Yoon Ji Yoon, Shah Shailja C, Lin Jenny J, Kim Michelle Kang, Itzkowitz Steven H, Wang Christina P
Dr. Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
GI Section, VA San Diego Healthcare System, San Diego, CA, USA.
Lancet Reg Health Am. 2024 Nov 23;41:100954. doi: 10.1016/j.lana.2024.100954. eCollection 2025 Jan.
Asian Americans remain the fastest-growing racial group in the United States, and are anticipated to double over the next few decades. Asian Americans are the only major racial-ethnic group for whom cancer remains the leading cause of death, and multiple gastrointestinal cancers rank among the top five incident and fatal cancers. Most research to date presents Asian Americans, Native Hawaiians, and Pacific Islanders (AANHPI) in aggregate, overlooking their vast heterogeneity and hindering efforts to identify and address health disparities within AANHPI origin groups. Here, we present gastrointestinal cancer incidence and mortality in AANHPI, including disaggregated rates where feasible, and highlight gaps in current screening practices. We conclude with actionable suggestions to shift away from using broad racial categories to evaluate cancer disparities, towards high-quality, disaggregated data to better isolate and address factors driving the clear differential cancer risks among AANHPI.
亚裔美国人仍然是美国增长最快的种族群体，预计在未来几十年内将增长一倍。亚裔美国人是唯一一个癌症仍是主要死因的主要种族群体，多种胃肠道癌症在发病率和致命癌症中位列前五。迄今为止，大多数研究将亚裔美国人、夏威夷原住民和太平洋岛民（AANHPI）合并呈现，忽略了他们巨大的异质性，阻碍了识别和解决AANHPI族裔群体内部健康差距的努力。在此，我们展示了AANHPI的胃肠道癌症发病率和死亡率，包括可行情况下的细分比率，并强调当前筛查实践中的差距。我们最后提出了可行的建议，从使用宽泛的种族类别来评估癌症差异，转向高质量的细分数据，以更好地分离和解决导致AANHPI中明显不同癌症风险的因素。
