Cancer mortality rates among US and foreign-born individuals: United States 2005–2014

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• Alternative Title:
  Prev Med
• Personal Author:
  Hallowell, Benjamin D. ; Endeshaw, Meheret ; McKenna, Matthew T. ; Senkomago, Virginia ; Razzaghi, Hilda ; Saraiya, Mona
• Description:
  From 1970 to 2010 the foreign-born population in the United States has rapidly increased from 9.6 to 40.0 million individuals. Historically, differences in cancer rates have been observed between US-born and foreign-born individuals. However, comprehensive and up-to-date data on US cancer rates by birth place is lacking. To compare cancer mortality rates among foreign and US-born individuals, population-based cancer mortality data were obtained from the CDC's National Center for Health Statistics. Utilizing data recorded on death certificates, individuals were categorized as US-born or foreign-born. Annual population estimates were obtained from the American Community Survey. Age-adjusted mortality rates and rate ratios (RRs) for all cancer sites were calculated using SEER*Stat. A total of 5,670,535 deaths from malignant cancers were recorded in the US from 2005 to 2014 and 9% of deaths occurred among foreign-born individuals. Overall, foreign-born individuals had a 31% lower cancer mortality rate when compared to US-born individuals (Rate Ratio (RR): 0.69 (95% CI: 0.68-0.69)), and similar results were observed when stratifying by sex, race/ethnicity, age, and geographic region. However, foreign-born individuals did have significantly elevated cancer mortality rates for seven cancers sites, of which five were infection-related, including: nasopharynx (RR: 2.01), Kaposi Sarcoma (RR: 1.94), stomach (RR: 1.82), gallbladder (RR: 1.47), acute lymphocytic leukemia (RR: 1.27), liver and intrahepatic bile duct (RR: 1.24), and thyroid (RR: 1.22) cancers. Many of these deaths could be avoided through improved access to prevention, screening, and treatment services for immigrant populations in the US or in their country of origin.
• Keywords:
  Adult Aged Aged, 80 And Over Age Distribution Cancer Cervical Death Certificates Emigrants And Immigrants Foreign-born Humans Immigrant Liver Malignancy Middle Aged Neoplasms Residence Characteristics SEER Program Sex Distribution Stomach United States US-born

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• Source:
  Prev Med. 126:105755
• Pubmed ID:
  31220510
• Pubmed Central ID:
  PMC7745713
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Volume:
  126
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:ae4abe45a87aef43f6dc90fd55dfca195b2e1b1215937b6ebdbfe0234dd0767d
• Download URL:
  https://stacks.cdc.gov/view/cdc/99044/cdc_99044_DS1.pdf
• File Type:
  [PDF - 262.06 KB ]