Gastric cancer mortality rates among US and foreign-born persons: United States 2005–2014
| Autor: | Matthew T. McKenna, Hilda Razzaghi, Virginia Senkomago, Benjamin D Hallowell, Meheret Endeshaw, Mona Saraiya |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Cancer Research Time Factors media_common.quotation_subject Immigration Population Ethnic group Article American Community Survey 03 medical and health sciences 0302 clinical medicine Foreign born Residence Characteristics Risk Factors Stomach Neoplasms Ethnicity Humans Medicine Mortality education Survival rate Aged media_common Aged 80 and over education.field_of_study business.industry Mortality rate Age Factors Gastroenterology Cancer General Medicine Emigration and Immigration Middle Aged Prognosis medicine.disease United States Survival Rate Oncology 030220 oncology & carcinogenesis Female 030211 gastroenterology & hepatology business Follow-Up Studies Demography |
| Zdroj: | Gastric Cancer |
| ISSN: | 1436-3305 1436-3291 |
| DOI: | 10.1007/s10120-019-00944-w |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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