Division of Molecular Genetic Epidemiology, German Cancer Research Center, Heidelberg, Germany.
Eur J Cancer Prev. 2013 Jan;22(1):1-7. doi: 10.1097/CEJ.0b013e3283552e4d.
We compared the incidence of cancer among Turkish, Chilean, and North African (NA) first-generation immigrants with residents in their countries of origin and native Swedes. The Swedish Family-Cancer Database was used to calculate age-standardized incidence rates. We compared the age-standardized incidence rates for immigrants with those in the Cancer Incidence in Five Continents report. All-cancer rates were decreased in Turks (men) and Chileans and increased in NAs compared with the residents in their countries of origin. The rates of stomach cancer in Chileans and lung cancer in Turkish men were decreased, whereas Turkish women had an increased rate of lung cancer. Furthermore, the rate of prostate cancer in Turks and NAs and nervous system tumors in NA men and Turkish women were increased. Chileans had higher rates of stomach and testicular cancers and lower rates of colon cancer, nervous system tumors, and non-Hodgkin's lymphoma compared with Swedes. Higher rates of male lung cancer and female thyroid cancer, and lower rates of male rectal and kidney cancers and nervous system tumors, and female stomach and colon cancers were observed among Turks compared with Swedes. The differences observed in all-cancer rates among immigrants were mostly attributable to decreased rates of stomach and lung cancers or an increased rate of prostate cancer after migration. We observed increased rates of colon, breast, and nervous system cancers after migration, whereas the rates of testicular, kidney and thyroid cancers, and non-Hodgkin's lymphoma remained unchanged.
我们比较了土耳其、智利和北非(NA)第一代移民与原籍国和瑞典本地居民的癌症发病率。使用瑞典家庭癌症数据库计算了年龄标准化发病率。我们将移民的年龄标准化发病率与《五大洲癌症发病率》报告中的发病率进行了比较。与原籍国居民相比,土耳其男性(男性)、智利人和北非人的全癌发病率降低,而北非人的癌症发病率增加。智利人的胃癌和土耳其男性的肺癌发病率下降,而土耳其女性的肺癌发病率上升。此外,土耳其人和北非人的前列腺癌以及北非男性和土耳其女性的神经系统肿瘤的发病率有所增加。与瑞典人相比,智利人患胃癌和睾丸癌的比例较高,而患结肠癌、神经系统肿瘤和非霍奇金淋巴瘤的比例较低。与瑞典人相比,土耳其男性的肺癌和女性的甲状腺癌发病率较高,而男性的直肠癌和肾癌以及女性的胃癌和结肠癌发病率较低。移民的全癌发病率差异主要归因于移民后胃癌和肺癌发病率降低或前列腺癌发病率升高。我们观察到结肠癌、乳腺癌和神经系统癌症的发病率在移民后有所增加,而睾丸癌、肾癌和甲状腺癌以及非霍奇金淋巴瘤的发病率保持不变。