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Title: Prostate Cancer Mortality and Birth or Adult Residence in the Southern United States
Citation Type: Journal Article
Publication Year: 2012
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Abstract: Although there are few confirmed risk factorsfor prostate cancer (PCa), mortality rates are known to vary geographically across the United States. PCa mortality is higher among black and younger white men in a band of states spanning from Washington DC to Louisiana. This study assessed the associations of birth and adult residence in the PCa belt with PCa mortality among black and white men and trends in these associations over time. PCa-specific mortality rates in 1980, 1990, and 2000 for black and white men born in the continental US, aged 4089, were calculated by linking national mortality records with population data based on birth state, state of residence at the census, race, and age. PCa birth wascross-classified against PCa belt adult residence. Black men born in the PCa belt had elevated PCa mortality in 1980, 1990, and 2000. Associations were independent of adult residence in the PCa belt. For example, in 2000, black men aged 6589 who were born in the PCa belt but no longer lived there in adulthood had an odds ratio of 1.19 (1.141.24) for PCa mortality compared to black men born and residing outside the PCa belt. The PCa belt was not associated with PCa mortality among whites. Geographically patterned childhood exposures, for example, differences in social or environmental conditions, or behavioral norms, may influence PCa mortality.
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Authors: Glymour, M.Maria; Datta, Geetanjali D.; Kosheleva, Anna; Chen, Jarvis T.
Periodical (Full): Cancer Causes and Control
Issue: 7
Volume: 23
Pages: 1039–1046
Data Collections: IPUMS USA
Topics: Health
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