Fang J, Madhavan S, Alderman M H
Department of Epidemiology and Social Medicine, Albert Einstein College of Medicine, Bronx, NY 10461, USA.
Int J Epidemiol. 1996 Oct;25(5):907-12. doi: 10.1093/ije/25.5.907.
This study examines cancer mortality among Chinese migrants in New York City, and compares it with that of residents of China as well as New York City whites.
Mortality records for 1988-1992 from the New York City Department of Health, and the 1990 US census data for New York City were used for the analysis. Age-specific deaths and the population of urban China reported by the World Health Organization were also used for comparison. Age-adjusted death rates by gender for Chinese and whites in New York City, as well as for Chinese in China were computed using the world standard population.
New York Chinese had lower mortality rates for all causes, total cancer, oesophageal and lung cancer deaths than did either New York whites or Chinese in China in both genders. However, they had lower death rates than New York whites, but similar to those in China, for colon cancer in both genders, and breast cancer in females. By contrast, New York Chinese had higher death rates for nasopharyngeal cancer than either New York City whites or Chinese in China. Stomach and liver cancer death rates in New York Chinese fell between those in China and New York City whites.
Cancer mortality rates among Chinese migrants in New York City being the lowest for total cancer and some types of cancers, did not follow the usual pattern of migrants (an intermediate position between rates of native New Yorkers and Chinese in homeland China). However, substantial variations in certain cancer-specific mortality by geography were observed.
本研究调查了纽约市华裔移民的癌症死亡率，并将其与中国居民以及纽约市白人的癌症死亡率进行比较。
分析使用了纽约市卫生部门1988 - 1992年的死亡率记录以及1990年纽约市的美国人口普查数据。世界卫生组织报告的中国城市特定年龄死亡人数和人口数据也用于比较。使用世界标准人口计算了纽约市华裔和白人以及中国华裔按性别调整的死亡率。
纽约华裔在所有原因、所有癌症、食管癌和肺癌死亡方面的死亡率均低于纽约白人和中国的华裔。然而，在结肠癌方面，纽约华裔男女的死亡率低于纽约白人，但与中国的华裔相似；在女性乳腺癌方面也是如此。相比之下，纽约华裔的鼻咽癌死亡率高于纽约市白人和中国的华裔。纽约华裔的胃癌和肝癌死亡率介于中国和纽约市白人之间。
纽约市华裔移民的总癌症和某些类型癌症的死亡率是最低的，并不遵循移民的通常模式（介于纽约本地人和中国国内华裔的死亡率之间）。然而，观察到某些特定癌症死亡率在地理上存在显著差异。
