Document Detail


The burden of liver cancer in Asians and Pacific Islanders in the Greater San Francisco Bay Area, 1990 through 2004.
MedLine Citation:
PMID:  17385214     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: To the authors' knowledge, no previous U.S. study has examined time trends in the incidence rate of liver cancer in the high-risk Asian/Pacific Islander population. In this study, liver cancer incidence trends were evaluated in Chinese, Filipino, Japanese, Korean, and Vietnamese men and women in the Greater San Francisco Bay Area of California between 1990 and 2004.
METHODS: Populations at risk were estimated by using the cohort-component demographic method. Annual percentage changes (APCs) in age-adjusted incidence rates of primary liver cancer among Asians/Pacific Islanders in the Greater Bay Area Cancer Registry were calculated by using joinpoint regression analysis.
RESULTS: The incidence rate of liver cancer between 1990 and 2004 did not change significantly in Asian/Pacific Islander men or women overall. However, the incidence rate declined, although the decline was not statistically significant, among Chinese men (APC, -1.6%; 95% confidence interval [95% CI], -3.4-0.3%), Japanese men (APC, -4.9%; 95% CI, -10.7-1.2%), and Japanese women (APC, -3.6%; 95% CI, -8.9-2%). Incidence rates remained consistently high for Vietnamese, Korean, and Filipino men and women. Trends in the incidence rate of hepatocellular carcinoma were comparable to those for liver cancer. Although disparities in liver cancer incidence between Asians/Pacific Islanders and other racial/ethnic groups diminished between the period from 1990 through 1994 and the period from 2000 through 2004, the disparities among Asian subgroups increased.
CONCLUSIONS: Liver cancer continues to affect Asian/Pacific Islander Americans disproportionately, with consistently high incidence rates in most subgroups. Culturally targeted prevention methods are needed to reduce the high rates of liver cancer in this growing population in the U.S.
Authors:
Ellen T Chang; Theresa H M Keegan; Scarlett L Gomez; Gem M Le; Christina A Clarke; Samuel K S So; Sally L Glaser
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Cancer     Volume:  109     ISSN:  0008-543X     ISO Abbreviation:  Cancer     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-05-03     Completed Date:  2007-06-07     Revised Date:  2013-06-06    
Medline Journal Info:
Nlm Unique ID:  0374236     Medline TA:  Cancer     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2100-8     Citation Subset:  AIM; IM    
Copyright Information:
(c) 2007 American Cancer Society
Affiliation:
Northern California Cancer Center, Fremont, California 94538, USA. ellen@nccc.org
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MeSH Terms
Descriptor/Qualifier:
Asia, Southeastern / ethnology
Asian Continental Ancestry Group / statistics & numerical data*
Female
Humans
Incidence
Liver Neoplasms / ethnology*
Male
Oceanic Ancestry Group / statistics & numerical data*
San Francisco / epidemiology
Grant Support
ID/Acronym/Agency:
N01 PC035136-21-0-0/PC/NCI NIH HHS; N01-PC-15105/PC/NCI NIH HHS; N01-PC-35136/PC/NCI NIH HHS; U55/CCR921930-02//PHS HHS
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