Cancer among American-Samoans: site-specific incidence in California and Hawaii.

Cancer among American-Samoans: site-specific incidence in California and Hawaii.
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美属萨摩亚人的癌症:加利福尼亚和夏威夷的特定地点发病率。

DOI:
10.1093/ije/25.4.713
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发表时间:
1996
影响因子:
7.7
通讯作者:
Bernstein,L
Bernstein,L
中科院分区:
医学1区
文献类型:
--
作者:
Mishra,SI;Luce-Aoelua,P;Wilkens,LR;Bernstein,L

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美属萨摩亚人是仅次于夏威夷人的最大太平洋岛民群体。本研究首次提供了美属萨摩亚人在美国本土和夏威夷所有癌症的发病率和相对风险的数据。方法两个基于人群的癌症监测项目南加州大学癌症监测项目和夏威夷肿瘤登记处分别提供了居住在加利福尼亚州洛杉矶县和夏威夷的美属萨摩亚人的档案数据。结果阿门坎人、夏威夷人和盎格鲁人(非西班牙裔白人)的癌症发病率和年龄调整后特定地点的相对风险有显著差异。在夏威夷,被诊断为癌症的美属萨摩亚人与夏威夷人相比,鼻咽癌(尤其是男性)、肝癌、前列腺癌、甲状腺癌和血液癌(尤其是女性)的年龄调整后特定部位相对风险较高,而结肠癌、直肠癌(尤其是男性)、肺(尤其是女性)和乳腺癌的相对风险较低。此外,与夏威夷被诊断为癌症的盎格鲁人相比,美属萨摩亚人患鼻咽癌(尤其是男性)、胃癌、肝癌、肺癌(特别是男性)、子宫体癌、甲状腺和血癌的相对风险较高,而结肠癌、皮肤癌、乳腺癌、睾丸癌和血癌的相对风险较低。宫颈、膀胱(尤其是男性)和淋巴结。在加利福尼亚州被诊断为癌症的美籍萨摩亚人和盎格鲁人中,观察到了相对相似的癌症分布和相对风险。这些数据提供了基线信息,对该人群未来的癌症控制研究和预防具有重要意义。结论该数据提供了基线信息,对该人群未来的癌症控制研究和预防具有重要意义。
BackgroundThere is a paucity of data about cancer among American-Samoans, the largest Pacific Islander group after Hawaiians This study provides the first data on the incidence and relative risk for all cancers among American-Samoans on the US mainland and in Hawaii.MethodsThe University of Southern California Cancer Surveillance Program and the Hawaii Tumor Registry, two population-based cancer surveillance programmes, provided archival data on American-Samoans residing in Los Angeles County, California and in Hawaii, respectively.ResultsThere were significant differences in the incidence and age-adjusted site-specific relative risk of cancers between Amencan-Samoans, Hawaiians, and Anglos (non-Hispanic whites). In Hawaii, American-Samoans diagnosed with cancer compared with Hawaiians had a higher age-adjusted site-specific relative nsk for cancers of the nasopharynx (especially males), liver, prostate, thyroid, and blood (especially females) and a lower relative risk for cancers of the colon, rectum (especially males), lung (especially females) and breast Furthermore, compared with Anglos diagnosed with cancer in Hawaii, American-Samoans had a higher relative risk for cancers of the nasopharynx (especially males), stomach, liver, lung (especially males), corpus uteri, thyroid and blood, and a lower relative risk for cancers of the colon, skin, breast, testes, cervix uten, bladder (especially males), and lymph nodes. A relatively similar profile of cancer distribution and relative risk was observed among American-Samoans and Anglos diagnosed with cancer in California.Conclusions. The data provide baseline information which has Important implications for future cancer control research and prevention in this population.ConclusionsThe data provide baseline information which has important implications for future cancer control research and prevention in this population.
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