Cancer incidence among Asian American populations in the United States, 2009-2011.
Cancer incidence among Asian American populations in the United States, 2009-2011.
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2009 - 2011年，美国亚裔美国人人口的癌症发病率。
DOI：
10.1002/ijc.29958
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发表时间：
2016-05-01
影响因子：
6.4
通讯作者：
Amei A
中科院分区：
文献类型：
--
作者：
Jin H;Pinheiro PS;Xu J;Amei A
在特定的亚裔美国人群体中存在癌症发病率差异。然而，现有的报告排除了芝加哥、休斯顿和纽约等大都市的数据。此外，由于排除了未知亚组的亚洲人，亚组的发生率被低估。分析了2009年至2011年8个州占亚裔美国人68%的癌症发病率数据。使用分层比例模型按性别、年龄、癌症部位和地理区域插补未知亚组病例的人种。计算6个最大的亚洲亚组17个癌症部位的标准化发病率。我们的分析包括90，709例亚裔和1，327，727例非西班牙裔白色癌症病例。亚裔美国人的总体癌症发病率显著低于非西班牙裔白人（男性为336.5/10万和541.9/10万，女性为299.6/10万和449.3/10万）。在特定的亚洲亚组中，菲律宾男性（377.4）和日本女性（342.7）的总体发病率最高，而南亚男性（297.7）和韩国女性（275.9）的总体发病率最低。与非西班牙裔白人和其他亚洲亚组相比，日本人的结肠直肠癌、韩国人的胃癌、中国人的鼻咽癌、菲律宾人的甲状腺癌和越南人的肝癌风险显著较高。南亚人患肺癌的风险非常低。总体而言，亚裔美国人患癌症的风险低于非西班牙裔白人，除了鼻咽癌，肝癌和胃癌。本研究中特定亚洲亚组癌症发病模式的独特描述为未来癌症监测研究和卫生政策提供了新的基线。
Cancer incidence disparities exist among specific Asian American populations. However, the existing reports exclude data from large metropoles like Chicago, Houston, and New York. Moreover, incidence rates by subgroup have been underestimated due to the exclusion of Asians with unknown subgroup. Cancer incidence data for 2009 to 2011 for eight states accounting for 68% of the Asian American population were analyzed. Race for cases with unknown subgroup was imputed using stratified proportion models by sex, age, cancer site, and geographic regions. Age-standardized incidence rates were calculated for 17 cancer sites for the six largest Asian subgroups. Our analysis comprised 90,709 Asian and 1,327,727 non-Hispanic white cancer cases. Asian Americans had significantly lower overall cancer incidence rates than non-Hispanic whites (336.5 per 100,000 and 541.9 for men, 299.6 and 449.3 for women, respectively). Among specific Asian subgroups, Filipino men (377.4) and Japanese women (342.7) had the highest overall incidence rates while South Asian men (297.7) and Korean women (275.9) had the lowest. In comparison to non-Hispanic whites and other Asian subgroups, significantly higher risks were observed for colorectal cancer among Japanese, stomach cancer among Koreans, nasopharyngeal cancer among Chinese, thyroid cancer among Filipinos, and liver cancer among Vietnamese. South Asians had remarkably low lung cancer risk. Overall, Asian Americans have a lower cancer risk than non-Hispanic whites, except for nasopharyngeal, liver and stomach cancers. The unique portrayal of cancer incidence patterns among specific Asian subgroups in this study provides a new baseline for future cancer surveillance research and health policy.