Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, USA.
The Institute of Cancer Research, London, England, UK.
J Natl Cancer Inst. 2023 Jul 6;115(7):822-830. doi: 10.1093/jnci/djad069.
Starting in 2018, national death certificates included a new racial classification system that accounts for multiple-race decedents and separates Native Hawaiian and Pacific Islander (NHPI) individuals from Asian individuals. We estimated cancer death rates across updated racial and ethnic categories, sex, and age.
Age-standardized US cancer mortality rates and rate ratios from 2018 to 2020 among individuals aged 20 years and older were estimated with national death certificate data by race and ethnicity, sex, age, and cancer site.
In 2018, there were approximately 597 000 cancer deaths, 598 000 in 2019, and 601 000 in 2020. Among men, cancer death rates were highest in Black men (298.2 per 100 000; n = 105 632), followed by White (250.8; n = 736 319), American Indian/Alaska Native (AI/AN; 249.2; n = 3376), NHPI (205.6; n = 1080), Latino (177.2; n = 66 167), and Asian (147.9; n = 26 591) men. Among women, Black women had the highest cancer death rates (206.5 per 100 000; n = 104 437), followed by NHPI (192.1; n = 1141), AI/AN (189.9; n = 3239), White (183.0; n = 646 865), Latina (128.4; n = 61 579), and Asian (111.4; n = 26 396) women. The highest death rates by age group occurred among NHPI individuals aged 20-49 years and Black individuals aged 50-69 and 70 years and older. Asian individuals had the lowest cancer death rates across age groups. Compared with Asian individuals, total cancer death rates were 39% higher in NHPI men and 73% higher in NHPI women.
There were striking racial and ethnic disparities in cancer death rates during 2018-2020. Separating NHPI and Asian individuals revealed large differences in cancer mortality between 2 groups that were previously combined in vital statistics data.
自 2018 年起，国家死亡证明采用了新的种族分类系统，该系统涵盖了多种族死者，并将夏威夷原住民和太平洋岛民（NHPI）与亚洲人分开。我们根据最新的种族和族裔、性别和年龄估计了癌症死亡率。
利用全国死亡证明数据，按种族和族裔、性别、年龄和癌症部位估算了 2018 年至 2020 年期间年龄标准化的美国癌症死亡率和死亡率比，年龄在 20 岁及以上的人群。
2018 年有近 597000 人死于癌症，2019 年有 598000 人，2020 年有 601000 人。在男性中，黑人男性的癌症死亡率最高（每 100000 人 298.2 人；n=105632），其次是白人（每 100000 人 250.8 人；n=736319）、美洲印第安人/阿拉斯加原住民（AI/AN；每 100000 人 249.2 人；n=3376）、NHPI（每 100000 人 205.6 人；n=1080）、拉丁裔（每 100000 人 177.2 人；n=66167）和亚洲人（每 100000 人 147.9 人；n=26591）。在女性中，黑人女性的癌症死亡率最高（每 100000 人 206.5 人；n=104437），其次是 NHPI（每 100000 人 192.1 人；n=1141）、AI/AN（每 100000 人 189.9 人；n=3239）、白人（每 100000 人 183.0 人；n=646865）、拉丁裔（每 100000 人 128.4 人；n=61579）和亚洲人（每 100000 人 111.4 人；n=26396）。按年龄组划分，NHPI 年龄在 20-49 岁的人群和黑人年龄在 50-69 岁和 70 岁及以上的人群死亡率最高。亚洲人在所有年龄组的癌症死亡率最低。与亚洲人相比，NHPI 男性的总癌症死亡率高 39%，NHPI 女性的总癌症死亡率高 73%。
2018-2020 年期间，癌症死亡率存在显著的种族和族裔差异。将 NHPI 和亚洲人分开显示，此前在生命统计数据中合并的两组之间的癌症死亡率存在很大差异。
