Cancer mortality rates by racial and ethnic groups in the United States, 2018-2020.

Cancer mortality rates by racial and ethnic groups in the United States, 2018-2020.
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DOI:
10.1093/jnci/djad069
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发表时间:
2023-07-06
期刊:
Journal of the National Cancer Institute
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--
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其他
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从2018年开始,国家死亡证明包括一个新的种族分类系统,该系统考虑了多种族死者,并将夏威夷原住民和太平洋岛民(NHPI)与亚洲人分开。我们估计了更新的种族和民族类别,性别和年龄的癌症死亡率。2018年至2020年,20岁及以上人群的标准化美国癌症死亡率和比率是根据国家死亡证明数据按种族和民族、性别、年龄和癌症部位进行估计的。2018年,约有59.7万人死于癌症,2019年为59.8万人,2020年为60.1万人。   在男性中,黑人男性的癌症死亡率最高(298.2/100 000; n = 105 632),其次是白色(250.8; n = 736 319)、美洲印第安人/阿拉斯加原住民(AI/AN; 249.2; n = 3376)、NHPI(205.6; n = 1080)、拉丁美洲人(177.2; n = 66 167)和亚洲人(147.9; n = 26 591)。     在妇女中,黑人妇女的癌症死亡率最高(每10万人中有206.5人; n = 104 437),其次是NHPI(192.1; n = 1141)、AI/AN(189.9; n = 3239)、白色(183.0; n = 646 865)、拉丁裔(128.4; n = 61 579)和亚裔(111.4; n = 26 396)妇女。     按年龄组分列的死亡率最高的是20-49岁的NHPI个人和50-69岁和70岁及以上的黑人。亚洲人在各年龄组中的癌症死亡率最低。与亚洲人相比,NHPI男性的总癌症死亡率高39%,NHPI女性高73%。在2018-2020年期间,癌症死亡率存在显著的种族和民族差异。分离NHPI和亚洲个体揭示了先前在生命统计数据中合并的两组之间癌症死亡率的巨大差异。
Starting in 2018, national death certificates included a new racial classification system that accounts for multiple-race decedents and separates Native Hawaiian and Pacific Islander (NHPI) individuals from Asian individuals. We estimated cancer death rates across updated racial and ethnic categories, sex, and age. Age-standardized US cancer mortality rates and rate ratios from 2018 to 2020 among individuals aged 20 years and older were estimated with national death certificate data by race and ethnicity, sex, age, and cancer site. In 2018, there were approximately 597 000 cancer deaths, 598 000 in 2019, and 601 000 in 2020. Among men, cancer death rates were highest in Black men (298.2 per 100 000; n = 105 632), followed by White (250.8; n = 736 319), American Indian/Alaska Native (AI/AN; 249.2; n = 3376), NHPI (205.6; n = 1080), Latino (177.2; n = 66 167), and Asian (147.9; n = 26 591) men. Among women, Black women had the highest cancer death rates (206.5 per 100 000; n = 104 437), followed by NHPI (192.1; n = 1141), AI/AN (189.9; n = 3239), White (183.0; n = 646 865), Latina (128.4; n = 61 579), and Asian (111.4; n = 26 396) women. The highest death rates by age group occurred among NHPI individuals aged 20-49 years and Black individuals aged 50-69 and 70 years and older. Asian individuals had the lowest cancer death rates across age groups. Compared with Asian individuals, total cancer death rates were 39% higher in NHPI men and 73% higher in NHPI women. There were striking racial and ethnic disparities in cancer death rates during 2018-2020. Separating NHPI and Asian individuals revealed large differences in cancer mortality between 2 groups that were previously combined in vital statistics data.
DOI: 10.1158/1055-9965.epi-15-0293
发表时间: 2015-11
期刊: Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
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