Trapido E J, Chen F, Davis K, Lewis N, MacKinnon J A
Sylvester Comprehensive Cancer Center, Department of Epidemiology and Public Health, University of Miami, Florida.
Arch Intern Med. 1994 Jan 24;154(2):177-85.
Dade County (Florida) is the largest county in the United States in which a majority of the population is Hispanic. To describe and compare cancer incidence among white and black Hispanic and non-Hispanic males in South Florida and to identify those sites showing important racial-ethnic differences between sub-groups, incidence rates were determined from 9 years of prospective population-based cancer surveillance data.
All incident cancer cases diagnosed among male residents of Dade County for the period January 1, 1981, through December 31, 1989, were obtained from the statewide tumor registry for Florida, the Florida Cancer Data System. Race- and ethnic-specific age-standardized incidence rates and standardized rate ratios to compare rates among racial-ethnic subgroups for each site are presented.
Compared with white non-Hispanics, white Hispanic males had significantly higher rates of cancers of the liver, gallbladder, nasal cavity, penis, and thyroid; acute lymphocytic leukemia; and Kaposi's sarcoma. Significantly lower rates were found for cancers of the esophagus, stomach, colon, rectum, pancreas, lung, testes, bladder, and kidney, and for mesothelioma, melanoma, non-Hodgkin's lymphoma, and chronic lymphocytic leukemia. Black Hispanics had significantly lower rates only of cancers of the esophagus, lung, and prostate than did black non-Hispanics.
Differences were found in incidence rates by race-ethnicity; while incidence rates for most sites among white Hispanic males were lower than among white non-Hispanics, higher rates for several sites are of particular concern and merit further investigation to determine differences in risk factors and exposures.
戴德县（佛罗里达州）是美国最大的县，其人口大多数为西班牙裔。为了描述和比较南佛罗里达州西班牙裔和非西班牙裔白人和黑人男性的癌症发病率，并确定那些在亚组之间显示出重要种族差异的部位，我们根据9年基于人群的前瞻性癌症监测数据确定了发病率。
1981年1月1日至1989年12月31日期间在戴德县男性居民中诊断出的所有癌症病例均来自佛罗里达州全州肿瘤登记处——佛罗里达癌症数据系统。给出了种族和族裔特异性年龄标准化发病率以及用于比较各部位种族-族裔亚组发病率的标准化率比。
与非西班牙裔白人相比，西班牙裔白人男性的肝癌、胆囊癌、鼻腔癌、阴茎癌和甲状腺癌；急性淋巴细胞白血病；以及卡波西肉瘤的发病率显著更高。而食管癌、胃癌、结肠癌、直肠癌、胰腺癌、肺癌、睾丸癌、膀胱癌和肾癌，以及间皮瘤、黑色素瘤、非霍奇金淋巴瘤和慢性淋巴细胞白血病的发病率则显著更低。西班牙裔黑人仅食管癌、肺癌和前列腺癌的发病率显著低于非西班牙裔黑人。
发现了种族-族裔发病率差异；虽然西班牙裔白人男性大多数部位的发病率低于非西班牙裔白人，但几个部位的较高发病率尤其令人担忧，值得进一步调查以确定危险因素和暴露方面的差异。
