Cancer incidence, mortality, and associated risk factors among Asian Americans of Chinese, Filipino, Vietnamese, Korean, and Japanese ethnicities
Cancer incidence, mortality, and associated risk factors among Asian Americans of Chinese, Filipino, Vietnamese, Korean, and Japanese ethnicities
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DOI：
10.3322/canjclin.57.4.190
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发表时间：
2007-07-01
影响因子：
254.7
通讯作者：
Ward, Elizabeth
中科院分区：
文献类型：
--
作者：
McCracken, Melissa;Olsen, Miho;Ward, Elizabeth
许多研究表明，亚裔美国人的癌症发病率和死亡率模式是异质性的，但亚洲族裔群体的癌症国家统计数据并不常见。本文总结了加州最大的5个亚裔美国人族群的癌症发病率、死亡率、危险因素和筛查数据。加州是亚裔美国人最多的州，并特别努力收集少数民族人口的健康信息。我们的分析仅限于4种最常见的癌症（前列腺癌、乳腺癌、肺癌、结肠/直肠癌）和3种已知在亚裔美国人中更常见的部位（胃癌、肝癌、宫颈癌）。按照人群规模（中国人、菲律宾人、越南人、韩国人和日本人）的顺序，总结了加州5个亚裔美国人种族组的癌症发病率和死亡率。华裔美国人在所有癌症中的发病率和死亡率最低;然而，华裔女性的肺癌死亡率最高。菲律宾人的前列腺癌发病率和死亡率最高，女性乳腺癌死亡率最高。越南人的肝癌、肺癌和宫颈癌发病率和死亡率最高。到目前为止，韩国男性和女性的胃癌发病率和死亡率最高。日本人的结肠直肠癌发病率和死亡率最高，乳腺癌和前列腺癌的死亡率也最高。还观察到癌症风险因素的变化，这些变化在很大程度上与癌症发病率和死亡率的变化一致。在临床环境和癌症控制计划中，应考虑亚裔美国人种族之间癌症负担的差异。
Many studies demonstrate that cancer incidence and mortality patterns among Asian Americans are heterogeneous, but national statistics on cancer for Asian ethnic groups are not routinely available. This article summarizes data on cancer incidence, mortality, risk factors, and screening for 5 of the largest Asian American ethnic groups in California. California has the largest Asian American population of any state and makes special efforts to collect health information for ethnic minority populations. We restricted our analysis to the 4 most common cancers (prostate, breast, lung, colon/rectum) and for the 3 sites known to be more common in Asian Americans (stomach, liver, cervix). Cancer incidence and mortality were summarized for 5 Asian American ethnic groups in California in order of population size (Chinese, Filipino, Vietnamese, Korean, and Japanese). Chinese Americans had among the lowest incidence and death rate from all cancer combined; however, Chinese women had the highest lung cancer death rate. Filipinos had the highest incidence and death rate from prostate cancer and the highest death rate from female breast cancer. Vietnamese had among the highest incidence and death rates from liver, lung, and cervical cancer. Korean men and women had by far the highest incidence and mortality rates from stomach cancer. Japanese experienced the highest incidence and death rates from colorectal cancer and among the highest death rates from breast and prostate cancer. Variations in cancer risk factors were also observed and were for the most part consistent with variations in cancer incidence and mortality. Differences in cancer burden among Asian American ethnic groups should be considered in the clinical setting and in cancer control planning.