Population-based evaluation of disparities in stomach cancer by nativity among Asian and Hispanic populations in California, 2011–2015

Details

• Alternative Title:
  Cancer
• Personal Author:
  Lee, Eunjung ; Tsai, Kai-Ya ; Zhang, Juanjuan ; Hwang, Amie E. ; Deapen, Dennis ; Koh, Jennifer J. ; Kawaguchi, Eric S. ; Buxbaum, James ; Hoon, Sang ; Liu, Lihua
• Description:
  Background:
  
  Stomach cancer incidence presents significant racial/ethnic disparities among racial/ethnic minority groups in the US, particularly among Asian and Hispanic immigrant populations. However, population-based evaluation of disparities by nativity has been scarce due to the lack of nativity-specific population denominators, especially for disaggregated Asian subgroups. We examined population-based stomach cancer incidence and tumor characteristics by detailed race/ethnicity and nativity.
  
  Methods:
  
  We calculated annual age-adjusted incidence rates (AAIRs) by race/ethnicity, sex, and nativity and evaluated tumor characteristics such as stage and anatomic subsite, using the 2011–2015 California Cancer Registry data. For Hispanic and Asian populations, we estimated nativity-specific population counts using the US Census and the American Community Survey Public Use Microdata Sample data.
  
  Results:
  
  During 2011–2015 in California, 14,198 patients were diagnosed with stomach cancer. AAIRs were higher among foreign-born individuals than their US-born counterparts. The difference was modest among Hispanics (~1.3 fold) but larger (~2 to 3-fold) among Chinese, Japanese, and Korean Americans. The highest incidence was observed for foreign-born Korean and Japanese Americans (33 and 33 per 100,000 for men; 15 and 12 per 100,000 for women, respectively). The proportion of localized stage disease was highest among foreign-born Korean Americans (44%); a similar proportion was observed among US-born Korean Americans although numbers were limited. For other Asians and Hispanics, the localized stage proportion was generally lower among foreign-born than US-born individuals, and lowest among foreign-born Japanese Americans (23%).
  
  Conclusions:
  
  Nativity-specific investigation with disaggregated racial/ethnic groups identified substantial stomach cancer disparities among foreign-born immigrant populations.
  
  
• Subjects:
  Asian Ethnicity Female Hispanic Or Latino Humans Male Minority Groups Stomach Neoplasms
• Keywords:
  Asian American Cancer Disparity First-generation Gastric Cancer Hispanic Immigrants Stomach Cancer
• Source:
  Cancer. 130(7):1092-1100
• Pubmed ID:
  38079517
• Pubmed Central ID:
  PMC11018353
• Document Type:
  Journal Article
• Funding:
  HHSN261201800032C/CA/NCI NIH HHSUnited States/ ; HHSN261201800009C/CA/NCI NIH HHSUnited States/ ; P30 CA014089/CA/NCI NIH HHSUnited States/ ; HHSN261201800032I/CA/NCI NIH HHSUnited States/ ; HHSN261201800015C/CA/NCI NIH HHSUnited States/ ; HHSN261201800009I/CA/NCI NIH HHSUnited States/ ; HHSN261201800015I/CA/NCI NIH HHSUnited States/ ; 1NU58DP007156/CC/CDC HHSUnited States/
• Place as Subject:
  California ; United States
• Volume:
  130
• Issue:
  7
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:81abdf4141caa2a19f6f51f7b829efd483b2cd818f16ed715327f0c1369a8551dbe978fdb660d3490b42b6819f7a5502842a1b2b9531b15064eba7097fa0cee6
• Download URL:
  https://stacks.cdc.gov/view/cdc/154397/cdc_154397_DS1.pdf
• File Type:
  [PDF - 751.06 KB ]