 The study aims to determine if racial disparities in incidents and survival of squamous cell carcinoma of the anus, SCCA, among young African American males are independent of income and urban location, using data from the National Cancer Institute's Surveillance of Epidemiology and End Results Database and Cox Regression Analysis. The results show that black race had a hazard ratio of 1.55 when controlling for age, stage, income and urban rural status, while each 000 increase in county median family income was protective with a hazard ratio of 0.90. Residents in a metropolitan area did not significantly affect survival. The authors suggest wide application of previously validated screening programs for anal dysplasia to target this at-risk population. This article was authored by Markian M. Boko, Robert J. Kosechko and Juan Alpogio.