CANCER OF THE COLON: SOCIOECONOMIC VARIABLES IN A COMMUNITY1

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Abstract
Lynch, H. T. (Creighton U. School of Medicine, Omaha, NE 68178), H.Guirgis, J. Lynch, F. D. Brodkey and H. Magee. Cancer of the colon: socioeconomic variables in a community. Am J Epidemiol 102: 119–127, 1975.—Carcinoma of the colon was studied in Omaha-Douglas County, Nebraska (population 345, 000). A total of 154 casesof colon cancer were diagnosed in 1964 (44.7/100, 000). The frequency distributionof these patients in specific census tracts of this community was determined. Statisticalanalysis of the data showed a greater frequency of colon cancer in patients living in census tracts with higher average income. Colon cancer appears to be non-randomly distributed with respect to the income and socioeconomic status of its victims, suggesting that hypotheses consistent with environmental variables—particularly those characterizingextremely high versus extremely low socioeconomic groups, including occupation, diet andother life patterns—should be pursued. All of these data have implications for cancer epidemiology, cancer control, and carcinogenesis.

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