Leveraging existing cohort studies of Mexican women to better understand Hispanic health and cancer risk
- PMID: 40246768
- PMCID: PMC12707317
- DOI: 10.1007/s10552-025-02000-8
Leveraging existing cohort studies of Mexican women to better understand Hispanic health and cancer risk
Abstract
Background: Hispanics have been historically underrepresented in epidemiologic cancer research. Existing cohort studies focused on recruiting Hispanic participants have been relatively small, making studying cancer outcomes challenging. Therefore, we aimed to compare the distribution of cancer risk factors among Hispanic women of Mexican heritage (HWMH) participating in existing cohorts to explore the possibility of future data pooling efforts.
Methods: We used baseline data of HWMH from three US-based studies, the Mexican American Cohort (MAC; n = 19,797; 2001-2017), the Multiethnic Cohort (MEC; n = 18,007; 1993-1996), and the Hispanic Community Health Study/Study of Latinos (HCHS/SOL; n = 4,022; 2008-2011), and one study from Mexico, the Mexican Teachers' Cohort (MTC; n = 115,275; 2006-2008).
Results: Participants in MEC (59.5y) were older on average than MAC (40.9y), HCHS/SOL (45.5y), and MTC (42.6y) at enrollment. Most MAC (77.6%) and HCHS/SOL (85.4%) participants spoke Spanish as their primary language. Age at menarche (12.5-13.1y), age at menopause (45.8-47.9y), and smoking prevalence (~ 10%) was similar across studies. Parity was higher in MAC (3.8) and MEC (4.1) compared to HCHS/SOL (3.2) and MTC (2.5). Ever use of oral contraceptives was more frequent in HCHS/SOL (63.5%) compared to MTC (45.6%), MAC (37.9%), and MEC (35.2%). Obesity, diabetes, and hypertension were more common in the US cohorts.
Conclusion: This comparative study demonstrates the ability to harmonize data and provide information for future pooling projects across cohorts to evaluate cancer outcomes. Similarities and differences in characteristics across cohorts can be leveraged to better understand health disparities in HWMH.
Keywords: Cancer epidemiology; Cohort studies; Hispanic women of Mexican heritage.
© 2025. The Author(s), under exclusive licence to Springer Nature Switzerland AG.
Conflict of interest statement
Declarations. Conflict of interest: The authors declare no competing interests. Ethics statement: This study was performed in line with the principles of the Declaration of Helsinki. Each individual cohort was approved by their institutional IRB. Consent to participate: Each individual cohort obtained consent to participate.
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- American Cancer Society I (2024) Cancer Facts & Figures for Hispanic/Latino People 2024–2026. American Cancer Society.
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- Espinosa-Tamez P, Suazo-Zepeda E, Sánchez-Blas H et al. (2021) National and state-level colorectal cancer mortality trends in Mexico, 1998–2018. Salud Publica Mex 64:5–13 - PubMed
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