Cancer profile of migrants from the Former Soviet Union in Germany: incidence and mortality

Cancer profile of migrants from the Former Soviet Union in Germany: incidence and mortality
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德国前苏联移民的癌症概况:发病率和死亡率

DOI:
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发表时间:
2009
影响因子:
2.3
通讯作者:
H. Becher
H. Becher
中科院分区:
医学4区
文献类型:
--
作者:
V. Winkler;J. J. Ott;B. Holleczek;C. Stegmaier;H. Becher

文献摘要

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本研究比较了来自前苏联(FSU)的德国移民在德国的癌症死亡率和发病率。数据来自居住在北莱茵-威斯特伐利亚(NRW)(n = 34,393)和萨尔兰(n = 18,619)的联邦州的两个移民队列。通过当地人口登记确定NRW队列的生命状态。死亡原因从北威州统计局或当地卫生局获得。萨尔兰队列的癌症发病率来自使用记录链接的萨尔兰癌症登记处。从1990年到2005年,我们观察了708例癌症死亡和586例癌症病例。在男性中,癌症发病率和癌症死亡率与德国人口相似。女性恶性肿瘤发病率和死亡率均较低,后者明显。特定地点的标准化死亡率和发病率比显示出很大的差异相比,德国人和显着相似,彼此为大多数网站。男性肺癌发病率较高,但女性肺癌发病率较低。胃癌的发病率较高,而前列腺癌、男性结直肠癌和女性乳腺癌的发病率较低。结果证实,FSU移民患有癌症,这可能是预防计划。此外,我们不能得出与德国人不同的健康寻求行为的结论。
This study compares cancer mortality and incidence of ethnic German migrants from the Former Soviet Union (FSU) in Germany. Data were obtained from two migrant cohorts residing in the federal state of North Rhine-Westphalia (NRW) (n = 34,393) and Saarland (n = 18,619). Vital status of the NRW cohort was ascertained through local population registries. Causes of death were obtained from the NRW statistical office or from local health offices. Cancer incidence of the Saarland cohort was derived from the Saarland cancer registry using record linkage. From 1990 to 2005, we observed 708 cancer deaths and 586 incident cancer cases. In males, both cancer incidence and cancer mortality were similar to the German population. Female cancer incidence and mortality were lower, the latter significantly. Site-specific standardized mortality and incidence ratios showed great variation in comparison to Germans and were remarkably similar to each other for most sites. Lung cancer was elevated among males, but lower among females. Stomach cancer was higher contrasting with lower ratios for prostate cancer, male colorectal cancer, and female breast cancer. Results confirm that FSU-migrants suffer from cancers, which may be prevented by prevention programs. Furthermore, we cannot conclude a different health-seeking behavior compared to Germans.