Pinheiro Paulo S, Callahan Karen E, Siegel Rebecca L, Jin Hongbin, Morris Cyllene R, Trapido Edward J, Gomez Scarlett Lin
School of Community Health Sciences, University of Nevada Las Vegas, Las Vegas, Nevada.
Information, Surveillance and Health Services Research, American Cancer Society, Atlanta, Georgia.
Cancer Epidemiol Biomarkers Prev. 2017 Mar;26(3):376-382. doi: 10.1158/1055-9965.EPI-16-0684. Epub 2017 Feb 21.
Cancer is the leading cause of death among Hispanics. The burden of cancer mortality within Hispanic groups has not been well quantified. Cancer mortality rates for 2008-2012 in Florida were computed on the basis of race, ethnicity, and birthplace, specifically focusing on major Hispanic groups-Mexicans, Puerto Ricans, Cubans, Central Americans, South Americans, and Dominicans. Age-adjusted mortality rate ratios derived from negative binomial regression were used to compare Hispanics, aggregated and by group, to nonHispanic whites (NHW). A total of 205,369 cancer deaths from 2008-2012 were analyzed, of which 22,042 occurred in Hispanics. Overall cancer mortality rates were lower for Hispanics, 159 and 100 per 100,000 in males and females, respectively, compared with 204 and 145 per 100,000 in NHWs, largely driven by relatively low rates of lung and breast cancers among Hispanics. However, Hispanics had a higher risk of death from stomach and liver cancers, both infection-related. Of all Hispanic groups, Mexicans had the lowest mortality, whereas Cubans had the highest, with significantly higher mortality for colorectal, endometrial, and prostate cancers. Compared with other Hispanic groups, Cubans and Puerto Ricans had significantly higher rates. For these longer-established populations in the United States, increases in diet and obesity-related cancers are evident. Some groups show excesses that clearly fall out of the common Hispanic patterns, with implications for public health: Cubans for colorectal cancer, Puerto Ricans for liver cancer, and Dominicans for prostate cancer. Cancer mortality outcomes in Hispanics vary between ethnic groups. Research and public health strategies should consider this heterogeneity. .
癌症是西班牙裔人群的主要死因。西班牙裔群体内部的癌症死亡率负担尚未得到充分量化。根据种族、族裔和出生地计算了2008 - 2012年佛罗里达州的癌症死亡率，特别关注主要的西班牙裔群体——墨西哥人、波多黎各人、古巴人、中美洲人、南美洲人和多米尼加人。使用负二项回归得出的年龄调整死亡率比值，将西班牙裔整体及按群体与非西班牙裔白人（NHW）进行比较。对2008 - 2012年的205,369例癌症死亡病例进行了分析，其中22,042例发生在西班牙裔人群中。西班牙裔的总体癌症死亡率较低，男性和女性分别为每10万人159例和100例，而NHW分别为每10万人204例和145例，这主要是由于西班牙裔人群中肺癌和乳腺癌的发病率相对较低。然而，西班牙裔人群因胃癌和肝癌死亡的风险较高，这两种癌症都与感染有关。在所有西班牙裔群体中，墨西哥人的死亡率最低，而古巴人的死亡率最高，结直肠癌、子宫内膜癌和前列腺癌的死亡率显著更高。与其他西班牙裔群体相比，古巴人和波多黎各人的发病率显著更高。对于在美国这些定居时间较长的人群，饮食和肥胖相关癌症的发病率有所上升。一些群体表现出明显超出西班牙裔常见模式的过高发病率，这对公共卫生具有影响：古巴人的结直肠癌、波多黎各人的肝癌和多米尼加人的前列腺癌。西班牙裔人群的癌症死亡率结果因族裔群体而异。研究和公共卫生策略应考虑这种异质性。
