Cancer health disparities persist among African Americans in Wisconsin.

University of Wisconsin Carbone Cancer Center, University of Wisconsin - Madison, 610 Walnut St (WARF 370E), Madison WI 53705, USA.
WMJ: official publication of the State Medical Society of Wisconsin 10/2010; 109(5):267-73.
Source: PubMed


Cancer incidence and mortality rates have decreased over the last few decades, yet not all groups have benefited equally from these successes. This has resulted in increased disparities in cancer burden among various population groups.
This study examined trends in absolute and relative disparities in overall cancer incidence and mortality rates between African American and white residents of Wisconsin during the period 1995-2006.
Cancer incidence data were obtained from the Wisconsin Cancer Reporting System. Mortality data were accessed from the National Center for Health Statistics' public use mortality file. Trends in incidence and mortality rates during 1995-2006 for African Americans and whites were calculated and changes in relative disparity were measured using rate ratios.
With few exceptions, African American incidence and mortality rates were higher than white rates in every year of the period 1995-2006. Although cancer mortality and incidence declined for both groups over the period, relative racial disparities in rates persisted over the period and account for about a third of African American cancer deaths.
Elimination of cancer health disparities will require further research into the many contributing factors, as well as into effective interventions to address them. In Wisconsin, policymakers, health administrators, and health care professsionals need to balance resources carefully and set appropriate priorities to target racial inequities in cancer burden.

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Available from: James F Cleary, Oct 03, 2015
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    • "Although there have been some cross region studies to assess associations between SEP and health, (Burack et al., 1983) most studies investigated trend of disparities in health outcomes. (Black et al., 2010; Jones et al., 2010) Age standardised rates (ASR), which was used instead of the crude rates to facilitate international comparison, may lead to a deformity of the raw data. (Burack et al., 1983; Anderson and Rosenberg, 1998) Therefore we assessed the impact of the ASR on the crude rate, where the findings showed that minor differences exist between ASR and crude rates across districts, while the SEP ranks of districts remained unchanged. "
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