Variation in Cancer Incidence Rates Among Non-Hispanic Black Individuals Disaggregated by Nativity and Birthplace, 2005-2017: A Population-Based Cancer Registry Analysis

Frontiers in Oncology

Adana A. M. Llanos¹  Shannon Lynch²  Camille Ragin²  Antoinette M. Stroup³  Jennifer Tsui⁶  Joseph Gibbons⁷  Karen Pawlish⁸  Jie Li⁸  Fechi Nwodili⁹ 

[1] Cancer Population Science, Herbert Irving Comprehensive Cancer Center, New York, NY, United States;Cancer Prevention and Control Program, Fox Chase Cancer Center-Temple Health, Philadelphia, PA, United States;Cancer Prevention and Control, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, United States;Department of Biostatistics and Epidemiology, Rutgers School of Public Health, Piscataway, NJ, United States;Department of Epidemiology, Mailman School of Public Health, Columbia University Irving Medical Center, New York, NY, United States;Department of Population and Public Health, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States;Department of Sociology, San Diego State University, San Diego, CA, United States;New Jersey State Cancer Registry, New Jersey Department of Health, Trenton, NJ, United States;Rutgers University School of Arts and Sciences, Douglass Residential College, New Brunswick, NJ, United States;

关键词: cancer surveillance;    cancer incidence;    non-Hispanic Black subgroups;    within-group differences;    cancer inequities;    population-based study;   

DOI  :  10.3389/fonc.2022.857548

来源: DOAJ

【 摘 要 】

ObjectivesCompared to other racial and ethnic groups, little to no disaggregated cancer incidence data exist for subgroups of non-Hispanic Blacks (NHBs), despite heterogeneity in sociodemographic characteristics and cancer risk factors within this group. Our objective was to examine age-adjusted cancer incidence by nativity and birthplace among NHB cancer cases diagnosed in New Jersey.MethodsRace, ethnicity, and birthplace data from the New Jersey State Cancer Registry were used to classify NHB cancer cases diagnosed between 2005-2017. Thirteen waves of population estimates (by county, nativity, gender, age-group) were derived from the American Community Survey using Integrated Public-Use Microdata to approximate yearly demographics. Age-adjusted cancer incidence rates (overall and by site) by birthplace were generated using SEER*Stat 8.3.8. Bivariate associations were assessed using chi-square and Fisher’s exact tests. Trend analyses were performed using Joinpoint 4.7.ResultsBirthplace was available for 62.3% of the 71,019 NHB cancer cases. Immigrants represented 12.3%, with African-born, Haitian-born, Jamaican-born, ‘other-Caribbean-born’, and ‘other-non-American-born’ accounting for 18.5%, 17.7%, 16.5%, 10.6%, and 36.8%, respectively. Overall, age-adjusted cancer incidence rates were lower for NHB immigrants for all sites combined and for several of the top five cancers, relative to American-born NHBs. Age-adjusted cancer incidence was lower among immigrant than American-born males (271.6 vs. 406.8 per 100,000) and females (191.9 vs. 299.2 per 100,000). Age-adjusted cancer incidence was lower for Jamaican-born (114.6 per 100,000) and other-Caribbean-born females (128.8 per 100,000) than African-born (139.4 per 100,000) and Haitian-born females (149.9 per 100,000). No significant differences in age-adjusted cancer incidence were observed by birthplace among NHB males. Age-adjusted cancer incidence decreased for all sites combined from 2005-2017 among American-born males, immigrant males, and American-born females, while NHB immigrant female rates remained relatively stable.ConclusionsThere is variation in age-adjusted cancer incidence rates across NHB subgroups, highlighting the need for more complete birthplace information in population-based registries to facilitate generating disaggregated cancer surveillance statistics by birthplace. This study fills a knowledge gap of critical importance for understanding and ultimately addressing cancer inequities.

【 授权许可】

Unknown