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UICC World Cancer Congress 2006
Bridging the Gap: Transforming Knowledge into Action
July 8-12, 2006, Washington, DC, USA
Methods: Cause-specific, race and gender specific, age-adjusted mortality data were obtained for the six-year time period from the National Center for Health Statistics webpage [http://cdc.gov/wonder]. BRFSS data for each state was obtained from their respective state agency collecting these data. All data were age-adjusted to the 2000 U.S. standard population for comparison. Simple binomial tests were used to identify differences in proportion between the race-gender subgroups, within and between geographic strata. The data were aggregated using the county-level codes [place of residence] to form the geographic unit of analysis.
Results: Distinct disparities are present for African-Americans living in Southern Appalachia. Additionally, we observed differences with these disparities by gender. Screening patterns varied by the types of cancer, and within race-gender sub-groups. These findings were consistent with an unusual age-specific distribution for this rural, African American population. Further studies are in-progress to compare the differences between African American in urban and rural settings for both screening practices, and outcomes.