North Central Regional Health Authority, Ground Floor, Building 7, Eric Williams Medical Science Complex, Uriah Butler Highway, West Indies, Port of Spain, Trinidad and Tobago.
North West Regional Health Authority, Dundonald Street, West Indies, Port of Spain, Trinidad and Tobago.
J Health Popul Nutr. 2023 Jun 27;42(1):58. doi: 10.1186/s41043-023-00395-1.
Cancer is a leading cause of death in the Caribbean, and the Republic of Trinidad and Tobago is no exception. Evidence suggests that cancer incidence and mortality may vary based on demographic factors across the different cancer types. This study aimed to investigate the incidence and mortality trends associated with cancer cases in Trinidad and Tobago for the period 2008-2018, across different age groups, gender, and ethnicity.
Data on 15,029 incident cancer cases were reported to the Dr. Elizabeth Quamina Cancer Registry between 2008 and 2018. The retrospective data were analyzed by sex, ancestry, and age, and were reported using Trinidad and Tobago population statistics for the period 2008-2018.
The incidence of prostate and breast cancers was high among males and females, respectively. Among males, the highest cancer mortality was associated with prostate, lung, colon, blood, and pancreatic cancers, respectively. Among females, the highest cancer mortality was associated with breast, ovary, colon, blood, and pancreatic cancers. The frequency of occurrence of the top five cancer sites was the highest among Afro-Trinidadians followed by Indo-Trinidadians. Most females diagnosed with breast cancer were at a localized stage, while most males diagnosed with breast cancer were at a distant or regional stage. Most individuals diagnosed with blood cancer were at a distant stage. For lung and colon cancer, the stage of diagnosis for most males and females was either distant or unknown. Majority of males are diagnosed with prostate cancer at an unknown stage.
The findings indicate highest cancer incidence and mortality occur among Afro-Trinidadians. The stage at diagnosis varies across cancer types and gender.
癌症是加勒比地区的主要死亡原因，特立尼达和多巴哥共和国也不例外。有证据表明，不同癌症类型的发病率和死亡率可能因人口统计学因素而有所不同。本研究旨在调查 2008 年至 2018 年期间特立尼达和多巴哥不同年龄组、性别和种族的癌症病例的发病率和死亡率趋势。
2008 年至 2018 年间，向伊丽莎白·夸米纳癌症登记处报告了 15029 例癌症新发病例的数据。这些回顾性数据按性别、祖先和年龄进行分析，并按 2008 年至 2018 年期间的特立尼达和多巴哥人口统计数据进行报告。
前列腺癌和乳腺癌的发病率在男性和女性中均较高。在男性中，与前列腺、肺、结肠、血液和胰腺癌相关的癌症死亡率最高。在女性中，与乳腺癌、卵巢癌、结肠、血液和胰腺癌相关的癌症死亡率最高。在非裔特立尼达人中，前五种癌症的发病率最高，其次是印度裔特立尼达人。大多数被诊断患有乳腺癌的女性处于局部阶段，而大多数被诊断患有乳腺癌的男性处于远处或区域阶段。大多数被诊断患有血液癌的个体处于远处阶段。对于肺癌和结肠癌，大多数男性和女性的诊断阶段要么是远处阶段，要么是未知阶段。大多数男性被诊断患有前列腺癌处于未知阶段。
这些发现表明，非裔特立尼达人的癌症发病率和死亡率最高。不同癌症类型和性别之间的诊断阶段有所不同。
