Racial/ethnic disparities in prostate cancer incidence, distant stage diagnosis, and mortality by U.S. census region and age-group, 2012–2015.
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Racial/ethnic disparities in prostate cancer incidence, distant stage diagnosis, and mortality by U.S. census region and age-group, 2012–2015.

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    • Alternative Title:
      Cancer Epidemiol Biomarkers Prev
    • Description:
      Background: We sought to characterize recent prostate cancer incidence, distant stage diagnosis, and mortality rates by region, race/ethnicity, and age-group. Methods: In SEER*Stat, we examined age-specific and age-adjusted prostate cancer incidence, distant stage diagnosis, and mortality rates by race/ethnicity, Census region, and age group. Incidence and mortality analyses included men diagnosed with (n=723,269) and dying of (n=112,116) prostate cancer between 2012–2015. Results: Non-Hispanic black (NHB) and NH Asian/Pacific Islander (NHAPI) men had the highest and lowest rates, respectively, for each indicator across regions and age-groups. Hispanic men had lower incidence and mortality rates than non-Hispanic white (NHW) men in all regions except the Northeast where they had higher incidence (RR 1.16 (95%CI 1.14–1.19)) and similar mortality. Hispanics had higher distant stage rates in the Northeast (RR 1.18 (95%CI 1.08–1.28)) and South (RR 1.22 (95%CI 1.15–1.30)), but similar rates in other regions. Non-Hispanic American Indian/Alaskan Native (NHAIAN) men had higher distant stage rates than NHWs in the West (RR 1.38 (95%CI 1.15–1.65)). NHBs and Hispanics had higher distant stage rates than NHWs among those ages 55–69 years (RR 2.91 (95% CI 2.81–3.02) and 1.24 (95% CI 1.18–1.31) respectively), despite lower overall incidence for Hispanics in this age group. Conclusions: For Hispanic and NHAIAN men, prostate cancer indicators varied by region, while NHB and NHAPI men consistently had the highest and lowest rates, respectively, across regions. Impact: Regional and age-group differences in prostate cancer indicators between populations may improve understanding of prostate cancer risk and help inform screening decisions.
    • Pubmed ID:
      32303533
    • Pubmed Central ID:
      PMC7334051
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