Socioeconomic status and multiple myeloma among US blacks and whites
| Autor: | Dalsu Baris, R S Greenberg, A G Schwartz, Mustafa Dosemeci, G Swanson, Richard B. Hayes, Robert N. Hoover, Linda M. Pottern, Jay H. Lubin, Debra T. Silverman, Janet B. Schoenberg, Linda Morris Brown, J M Liff, J. F. Fraumeni |
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| Jazyk: | angličtina |
| Rok vydání: | 2000 |
| Předmět: |
Adult
Male medicine.medical_specialty Population Social class White People Interviews as Topic Risk Factors Epidemiology Medicine Humans Risk factor education Socioeconomic status Aged education.field_of_study business.industry Incidence (epidemiology) Incidence Public Health Environmental and Occupational Health Case-control study Odds ratio Middle Aged United States Black or African American Logistic Models Social Class Case-Control Studies Population Surveillance Female business Multiple Myeloma Demography Research Article |
| Popis: | Objectives. This study examined the relation between socioeconomic status (SES) and risk of multiple myeloma among Blacks and Whites in the United States. Methods. This population-based case-control study included 573 cases (206 Blacks and 367 Whites) with new diagnoses of multiple myeloma identified between August 1, 1986, and April 30, 1989, and 2131 controls (967 Blacks and 1164 Whites) from 3 US geographic areas. Information on occupation, income, and education was obtained by personal interview. Results. Inverse gradients in risk were associated with occupation-based SES, income, and education. Risks were significantly elevated for subjects in the lowest categories of occupation-based SES (odds ratio [OR] = 1.71, 95% confidence' interval [CI]= 1.16, 2.53), education (OR = 1.36, 95% CI = 1.06, 1.75), and income (OR = 1.43, 95% CI = 1.05, 1.93). Occupation-based low SES accounted for 37% of multiple myeloma in Blacks and 17% in Whites, as well as 49% of the excess incidence in Blacks. Low education and low income accounted for 17% and 28% of the excess incidence in Blacks, respectively incidence in Blacks, respectively. Conclusions. Our results indicate that the measured SES-related factors account for a substantial amount of the Black-White differential in multiple myeloma incidence. |
| Databáze: | OpenAIRE |
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