Differences Between Urban and Rural Areas of the Republic of Suriname in the Ethnic and Age Distribution of Cancer - A Retrospective Study from 1980 Through 2004

D. Mans, E. Rijkaard, J. Dollart, G. Belgrave, S. S. T. A. Joe, R. Matadin, A. Algu, A.R.D. Hoeblal, R. Kalloe, Z. Nurmohamed, R. Rampadarath, R. N. Mohamedradja, A. Tewarie, S. Sewgobin, B. Ramautar, A. Jagesar, R. Mohan, S. Adhin, R. Bansie, Vrede
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引用次数: 10

Abstract

We investigated whether there were differences between the urban and rural areas of the Republic of Suriname with respect to the racial and age distribution of cancer between 1980 and 2004. Patient information was from the Patho- logic Anatomy Laboratory, relevant population data from the General Bureau of Statistics. Urban and rural cancer inci- dence rates (means ± SDs per 100,000 per year) were calculated for cancer overall as well as for the most common malig- nancies, and were stratified for the largest ethnic groups, viz. Creole, Hindustani, and Javanese, and for age strata 0-19, 20-49, and 50+ years. Rates for cancer overall and for most leading malignancies were up to 2.5-fold higher in the urban areas than in the rural areas. Furthermore, rates for urban Creole were 1.5- to 5-fold higher than those for rural Creole as well as Hindustani and Javanese from either residence. Also, rates for urban individuals of 50+ years were approximately twice those for rural people of the same age group. These tendencies were most apparent for gastrointestinal, breast, he- matological and prostate cancer. Our findings suggest that there were significant differences between the urban and rural areas of Suriname with respect to the ethnic and age distribution of cancer.
苏里南共和国城乡地区癌症的种族和年龄分布差异——1980年至2004年的回顾性研究
我们调查了1980年至2004年间苏里南共和国城市和农村地区在癌症的种族和年龄分布方面是否存在差异。患者资料来自病理解剖实验室,相关人群资料来自国家统计局。城市和农村的癌症发病率(每年每10万人的平均值±标准差)计算了总体癌症发病率以及最常见的恶性肿瘤,并对最大的种族群体,即克里奥尔人、印度斯坦人和爪哇人,以及0-19岁、20-49岁和50岁以上的年龄层进行了分层。城市地区的总体癌症发病率和大多数主要恶性肿瘤的发病率比农村地区高2.5倍。此外,城市克里奥尔人的发病率比农村克里奥尔人以及印度斯坦人和爪哇人高出1.5至5倍。此外,50岁以上的城市人的发病率大约是同年龄组农村人的两倍。这种倾向在胃肠道癌、乳腺癌、乳腺癌和前列腺癌中最为明显。我们的研究结果表明,苏里南的城市和农村地区在癌症的种族和年龄分布方面存在显著差异。
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