Cambodian cancer incidence rates in california and washington, 1998-2002
Cambodian cancer incidence rates in california and washington, 1998-2002
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DOI：
10.1002/cncr.22914
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发表时间：
2007-09-15
期刊：
影响因子：
6.2
通讯作者：
Chu, Kenneth C.
中科院分区：
文献类型：
--
作者：
Kem, Ravie;Chu, Kenneth C.
背景在生活在美国的许多不同的亚洲族裔群体中，柬埔寨移民占亚洲总人口的一小部分（1.8%）。由于他们的人数少，柬埔寨的生命统计数据往往被合并到东南亚（SA）的癌症数据，包括越南人，泰国人，老挝人，苗族。2000年的人口普查计数用于两个柬埔寨人口，即仅柬埔寨人和仅柬埔寨人以及与任何其他种族/族裔群体一起用于加州和西雅图（普吉特海湾地区）、华盛顿。然后使用1998-2002年间加州和普吉特湾癌症登记处的癌症病例计算癌症发病率。报告了1998-2002年按年龄调整的年发病率、上限发病率（基于柬埔寨单独人口）、下限发病率（基于柬埔寨单独或合并人口），并与这些地区非西班牙裔白色（NHW）人口的发病率进行了比较。柬埔寨男性中最常见的5种癌症是肺癌和支气管癌、肝癌、前列腺癌、结肠直肠癌和胃癌。男性患者中发生率高于NHW男性患者的部位为（按升序排列）鼻咽、肝脏、胃、骨髓瘤、肺和支气管。女性患癌症的前5位是乳腺癌、肺癌、结肠直肠癌、宫颈癌和甲状腺癌。女性患病率高于N1-fW女性患病率的部位依次为鼻咽部、肝脏、胃、宫颈、口腔和甲状腺。解决美国人健康问题的挑战因导致他们移民美国的历史事件而变得复杂。许多移民是柬埔寨大屠杀的幸存者。为哥伦比亚人制定的健康计划必须处理这些问题的后果，以及语言和宗教的文化问题，以帮助哥伦比亚人减少他们的癌症差异。
BACKGROUND. Among the many diverse Asian ethnic groups living in the US, Cambodian immigrants comprise a small fraction (1.8%) of the total Asian population. Because of their small numbers, Cambodian vital statistics are often combined into Southeast Asian (SA) cancer data consisting of Vietnamese, Thais, Laotians, and Hmong.METHODS. The 2000 Census counts were used for 2 Cambodian populations, Cambodians alone and Cambodians alone and in combination with any other racial/ethnic group for California and for Seattle (Puget Sound area), Washington. Then the cancer incidence rates were calculated using cancer cases from the California and Puget Sound cancer registries between 1998-2002. The 1998-2002 annual age-adjusted incidence rates, upper bound rates (based on the Cambodian alone population), lower bound rates (based on the Cambodians alone or in combination population) are reported and compared with the rates in the non-Hispanic White (NHW) population in these regions.RESULTS. The top 5 cancers in Cambodian males are lung and bronchus, liver, prostate, colorectal, and stomach cancers. The sites where the rates are higher in male Cambodians than NHW males are (in ascending rank) nasopharynx, liver, stomach, myeloma, and lung and bronchus. The top 5 cancers for female Cambodians are breast, lung, colon and rectum, cervix, and thyroid. The sites where female rates are greater than N1-fW female rates are (in ascending rank) nasopharynx, liver, stomach, cervix uteri, oral cavity, and thyroid.CONCLUSIONS. The challenges to address the health issues of Cambodians are complicated by historical events that caused their emigration to the US. Many of the immigrants are survivors of the holocaust in Cambodia. Health programs for Cambodians must deal with the consequences of these issues as well as cultural issues of language and religion in helping Cambodians to reduce their cancer disparities.