Cancer incidence in the Hmong of Central California, United States, 1987-94

Cancer incidence in the Hmong of Central California, United States, 1987-94
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美国加利福尼亚州中部苗族的癌症发病率,1987-94 年

DOI:
10.1023/a:1018423219749
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发表时间:
1997
影响因子:
2.3
通讯作者:
R. Yang
R. Yang
中科院分区:
医学4区
文献类型:
--
作者:
P. Mills;R. Yang

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The Hmong are an ethnic minority in China, some of whom migrated tothe mountainous areas of North Vietnam, Laos, and Thailand in the 19th and20th centuries. Because of their support for the United States during theVietnam war, many Laotian Hmong fled to Thailand and eventually werere-settled in the US after the end of that conflict. Approximately100,000Hmong currently live in the US, of whom about half reside in theCentral Valley of California. The purpose of this study was to measure cancerincidence in this unique new immigrant population. Using the resources of theCancer Registry of Central California (CRCC), a population-based cancerregistry, cancer incidence in the Hmong was evaluated by calculatingage-adjusted incidence rates as well as by calculating proportional incidenceratios. Compared with all races combined, elevated rates of cancer in theHmong were observed for the following sites: nasopharynx, stomach, liver,pancreas, leukemia, and non-Hodgkin’s lympho ma. Cervical cancer incidenceoverall was elevated, but more noteworthy, invasive cervix cancer rates weremuch higher than expected. Lower cancer rates were found for breast,prostate, and colorectal cancer. Hmong also experienced advanced stage andgrade of disease at diagnosis for many cancer sites in addition to cervicalcancer, which may be explained by cultural factors, including avoidance ofWestern medical care and low rates of participation in screening programs.This population should be followed closely and monitored for patterns ofcancer incidence in the future since it provides a natural laboratory forstudies of cancer etiology as this population gradually becomes acculturatedto the Western lifestyle.
洛杉矶县的宗教与癌症。
DOI: --
发表时间: 1985
期刊: National Cancer Institute monograph
影响因子: --
作者:
Mack,TM;Berkel,J;Bernstein,L;Mack,W
通讯作者: Mack,W