McMahon Mercedes V, Taylor Chelsea S, Ward Zachary J, Alarid-Escudero Fernando, Camargo M Constanza, Laszkowska Monika, Roa Jorge, Yeh Jennifer M
Division of General Pediatrics, Boston Children's Hospital, Boston, MA, USA.
Center for Health Decision Science, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA.
Lancet Reg Health Am. 2024 Sep 21;41:100890. doi: 10.1016/j.lana.2024.100890. eCollection 2025 Jan.
Gastric cancer in the United States is characterised by marked racial and ethnic disparities. Widespread declines in prevalence have contributed to declining gastric cancer incidence. However, prevalence shows the same persistent racial and ethnic disparities seen in gastric cancer. The most recent population estimates of prevalence in the United States are from the late 1990s and early 2000s and only include three specific racial and ethnic groups. We conducted a scoping review to supplement existing population estimates and assess seroprevalence trends over by age and birth cohort with available data. We found the extant data suggest considerable variation in prevalence between racial and ethnic groups in the United States and evidence that age and birth cohort trends may differ between groups. We also found that the extant data were limited in generalizability and insufficient to describe trends in many cases.
美国的胃癌具有明显的种族和民族差异。患病率的普遍下降导致了胃癌发病率的下降。然而,患病率也呈现出与胃癌相同的持续存在的种族和民族差异。美国最近的患病率人口估计来自20世纪90年代末和21世纪初,且仅包括三个特定的种族和民族群体。我们进行了一项范围综述,以补充现有的人口估计,并利用现有数据评估按年龄和出生队列划分的血清阳性率趋势。我们发现,现有数据表明美国不同种族和民族群体之间的患病率存在相当大的差异,并有证据表明不同群体之间的年龄和出生队列趋势可能有所不同。我们还发现,现有数据的普遍适用性有限,在许多情况下不足以描述趋势。