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. 2016 Oct;23(4):347-358.
doi: 10.1177/107327481602300406.

Black Heterogeneity in Cancer Mortality: US-Blacks, Haitians, and Jamaicans

Paulo S Pinheiro  1 , Karen E Callahan, Camille Ragin, Robert W Hage, Tara Hylton, Erin N Kobetz
Affiliations

Black Heterogeneity in Cancer Mortality: US-Blacks, Haitians, and Jamaicans

Paulo S Pinheiro et al. Cancer Control. 2016 Oct.

Abstract

Introduction: The quantitative intraracial burden of cancer incidence, survival and mortality within black populations in the United States is virtually unknown.

Methods: We computed cancer mortality rates of US- and Caribbean-born residents of Florida, specifically focusing on black populations (United States, Haiti, Jamaica) and compared them using age-adjusted mortality ratios obtained from Poisson regression models. We compared the mortality of Haitians and Jamaicans residing in Florida to populations in their countries of origin using Globocan.

Results: We analyzed 185,113 cancer deaths from 2008 to 2012, of which 20,312 occurred in black populations. The overall risk of death from cancer was 2.1 (95% CI: 1.97-2.17) and 1.6 (95% CI: 1.55-1.71) times higher for US-born blacks than black Caribbean men and women, respectively (P < .001).

Conclusions: Race alone is not a determinant of cancer mortality. Among all analyzed races and ethnicities, including Whites and Hispanics, US-born blacks had the highest mortality rates while black Caribbeans had the lowest. The biggest intraracial difference was observed for lung cancer, for which US-blacks had nearly 4 times greater mortality risk than black Caribbeans. Migration from the islands of Haiti and Jamaica to Florida resulted in lower cancer mortality for most cancers including cervical, stomach, and prostate, but increased or stable mortality for 2 obesity-related cancers, colorectal and endometrial cancers. Mortality results in Florida suggest that US-born blacks have the highest incidence rate of "aggressive" prostate cancer in the world, rather than Caribbean men.

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References

    1. American Cancer Society. Cancer Facts & Figures for African Americans 2013–2014. Atlanta: American Cancer Society; 2013.
    1. Kohler BA, Sherman RL, Howlader N, et al. Annual report to the nation on the status of cancer, 1975–2011, featuring incidence of breast cancer subtypes by race/ethnicity, poverty, and state. J Natl Cancer Inst. 2015;107(6):djv048. - PMC - PubMed
    1. Benn-Torres J, Bonilla C, Robbins CM, Waterman L, Moses TY, Hernandez W, Santos ER, Bennett F, Aiken W, Tullock T, Coard K. Admixture and population stratification in African Caribbean populations. Annals of human genetics. 2008 Jan 1;72(1):90–98. - PubMed
    1. Arthur CM, Katkin ES. Making a case for the examination of ethnicity of Blackblacks in United States health research. J Health Care Poor Underserved. 2006;17(1):25–36. - PubMed
    1. Colby SL, Ortman JM. Projections of the size and composition of the US population: 2014 to 2060. Retrieved from: https://www.census.gov/content/dam/Census/library/publications/2015/demo....

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