Racial and ethnic disparities in incidence and mortality for the five most common gastrointestinal cancers in the United States

Bui, Anhthu Q.; Yang, Liu; Soroudi, Camille; May, Folasade P.

doi:10.1016/j.jnma.2022.04.001

Cited by 8 publications

(6 citation statements)

References 12 publications

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“…A study by Bui et al . evaluated data on the five most common gastrointestinal cancers in the United States from 1 January 2013, to 31 December 2017, using the SEER registry 41 . Colorectal cancer had the highest overall mortality (13.7%), followed by pancreatic (11.0%), liver (4.9%), esophageal (3.9%), and stomach cancer (3.0%).…”

Section: Discussionmentioning

confidence: 99%

Trends in mortality from gastrointestinal, hepatic, and pancreatic cancers in the United States: A comprehensive analysis (1999–2020)

Ali,

Ishtiaq,

Tedder

et al. 2024

JGH Open

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Background and AimThis study investigates temporal trends in gastrointestinal cancer‐related mortality in the United States between 1999 and 2020, focusing on differences by sex, age, and race.MethodsWe investigated the Centers for Disease Control and Prevention Wide‐Ranging Online Data for Epidemiologic Research multiple causes of death database (Years 1999–2020) for gastrointestinal cancer‐related mortality with a focus on the underlying cause of death.ResultsA total of 3 115 243 gastrointestinal cancer‐related deaths occurred from 1999 to 2020. The overall age‐adjusted mortality rate decreased from 46.7 per 100 000 in 1999 to 38.4 per 100 000 in 2020. The average annual percent change (AAPC) for the study period was −0.9% (95% CI: −1.0%, −0.9%, P < 0.001), with no significant difference in AAPC between the sexes but some difference between races and related to individual cancers. African Americans and Asian Americans, and Pacific Islanders experienced a greater decrease in mortality compared with Whites. Mortality rates for American Indian and Alaskan Native populations also decreased significantly from 1999 to 2020 (P < 0.001). There were significant declines in esophageal, stomach, colon, rectal, and gallbladder cancer‐related mortality but increases in the small bowel, anal, pancreatic, and hepatic cancer‐related mortality (P < 0.001), with variation across different sexes and racial groups.ConclusionWhile overall gastrointestinal cancer‐related mortality declined significantly in the United States from 1999 to 2020, mortality from some cancers increased. Furthermore, differences between sexes and racial groups underscore crucial differences in gastrointestinal cancer mortality, highlighting areas for future research.

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Section: Discussionmentioning

confidence: 99%

Trends in mortality from gastrointestinal, hepatic, and pancreatic cancers in the United States: A comprehensive analysis (1999–2020)

Ali,

Ishtiaq,

Tedder

et al. 2024

JGH Open

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“…To our knowledge, while numerous studies have shown that SBDH has a significant impact on cancer survival and mortality rates [9,11,12], very few studies have examined these SBDH factors in relation to the HRQoL of cancer survivors in the U.S. [13]. For example, higher income was associated with better HRQoL, whereas lower educational status negatively impacted HRQoL among Hispanic/Latino-American cancer survivors in mixed cancer types [14] or in breast cancer survivors [15,16].…”

Section: Of 15mentioning

confidence: 99%

“…Notably, significant cancer survivorship disparities were observed across various social and behavioral determinants of health (SBDH), such as race, income status, education levels, and health risk behaviors [8,9]. Therefore, understanding the associations of SBDH factors with the HRQoL of GI cancer survivors can inform targeted interventions to improve their overall well-being.…”

Section: Of 15mentioning

confidence: 99%

Risk Factors of Health-Related Quality of Life among Gastrointestinal Cancer Survivors in the U.S.: With a Focus on Social and Behavioral Determinants of Health (SBDH)

Han,

Tounkara,

Kalady

et al. 2023

IJERPH

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Background: Increasing numbers of long-term gastrointestinal (GI) cancer survivors highlight the importance of understanding the factors contributing to their health-related quality of life (HRQoL). We investigated the risk factors of HRQoL, including demographics, clinical characteristics, and social and behavioral determinants of health (SBDH). Methods: Data on adult GI cancer survivors (n = 3201) from the Behavioral Risk Factors Surveillance System (BRFSS) surveys from 2014–2021 (except for 2015) were analyzed. Unadjusted/adjusted logistic regression was used. Results: The majority were women (54%) and white (78%), with a median age of 67. Survivors who were 65 years or older, diagnosed with colorectal cancer, or who had fewer comorbidities were more likely to report significantly better HRQoL. Significant social factors of poor HRQoL included unmarried, racial and ethnic minorities, poor socioeconomic status, and poor healthcare access. Significant behavioral factors of poor HRQoL were lack of physical activity, heavy alcohol consumption, and current smoking, with lack of physical activity being the most significant factor. Conclusions: The SBDH has a critical role in HRQoL. Future studies are warranted to develop a tailored survivorship intervention, such as physical rehabilitation, and to explore machine learning/artificial intelligence-based predictive models to identify cancer survivors at a high risk of developing poor HRQoL.

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“…Almost two-thirds of cancer cases were prevalent in men, and people aged between 60 and 69 years had the highest GC burden (6). In addition to regional differences in GC burden, significant inequalities in GC incidence and outcomes within the country have also been reported (7)(8)(9). Using data from Korea Central Cancer Registry, a study found that the ASR of GC was lower in the metropolitan areas (6).…”

Section: Introductionmentioning

confidence: 99%

“…Using data from Korea Central Cancer Registry, a study found that the ASR of GC was lower in the metropolitan areas (6). In the US, compared to non-Hispanic White people, other ethnic groups have a higher risk of GC and GC mortality; it could be up to 1.89 times higher among non-Hispanic Asian/Pacific Islanders for GC incidence and 2.6 times higher among non-Hispanic Black people for GC mortality (8). The uneven distribution of the GC burden can be explained by not only ethnic/regional factors but also an individual's socioeconomic status (SES) and health related systems, such as accessibility to healthcare services, low health literacy, and financial difficulties (7,(10)(11)(12).…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic inequality in organized and opportunistic screening for gastric cancer: results from the Korean National Cancer Screening Survey 2009–2022

Luu,

Lee,

Jun

et al. 2023

Front. Public Health

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ObjectivesThis study aimed to evaluate the socioeconomic inequality in gastric cancer (GC) screening in Korea. Socioeconomic inequality was assessed using both organized and opportunistic screening according to income and educational level.MethodsGC screening data were obtained from the 2009–2022 Korean National Cancer Screening Survey. The final analysis included 47,163 cancer-free men and women. The weighted cancer screening rate was estimated using joinpoint regression. The inequality indices were measured in terms of both the absolute slope index of inequality (SII) and the relative index of inequality (RII) using the Poisson regression model.ResultsThe organized screening rate for GC increased from 38.2% in 2009 to 70.8% in 2022, whereas the opportunistic screening rate decreased from 18.8 to 4.5%. Regarding educational inequality, a negative SII value was observed [−3.5, 95% confidence interval (CI), −7.63–0.83%] in organized screening, while a positive SII (9.30%; 95% CI, 6.69–11.91%) and RII (1.98%; 95% CI, 1.59–2.46) were observed in opportunistic screening. Furthermore, income inequality was not found in organized GC screening; however, overall SII and RII for opportunistic screening were 7.72% (95% CI, 5.39–10.5) and 1.61 (95% CI, 1.42–1.81), respectively.ConclusionOrganized screening rates have grown gradually over time and account for the majority of GC screenings in South Korea. While no socioeconomic inequalities were found in organized screening, significant socioeconomic inequalities were found in opportunistic screening.

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Racial and ethnic disparities in incidence and mortality for the five most common gastrointestinal cancers in the United States

Cited by 8 publications

References 12 publications

Trends in mortality from gastrointestinal, hepatic, and pancreatic cancers in the United States: A comprehensive analysis (1999–2020)

Trends in mortality from gastrointestinal, hepatic, and pancreatic cancers in the United States: A comprehensive analysis (1999–2020)

Risk Factors of Health-Related Quality of Life among Gastrointestinal Cancer Survivors in the U.S.: With a Focus on Social and Behavioral Determinants of Health (SBDH)

Socioeconomic inequality in organized and opportunistic screening for gastric cancer: results from the Korean National Cancer Screening Survey 2009–2022

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