Gastric cancer mortality rates among US and foreign-born persons: United States 2005–2014

Details

• Alternative Title:
  Gastric Cancer
• Personal Author:
  Hallowell, Benjamin D. ; Endeshaw, Meheret ; Senkomago, Virginia ; Razzaghi, Hilda ; McKenna, Matthew T. ; Saraiya, Mona
• Description:
  Background
  
  Historically, foreign-born individuals in the US have had an elevated risk of dying from gastric cancer when compared to US-born individuals. This is primarily due to factors that occur prior to their immigration to the US, including diet and underlying risk of H. pylori infection.
  
  Methods
  
  National mortality data from 2005 to 2014 were obtained from the CDC’s National Center for Health Statistics. Annual population estimates were obtained from the US Census Bureau’s American Community Survey for foreign-born and US-born persons. Age-adjusted gastric cancer mortality rates and rate ratios (RR) were calculated stratified by birth place, age, race/ethnicity, and geographic location.
  
  Results
  
  From 2005 to 2014, 111,718 deaths from malignant gastric cancer occurred in the US, of which 24,583 (22%) occurred among foreign-born individuals. Overall, foreign-born individuals had higher mortality rates compared with US- born individuals (RR 1.82; 95% CI 1.80, 1.85) and this difference remained after stratifying by sex, age, and geographic location. However, this finding was primarily driven by the low rate of gastric cancer mortality among US-born whites, with similar mortality rates observed among all other foreign-born and US-born groups. Gastric cancer mortality rates significantly decreased during the study period overall (AAPC − 2.50; 95% CI − 3.21, − 1.79) with significant declines observed among US-born (AAPC − 2.81; 95% CI − 3.55, − 2.07) and the foreign-born (AAPC − 2.53; 95% CI − 3.20, − 1.86) population.
  
  Conclusions
  
  Efforts directed at reducing the prevalence of gastric cancer risk factors could help reduce the elevated burden observed among foreign-born individuals and US-born minority groups.
  
  
• Subjects:
  Adult Aged Aged, 80 And Over Age Factors Emigration And Immigration Ethnicity Female Follow-Up Studies Humans Male Middle Aged Mortality Prognosis Residence Characteristics Risk Factors Stomach Neoplasms Survival Rate Time Factors

  More +
• Keywords:
  Gastric Cancer Immigrants United States
• Source:
  Gastric Cancer. 22(5):1081-1085
• Pubmed ID:
  30830640
• Pubmed Central ID:
  PMC6697193
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Place as Subject:
  United States
• Volume:
  22
• Issue:
  5
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:841b4c4acad9823fa13dc86ed95181e098ae38071700e185b78e890c7975b008
• Download URL:
  https://stacks.cdc.gov/view/cdc/80739/cdc_80739_DS1.pdf
• File Type:
  [PDF - 142.74 KB ]