Cancer incidence and mortality rates and trends in Trinidad and Tobago

BMC Cancer

卷:18

Tammy Y. Lee¹  Adetunji T. Toriola²  Jingqin Luo³  Kimberly Badal³  Tanisha M. Williams⁴  Vasavi Sundaram⁵  Matthew J. Ellis⁶  Timothy R. Rebbeck⁶  Ravi Maharaj⁷  Marjorie Lamont-Greene⁷  Melissa Bondy⁸  Nigel A. Bascombe⁹  Adana A. M. Llanos¹⁰  Allana Roach¹¹  Smriti Bajracharya¹²  Simeon Slovacek¹³  Wayne A. Warner¹⁴ 

[1] Department of Cell Biology and Physiology, Washington University School of Medicine;

[2] Biostatistics Core, Siteman Cancer Center, Washington University School of Medicine;

[3] California State University;

[4] Caribbean Cancer Research Initiative;

[5] Center for Public Health Systems Science, George Warren Brown School of Social Work, Washington University;

[6] Dan L. Duncan Cancer Center, Baylor College of Medicine;

[7] Department of Clinical Surgical Sciences, Faculty of Medical Sciences, University of the West Indies;

[8] Department of Educational Services, St. George’s University;

[9] Department of Genetics, Center for Genome Sciences and Systems Biology, Washington University School of Medicine;

[10] Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine;

[11] Dr. Elizabeth Quamina Cancer Registry, Eric Williams Medical Sciences Complex, Mt. Hope;

[12] Ecology and Evolutionary Biology, University of Connecticut;

[13] Harvard TH Chan School of Public Health and Dana Farber Cancer Institute;

[14] Oncology Division, Siteman Cancer Center;

关键词: Trinidad and Tobago;    Caribbean;    Cancer incidence;    Cancer mortality;    Cancer surveillance;    Cancer in populations of African ancestry;   

DOI  :  10.1186/s12885-018-4625-x

来源: DOAJ

【 摘 要 】

Abstract Background Cancer is the second leading cause of death in the Caribbean, including the islands of Trinidad and Tobago (TT). The population of TT consists of over 1.3 million people with diverse ancestral and sociocultural backgrounds, both of which may influence cancer incidence and mortality. The objective of this study was to examine incidence and mortality patterns and trends in TT. Methods Cancer surveillance data on 29,512 incident cancer cases reported to the Dr. Elizabeth Quamina Cancer Registry (population-based cancer registry of TT) between 1995 and 2009 were analyzed. Age-standardized rates, overall and by sex, ancestry, and geography, were reported. Results The highest incidence and mortality rates were observed for cancers related to reproductive organs in women, namely, breast, cervical, and uterine cancers, and prostate, lung and colorectal cancers among men. Average incidence rates were highest in areas covered by the Tobago Regional Health Authority (TRHA) (188 per 100,000), while average mortality rates were highest in areas covered by the North West Regional Health Authority (108 per 100,000). Nationals of African ancestry exhibited the highest rates of cancer incidence (243 per 100,000) and mortality (156 per 100,000) compared to their counterparts who were of East Indian (incidence, 125 per 100,000; mortality, 66 per 100,000) or mixed ancestry (incidence, 119 per 100,000; mortality, 66 per 100,000). Conclusions Our findings highlight the need for national investment to improve the understanding of the epidemiology of cancer in Trinidad and Tobago, and to ultimately guide much needed cancer prevention and control initiatives in the near future.

【 授权许可】

Unknown