2.0 Factors Effecting Cancer Incidence

The most often cited factors affecting cancer incidence and mortality among African Americans are low income, cigarette use, and diet [10]. Poverty is a significant factor associated with cancer. Cancer incidence and mortality increases as household income decreases [11]. Of the 39 million Americans who live below the federal poverty level, 9. 6 million are African-American [12]. Because African Americans are disproportionately represented among the nation's poor [13], they are at increased risk of cancer incidence and mortality.
About 390,000 deaths occur yearly in the United States as a result of cigarette use. Almost 90% of these deaths are from lung cancer. Over the past 20 years, cigarette use has become increasingly prevalent in the African-American community [14]. As a result, African Americans are at particular risk of lung cancer incidence and mortality [15].
Diet also plays an important role in preventing illnesses and in the number of premature deaths. Epidemiologic and experimental animal studies suggest that dietary fat may influence the risk of some cancers, particularly breast, colon, and prostate cancers [16]. African Americans are particularly at risk of developing and dying from these cancers, due to high consumption of fats in their diets.

Each of the three major factors (poverty, cigarette use, and diet) affecting cancer incidence and mortality rates among African Americans are associated with the health care knowledge, attitudes, and practices of individuals in the African-American community [17]. To reduce the high cancer incidence and mortality rates among African Americans, printed cancer education materials that are understandable and culturally sensitive to African Americans need to be developed.


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