按出生地分列的美国西班牙裔群体癌症死亡率(2003-2017 年)。

IF 3.7 3区 医学 Q2 ONCOLOGY Cancer Epidemiology Biomarkers & Prevention Pub Date : 2024-10-03 DOI:10.1158/1055-9965.EPI-24-0792
Yuelin He, Paulo S Pinheiro, Osika Tripathi, Helen Nguyen, Malathi Srinivasan, Latha P Palaniappan, Caroline A Thompson
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引用次数: 0

摘要

背景:西班牙裔人口是美国第二大种族/民族群体,由多个不同的民族组成。癌症死亡率的种族特异性差异可能归因于出生国,因此我们旨在了解按出生地(本地出生或外国出生与美国出生)分类的西班牙裔人群在 15 年内癌症死亡率的差异。方法:我们分析了美国死亡证明中 228197 名与癌症相关死亡的西班牙裔死者(墨西哥人、波多黎各人、古巴人、中美洲或南美洲人)(2003-2017 年)。选取了对西语裔男性(肺癌和支气管癌、结肠癌和直肠癌、肝癌、前列腺癌和胰腺癌)和女性(肺癌和支气管癌、肝癌、胰腺癌、结肠癌和直肠癌、女性乳腺癌和卵巢癌)死亡率影响较大的七种癌症进行分析。计算了以外国出生者为参照组的 5 年年龄调整死亡率[AAMR (95% CI);每 10 万人]和标准化死亡率[SMR (95% CI)]。连接点回归分析用于建立癌症相关死亡率趋势模型:结果:在所有西语裔群体中,波多黎各出生的波多黎各人、古巴出生的古巴人和美国出生的墨西哥人的癌症死亡率最高。总体而言,除墨西哥人外,外国出生的西班牙裔人的癌症死亡率高于美国出生的人。总体而言,美国出生和非美国出生(即本地出生或外国出生)的拉美裔群体的癌症死亡率逐年下降:我们注意到,作为一个快速增长的多元化美国人口群体,西语裔群体的死亡率因其出生地不同而存在巨大差异:影响:了解癌症负担的分类模式和趋势可促使人们围绕社区卫生资源展开更深入的讨论,从而改善全美拉美裔美国人的健康状况。
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Cancer Mortality among Hispanic groups in the US, by birthplace (2003-2017).

Background: The Hispanic population is the second largest racial/ethnic group in the US, consisting of multiple distinct ethnicities. Ethnicity-specific variations in cancer mortality may be attributed to countries of birth, so we aimed to understand differences in cancer mortality among disaggregated Hispanics by nativity (native- or foreign- born vs. US-born) over 15 years.

Methods: 228,197 Hispanic decedents (Mexican, Puerto Rican [PR], Cuban, and Central or South American) with cancer-related deaths from US death certificates (2003-2017) were analyzed. Seven cancers that contribute significantly to Hispanic male (lung and bronchus, colon and rectum, liver, prostate, and pancreas cancers) and female (lung and bronchus, liver, pancreas, colon and rectum, female breast, and ovary cancers) mortality were selected for analysis. 5-year age-adjusted mortality rates [AAMR (95% CI); per 100,000] and standardized mortality ratios [SMR (95% CI)] using foreign-born as the reference group were calculated. Joinpoint regression analysis was used to model cancer-related mortality trends.

Results: Puerto Rico-born PRs, Cuba-born Cubans, and US-born Mexicans had some of the highest cancer death rates among all the Hispanic groups. In general, foreign-born Hispanics had higher cancer mortality rates than US-born, except Mexicans. Overall, US-born and non-US-born (i.e. native- or foreign- born) Hispanic groups experienced decreasing rates of cancer deaths over the years.

Conclusions: We noted vast heterogeneity in mortality rates by nativity across Hispanic groups, a fast-growing diverse US population.

Impact: Understanding disaggregated patterns and trends in cancer burden can motivate deeper discussion around community health resources, which may improve the health of Hispanics across the US.

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来源期刊
Cancer Epidemiology Biomarkers & Prevention
Cancer Epidemiology Biomarkers & Prevention 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.50
自引率
2.60%
发文量
538
审稿时长
1.6 months
期刊介绍: Cancer Epidemiology, Biomarkers & Prevention publishes original peer-reviewed, population-based research on cancer etiology, prevention, surveillance, and survivorship. The following topics are of special interest: descriptive, analytical, and molecular epidemiology; biomarkers including assay development, validation, and application; chemoprevention and other types of prevention research in the context of descriptive and observational studies; the role of behavioral factors in cancer etiology and prevention; survivorship studies; risk factors; implementation science and cancer care delivery; and the science of cancer health disparities. Besides welcoming manuscripts that address individual subjects in any of the relevant disciplines, CEBP editors encourage the submission of manuscripts with a transdisciplinary approach.
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