophageal cancer and the extent to which alcohol, tobacco, diet, and low income contribute to the higher incidence among Black men than among White men in the United States. A total of 347 male cases (119 White, 228 Black) and 1,354 male controls (743 White, 611 Black) were selected from three US geographic areas (Atlanta, Georgia, Detroit, Michigan, and New Jersey). Cases were residents of the study areas aged 30-79 years who had been diagnosed with histologically confirmed esophageal cancer between 1986 and 1989. The adjusted odds ratios for subjects with annual incomes less than $10,000 versus incomes of $25,000 or more were 4.3 (95% confidence interval : 2.1,8.7) for Whites and 8.0 (95% confidence interval : 4.3,15.0) for Blacks. The combination of all four major risk factors-low income, moderate/heavy alcohol intake, tobacco use, and infrequent consumption of raw fruits and vegetables-accounted for almost all of the squamous cell esophageal cancers in Whites (98%) and Blacks (99%) and for 99% of the excess incidence among Black men. Thus, lifestyle modifications, especially a lowered intake of alcoholic beverages, would markedly decrease the incidence of squamous cell esophageal cancer in both racial groups and would narrow the racial disparity in risk. (...) |
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