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- Publisher
- American Medical Association
- Copyright
- Copyright 2013 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
- ISSN
- 2168-6254
- eISSN
- 2168-6262
- DOI
- 10.1001/jamasurgery.2013.408
- pmid
- 23324839
- Publisher site
- See Article on Publisher Site
Abstract
ORIGINAL ARTICLE Residential Segregation and Lung Cancer Mortality in the United States Awori J. Hayanga, MD, MPH; Steve B. Zeliadt, PhD; Leah M. Backhus, MD Objective: To examine the relationship between race The score ranges from 0 to 100 in increasing degrees of and lung cancer mortality and the effect of residential seg- residential segregation. regation in the United States. Results: The overall lung cancer mortality rate was higher Design: A retrospective, population-based study using for blacks than whites (58.9% vs 52.4% per 100 000 popu- data obtained from the 2009 Area Resource File and Sur- lation). Each additional level of segregation was associ- veillance, Epidemiology and End Results program. ated with a 0.5% increase in lung cancer mortality for blacks (P.001) and an associated decrease in mortality for whites Setting: Each county in the United States. (P=.002). Adjusted lung cancer mortality rates among blacks were 52.4% and 62.9% per 100 000 population in Patients: Black and white populations per US county. counties with the least (40% segregation) and the high- est levels of segregation (60% segregation), respec- Main Outcome Measures: A generalized linear tively. In contrast, the adjusted lung cancer mortality rates model with a Poisson distribution and
Journal
JAMA Surgery – American Medical Association
Published: Jan 1, 2013