Looking Under the Hispanic Umbrella: Cancer Mortality Among Cubans, Mexicans, Puerto Ricans and Other Hispanics in Florida

Martinez-Tyson, Dinorah; Pathak, Elizabeth B; Soler-Vilá, Hosanna; Flores, Ann Marie

doi:10.1007/s10903-008-9152-4

Cited by 45 publications

(52 citation statements)

References 51 publications

(60 reference statements)

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“…Despite the slow progress in reducing CRC mortality death rates, rates in Hispanics are lower than non-Hispanic whites and blacks due, in part, to lower prevalence of known risk factors for CRC, such as smoking, and a higher prevalence of protective factors, such as a vegetable and legume-based diet [47][48][49]. However, it is noteworthy that Hispanic subpopulations vary substantially by state distribution and CRC burden (50)(51)(52)(53)(54). Cubans have the highest CRC rates and predominantly reside in the south (Florida), whereas Mexicans have the lowest CRC rates and mainly reside in the southwest regions (50).…”

Section: Discussionmentioning

confidence: 99%

State Disparities in Colorectal Cancer Mortality Patterns in the United States

Naishadham

Lansdorp–Vogelaar

Siegel

et al. 2011

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background: Colorectal cancer (CRC) mortality rates have been decreasing for many decades in the United States, with the decrease accelerating in the most recent time period. The extent to which this decrease varies across states and its influence on the geographic patterns of rates is unknown.Methods: We analyzed the temporal trend in age-standardized CRC death rates for each state from 1990 to 2007 using joinpoint regression. We also examined the change in death rates between 1990-1994 and 2003-2007 using rate ratios with 95% confidence intervals and illustrated the change in pattern using maps. The relationship between the change in mortality rates and CRC screening rates for 2004 by state was examined using Pearson's correlation.Results: CRC mortality rates significantly decreased in all states except Mississippi between 1990 and 2007 based on the joinpoint model. The decrease in death rates between 1990-1994 and 2003-2007 ranged from 9% in Alabama to greater than 33% in Massachusetts, Rhode Island, New York, and Alaska; Mississippi and Wyoming showed no significant decrease. Generally, the northeastern states showed the largest decreases, whereas southern states showed the smallest decreases. The highest CRC mortality rates shifted from the northeastern states during 1990 to 1994 to the southern states along the Appalachian corridor during 2003 to 2007. The decrease in CRC mortality rates by state correlated strongly with uptake of screening (r ¼ À0.65, P < 0.0001).Conclusions: Progress in reducing CRC mortality varies across states, with the Northeast showing the most progress and the South showing the least progress.Impact: These findings highlight the need for wider dissemination of CRC screening. Cancer Epidemiol Biomarkers Prev; 20(7); 1296-302. Ó2011 AACR.

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Section: Discussionmentioning

confidence: 99%

State Disparities in Colorectal Cancer Mortality Patterns in the United States

Naishadham

Lansdorp–Vogelaar

Siegel

et al. 2011

Cancer Epidemiology, Biomarkers &Amp; Prevention

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“…It is possible that stroke incidence and outcomes may vary among Hispanic subgroups (e.g. Cubans, Puerto Ricans), as has been shown for cancer [13] .…”

Section: Discussionmentioning

confidence: 99%

“…In NOMASS there was a 2.5-fold excess in stroke incidence for Hispanic young adults (mainly Caribbean Hispanics) compared with whites [7] ; in contrast, we found only a slight excess (7-10%) for Hispanics. Again, the heterogeneity in risk for disease under the 'Hispanic umbrella' [13] warrants more detailed studies of specific Hispanic subgroups.…”

Section: Discussionmentioning

confidence: 99%

Recent Racial/Ethnic Disparities in Stroke Hospitalizations and Outcomes for Young Adults in Florida, 2001–2006

Pathak¹,

Sloan

2009

Neuroepidemiology

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Background: Black-white disparities in stroke mortality are well documented, but few recent studies have examined racial/ethnic disparities in stroke hospitalizations among young adults. We analyzed recent (2001–2006) trends in stroke hospitalizations and hospital case-fatality for black, Hispanic, and white adults aged 25–49 years in Florida. Methods: Hospitalization rates were calculated using population estimates from the census, and hospital discharges with a primary diagnosis of stroke (ICD-9-CM 430, 431, 434, 436) (n = 16,317). Multivariate logistic regression modeling was used to examine racial/ethnic disparities in stroke mortality prior to discharge, after adjustment for patient sociodemographics, stroke subtype, risk factors, and comorbidities. Results: Age-adjusted stroke hospitalization rates for blacks were over 3 times higher than rates for whites, while rates for Hispanics were slightly higher than rates for whites. Hemorrhagic strokes were proportionally greater among Hispanics compared with blacks and whites (p < 0.0001). Blacks were most likely to have diagnosed hypertension (62.3%), morbid obesity (10.9%) or drug abuse (13.6%). Whites were most likely to have diagnosed hyperlipidemia (21.0%), alcohol abuse (9.5%), and to be smokers (30.6%). The in-hospital fatality rate for all strokes was highest among blacks (10.0%) compared with whites (9.0%) and Hispanics (8.2%). After adjustment for age, gender, insurance status, and all diagnosed risk factors and comorbidities, the black excess was no longer observed [odds ratio (OR) 1.01, 95% confidence interval (CI) 0.88–1.15, p = 0.93]. However, the Hispanic advantage in case-fatality was strengthened (OR 0.66, 95% CI 0.55–0.79, p < 0.0001). Separate case-fatality analyses for ischemic versus hemorrhagic strokes yielded similar results. Conclusions: Our study found a strong and persistent black-white disparity in stroke hospitalization rates for young adults. In contrast, rates were similar for Hispanics and whites. Multivariate adjustment explained the 15% excess case-fatality for blacks; the short-term mortality advantage among Hispanics was strengthened after adjustment.

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“…The incidence rate of thyroid cancer among Hispanic women was 13.8; in non-Hispanic white women was 15.1; with a proportional relationship of 0.9. The mortality rate among Hispanic men was 0.6; in non-Hispanic white men was 0.5; and the proportional relationship reported was 1.2; the mortality rate among Hispanic women was 0.6, while in non-Hispanic white women was 0.5; and the proportional relationship was 1.3 [20][21][22].…”

Section: Epidemiology and Global Burden Of Thyroid Cancermentioning

confidence: 87%

Thyroid Cancer ? South American Experience

Hern¹

2014

Thyroid Disorders Ther

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Thyroid cancer comprises a broad spectrum of diseases with variable prognoses. The diagnosis of thyroid cancer usually follows the identification of a thyroid nodule on physical examination or as an incidental finding on diagnostic imaging performed for other reasons. It is considered the most frequent endocrine cancer, and its incidence has been growing steadily during the past three decades around the world. This trend is a constant in every continent except for Africa. Thyroid cancer is the fifth most common malignancy among women and its incidence has only declined in a few countries. The incidence of thyroid cancer may be substantially different around the world, and the potential causes are related to racial, ethnic and geographical differences or to environmental differences such as excessive or deficient iodine, in addition to radiation exposure. Thyroid cancer is the sixteenth most frequent malignancy around the world, with approximately 298,000 new cases diagnosed in 2012 (2% of the total). Thyroid cancer increase has been associated to socioeconomic status, better access to healthcare and rising use of thyroid imaging. Therefore, the rise could be apparent because of the useless identification of a large reservoir of subclinical papillary lesions that will never affect patient health (over diagnosis). Although increased detection might have played a major role, some evidences suggest that true increase in incidence have also contributed to such phenomenon. The evidence indicates that the type of thyroid cancer that has experienced a substantial increase in terms of frequency is papillary cancer, with no significant changes in the frequency of the other types of cancer and histological variants. Though the increased frequency is the same for all tumor sizes, it is more evident in <1 cm tumors (micro carcinomas). However, it is also true that the information derived from tumor histology is now more accurate and complete, reducing the number of the so-called unspecific/unknown categories.The information available for South America -except for a few countries -is limited and scattered; in countries like Brazil, Chile and Colombia the population coverage is insufficient to ensure reliable data and complete cancer records; moreover, there are no universal criteria to ensure data collection from most of the population. Though there is comprehensive information about specific populations or geographical areas, the real situation regarding thyroid cancer in the population is unknown. However, the creation of population-based cancer records has led to a more accurate vision of the problem. The objective of this review is to provide an update on the epidemiology of thyroid cancer in South America; discussing the probable causes that have led to increase in frequency in the population, for this purpose we conducted a systematic medical literature review (see "Literature search"). We find that in South America few cancer registries are based on the population; countries like Chile have sub-registries and t...

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Looking Under the Hispanic Umbrella: Cancer Mortality Among Cubans, Mexicans, Puerto Ricans and Other Hispanics in Florida

Cited by 45 publications

References 51 publications

State Disparities in Colorectal Cancer Mortality Patterns in the United States

State Disparities in Colorectal Cancer Mortality Patterns in the United States

Recent Racial/Ethnic Disparities in Stroke Hospitalizations and Outcomes for Young Adults in Florida, 2001–2006

Thyroid Cancer ? South American Experience

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