{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T22:24:33Z","timestamp":1782944673959,"version":"3.54.5"},"reference-count":36,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2012,8,10]],"date-time":"2012-08-10T00:00:00Z","timestamp":1344556800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Comm Dent Oral Epid"],"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To explore changes in distribution of stage at diagnosis among individuals with oral and pharyngeal cancers over the past two decades and whether the changes differ by race.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We obtained 1991\u20132008 cancer incidence data for nine anatomic sites of the oral and pharyngeal structure from the <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>lorida <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>ancer <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>ata <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>ystem. These cancers were grouped into oral squamous cell carcinoma (<jats:styled-content style=\"fixed-case\">SCC<\/jats:styled-content>), pharyngeal <jats:styled-content style=\"fixed-case\">SCC<\/jats:styled-content>, and other head and neck cancers. Annual percent change was calculated for each group to characterize trends in age\u2010adjusted cancer incidence over time by race and stage at diagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During 1991\u20132008, the overall age\u2010adjusted oral <jats:styled-content style=\"fixed-case\">SCC<\/jats:styled-content> incidence was decreasing for both races, with a greater decline observed among <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>lacks. There was a large drop in incidence of regional\u2010stage diagnoses among <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>lacks. For pharyngeal <jats:styled-content style=\"fixed-case\">SCC<\/jats:styled-content>, the age\u2010adjusted incidence of localized\u2010 and regional\u2010stage diagnoses was increasing for <jats:styled-content style=\"fixed-case\">W<\/jats:styled-content>hites during 1991\u20132008, with the largest increase in the incidence of regional\u2010stage diagnoses. The percentage of localized\u2010stage diagnoses was increasing for both races for oral <jats:styled-content style=\"fixed-case\">SCC<\/jats:styled-content>. A slight increase in percentage of localized\u2010stage diagnoses was observed for <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>lacks for pharyngeal <jats:styled-content style=\"fixed-case\">SCC<\/jats:styled-content>, whereas no obvious change was observed among <jats:styled-content style=\"fixed-case\">W<\/jats:styled-content>hites.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Blacks continued to have lower percentages of localized\u2010stage diagnoses than <jats:styled-content style=\"fixed-case\">W<\/jats:styled-content>hites for nearly all sites, but an increasing percentage of localized\u2010stage diagnoses was observed for oral <jats:styled-content style=\"fixed-case\">SCC<\/jats:styled-content> among <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>lacks. For pharyngeal <jats:styled-content style=\"fixed-case\">SCC<\/jats:styled-content>, the increase in incidence among Whites was accompanied by an increasing percentage of late\u2010stage diagnoses. Coordinated public health approaches with a special emphasis on screening underserved populations are needed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1600-0528.2012.00738.x","type":"journal-article","created":{"date-parts":[[2012,8,10]],"date-time":"2012-08-10T05:04:12Z","timestamp":1344575052000},"page":"110-119","source":"Crossref","is-referenced-by-count":16,"title":["Racial disparity in oral and pharyngeal cancer in <scp>F<\/scp>lorida in 1991\u20132008: mixed trends in stage of diagnosis"],"prefix":"10.1111","volume":"41","author":[{"given":"Yi","family":"Guo","sequence":"first","affiliation":[{"name":"Department of Health Outcomes and Policy College of Medicine University of Florida Gainesville FL USA"},{"name":"Southeast Center for Research to Reduce Disparities in Oral Health College of Dentistry University of Florida Gainesville FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan 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