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Cancer Causes & Control

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01-05-2012 | Original paper

Going against the tide: increasing incidence of colorectal cancer among Koreans, Filipinos, and South Asians in California, 1988–2007

Authors: Brenda Hofer Giddings, Sandy L. Kwong, Arti Parikh-Patel, Janet H. Bates, Kurt P. Snipes

Published in: Cancer Causes & Control | Issue 5/2012

Abstract

Objective

Colorectal cancer has declined markedly in California for all major racial/ethnic groups, including Asian/Pacific Islanders as a whole. Analyzing cancer data for Asian/Pacific Islanders collectively masks important differences that exist between individual Asian subgroups. This study examines secular, sex-, age-, and socioeconomic-specific trends in colorectal cancer incidence among six Asian subgroups—Chinese, Japanese, Filipino, Korean, Vietnamese, and South Asian—to determine whether these groups experienced a decline in colorectal cancer incidence and to assess possible differences in colorectal cancer incidence trends among these groups.

Methods

Cases of invasive colorectal cancer diagnosed among Japanese, Chinese, Filipinos, Koreans, Vietnamese, and South Asians between 1988 and 2007 were identified using the California Cancer Registry database. Secular, sex-, age-, and socioeconomic-specific trends in the age-adjusted colorectal cancer incidence rates for each Asian subgroup were examined using joinpoint analysis to estimate the annual percent change (APC).

Results

Among males, Koreans (APC, 3.6 %) were the only group that experienced a significant increase in colorectal cancer incidence. Among females, Koreans (APC, 2.7 %), South Asians (APC, 2.8 %), and Filipinos (APC, 1.6 %) experienced significant increases. Stratification by age at diagnosis revealed that Korean males (APC, 3.4 %) and females (APC, 2.9 %) as well as Filipino females (APC, 1.8 %) aged 50 years and older experienced a significant increase in colorectal cancer incidence. Korean males aged less than 50 years (APC, 3.4 %) also experienced a significant increase. Japanese (APC, −1.2 %) and Chinese (APC, −1.6 %) males aged 50 years and older experienced a significant decrease in colorectal cancer incidence. Stratification by socioeconomic status (SES) revealed that Korean males (APC, 2.5 %) and females (APC, 2.9 %) as well as Filipino females (APC, 2.1 %) in the lowest SES category experienced a significant increase in colorectal cancer incidence. Korean males (APC, 5.2 %) and females (APC, 3.1 %) as well as Filipino males (APC, 1.5 %) in the highest SES category also experienced a significant increase. Japanese males (APC, −2.5 %) and females (APC, −2.0 %) as well as Chinese males (APC, −2.8 %) and females (APC, −2.9 %) in the lowest SES category experienced a significant decrease. Chinese males in the middle (APC, −3.4 %) and highest (APC, −3.5 %) SES categories also experienced significant decreases in colorectal cancer incidence.

Conclusions

In contrast to the decreasing trends in colorectal cancer incidence reported among all major racial/ethnic groups including Asian/Pacific Islanders, colorectal cancer is actually increasing among some Asian subgroups in California including Korean males and females, as well as South Asian and Filipino females. Furthermore, the colorectal cancer incidence trends for these Asian subgroups differ with respect to age at diagnosis and socioeconomic status. These findings suggest that more efforts need to be made to target these populations with culturally sensitive cancer prevention and screening programs. More research is needed to examine the differences in the colorectal cancer burden among these populations.

Kohler BA, Ward E, McCarthy BJ et al (2011) Annual report to the nation on the status of cancer, 1975–2007, featuring tumors of the brain and other nervous system. J Natl Cancer Inst 103:1–23CrossRef

Bates JH, Kwong SL, Hofer BM, Wellman JP, Snipes KP (2010) Colorectal cancer among Californians, 1988–2007. Sacramento, CA: California Department of Public Health, Cancer Surveillance Section. Available from: http://www.ccrcal.org/pdf/Reports/2ColorectalMin-10-3-2-10.pdf

Kwong SL, Chen MS Jr, Snipes KP, Bal DG, Wright WE (2005) Asian subgroups and cancer incidence and mortality rates in California. Cancer 104:2975–2981PubMedCrossRef

McCracken M, Olsen M, Chen MS Jr et al (2007) Cancer incidence, mortality, and associated risk factors among Asian Americans of Chinese, Filipino, Vietnamese, Korean, and Japanese ethnicities. CA Cancer J Clin 57:190–205PubMedCrossRef

Kwong SL, Stewart SL, Aoki CA, Chen MS Jr (2010) Disparities in hepatocellular carcinoma survival among Californians of Asian ancestry, 1988 to 2007. Cancer Epidemiol Biomarkers Prev 19(11):2747–2757PubMedCrossRef

Bates JH, Hofer BM, Parikh-Patel A (2008) Cervical cancer incidence, mortality, and survival among Asian subgroups in California, 1990–2004. Cancer 113:2955–2963PubMedCrossRef

Keegan TH, Gomez SL, Clarke CA, Chan JK, Glaser SL (2007) Recent trends in breast cancer incidence among 6 Asian groups in the greater bay area of northern California. Int J Cancer 120:1324–1329PubMedCrossRef

Gomez SL, Kelsey JL, Glaser SL, Lee MM, Sidney S (2004) Immigration and acculturation in relation to health and health-related risk factors among specific Asian subgroups in a health maintenance organization. Am J Public Health 94:1977–1984PubMedCrossRef

Ponce N, Tseng W, Ong P, Shek YL, Ortiz S, Gatchell M (2009) The state of Asian American, Native Hawaiian and Pacific Islander health in California report. California Asian Pacific Islander Joint Legislative Caucus. Available from: http://democrats.assembly.ca.gov/apilegcaucus/pdf/APIHealthReport.pdf

10.

Chen MS Jr (2005) Cancer health disparities among Asian Americans: what we know and what we need to do. Cancer 104:2895–2902PubMedCrossRef

11.

Chen JY, Diamant AL, Kagawa-Singer M, Pourat N, Wold C (2004) Disaggregating data on Asian and Pacific Islander women to assess cancer screening. Am J Prev Med 27(2):139–145PubMedCrossRef

12.

Reeves TJ, Bennett CE (2004) We the people: Asians in the United States. Washington, D.C.: US Census Bureau. Available from: http://www.census.gov/prod/2004pubs/censr-17.pdf

13.

Cancer reporting in California: abstracting and coding procedures for hospitals, tenth edition. California cancer reporting system standards, volume I, (tenth edn). (2011). Sacramento, CA: California Department of Public Health, Cancer Surveillance and Research Branch. Available from: http://www.ccrcal.org/Cancer_Reporting/Registrar_Resources/Reporting_Cancer_Cal.shtml

14.

Cancer reporting in California: Standards for automated reporting. California cancer reporting system standards, volume II (2011). Sacramento, CA: California Department of Public Health, Cancer Surveillance and Research Branch. Available from: http://www.ccrcal.org/Cancer_Reporting/Registrar_Resources/Reporting_Cancer_Cal.shtml

15.

Cancer reporting in California: Data standards for regional registries and California Cancer Registry. California cancer reporting system standards, volume III (2011). Sacramento, CA: California Department of Public Health, Cancer Surveillance and Research Branch. Available from: http://www.ccrcal.org/Cancer_Reporting/Registrar_Resources/Reporting_Cancer_Cal.shtml

16.

Physician requirements for cancer reporting in California. California cancer reporting system standards, volume IV (2009). Sacramento, CA: California Department of Public Health, Cancer Surveillance and Research Branch. Available from: http://www.ccrcal.org/Cancer_Reporting/Registrar_Resources/Reporting_Cancer_Cal.shtml

17.

Hofferkamp J (ed) (2008) Standards for cancer registries volume III: Standards for completeness, quality, analysis, management, security and confidentiality of data. Springfield, IL: North American Association of Central Cancer Registries. Available from: http://www.naaccr.org/StandardsandRegistryOperations/VolumeIII.aspx

18.

Havener LA (ed) (2010) Standards for cancer registries volume I: Data exchange standards and record descriptions, version 12.1. Springfield, IL: North American Association of Central Cancer Registries. Available from: http://www.naaccr.org/StandardsandRegistryOperations/VolumeI.aspx

19.

Thornton M (ed) (2010) Standards for cancer registries volume II: Data standards and data dictionary, record layout version 12.1, 15th ed. Springfield, IL: North American Association of Central Cancer Registries. Available from: http://www.naaccr.org/StandardsandRegistryOperations/VolumeII.aspx

20.

Klein TW, Havener LA (eds) (2011) Standards for cancer registries volume V: Pathology laboratory electronic reporting, version 4.0. Springfield, IL: North American Association of Central Cancer Registries. Available from: http://www.naaccr.org/StandardsandRegistryOperations/VolumeV.aspx

21.

Howlader N, Noone A, Krapcho M, et al. (eds) (2011) SEER cancer statistics review, 1975-2008. Bethesda, MD: National Cancer Institute. Available from: http://seer.cancer.gov/csr/1975_2008/index.html

22.

Bureau of the Census (1991). Census of population and housing, 1990: California. Summary tape file 1 on CD-ROM (machine-readable data files). Washington, DC: Public Information Office

23.

Bureau of the Census (2001). Census 2000. Summary file 2—California. Washington, DC: Public Information Office

24.

Cockburn M, Deapen D (eds) (2004) Cancer incidence and mortality in California: Trends by race/ethnicity, 1988–2001. Los Angeles Cancer Surveillance Program, University of Southern California, Los Angeles, CA

25.

Young JL Jr, Roffers SD, Ries LAG, Fritz AG, Hurlbut AA (eds) (2001) SEER summary staging manual—2000: codes and coding instructions. National Cancer Institute, Bethesda, MD

26.

Yost K, Perkins C, Cohen R, Morris C, Wright W (2001) Socioeconomic status and breast cancer incidence in California for different race/ethnic groups. Cancer Causes Control 12:703–711PubMedCrossRef

27.

Surveillance Research Program, National Cancer Institute SEER*Stat Software. 6.6.2 edn

28.

Joinpoint Regression Program. 3.3.1 ed. (2008). Statistical Research and Applications Branch, National Cancer Institute

29.

Edwards BK, Ward E, Kohler BA et al (2010) Annual report to the nation on the status of cancer, 1975–2006, featuring colorectal cancer trends and impact of interventions (risk factors, screening, and treatment) to reduce future rates. Cancer 116:544–573PubMedCrossRef

30.

Maxwell AE, Crespi CM (2009) Trends in colorectal cancer screening utilization among ethnic groups in California: Are we closing the gap? Cancer Epidemiol Biomarkers Prev 18(3):752–759PubMedCrossRef

31.

Kandula NR, Wen M, Jacobs EA, Lauderdale DS (2006) Low rates of colorectal, cervical, and breast cancer screening in Asian Americans compared with non-Hispanic whites: cultural influences or access to care? Cancer 107:184–192PubMedCrossRef

32.

Jo AM, Maxwell AE, Wong WK, Bastani R (2008) Colorectal cancer screening among underserved Korean Americans in Los Angeles County. J Immigr Minor Health 10:119–126PubMedCrossRef

33.

Kim K, Yu ES, Chen EH, Kim J, Brintnall RA (1998) Colorectal cancer screening: knowledge and practices among Korean Americans. Cancer Pract 6(3):167–175

34.

Ma GX, Shive SE, Wang MQ, Tan Y (2009) Cancer screening behaviors and barriers in Asian Americans. Am J Health Behav 33(6):650–660PubMedCrossRef

35.

Wong ST, Gildengorin G, Nguyen T, Mock J (2005) Disparities in colorectal cancer screening rates among Asian Americans and non-Latino whites. Cancer 104:2940–2947PubMedCrossRef

36.

Jain RV, Mills PK, Parikh-Patel A (2005) Cancer incidence in the south Asian population of California, 1988–2000. J Carcinog 4(21)

37.

Maxwell AE, Bastani R, Warda US (2000) Demographic predictors of cancer screening among Filipino and Korean Immigrants in the United States. Am J Prev Med 18(1):62–68PubMedCrossRef

38.

Misra R, Menon U, Vadaparampil ST, Belue R (2011) Age- and sex-specific cancer prevention and screening practices among Asian Indian immigrants in the United States. J Investig Med 59:787–792PubMed

39.

Glenn BA, Chawla N, Surani Z, Bastani R (2009) Rates and sociodemographic correlates of cancer screening among South Asians. J Community Health 34:113–121PubMedCrossRef

40.

Giovannucci E, Wu K (2006) Cancers of the colon and rectum. In: Schottenfeld D, Fraumeni JF Jr (eds) Cancer epidemiology and prevention, 3rd edn. Oxford University Press, New York, NY, pp 809–829CrossRef

41.

Cockburn M, Liu L, Deapen D (2009) Cancer in Los Angeles County: Trends by race/ethnicity, 1976-2006. Los Angeles, CA: Los Angeles Cancer Surveillance Program, University of Southern California. Available from: http://keck.usc.edu/en/Education/Academic_Department_and_Divisions/Department_of_Preventive_Medicine/Divisions/Epidemiology/Research/Cancer_Surveillance_Program/Cancer_Statistics/Trends.aspx

42.

Miller BA, Chu KC, Hankey BF, Ries LA (2008) Cancer incidence and mortality patterns among specific Asian and Pacific Islander populations in the U.S. Cancer Causes Control 19:227–256PubMedCrossRef

43.

Flood DM, Weiss NS, Cook LS, Emerson JC, Schwartz SM, Potter JD (2000) Colorectal cancer incidence in Asian migrants to the United States and their descendants. Cancer Causes Control 11:403–411PubMedCrossRef

44.

Maskarinec G, Noh JJ (2004) The effect of migration on cancer incidence among Japanese in Hawaii. Ethn Dis 14:431–439PubMed

45.

Nguyen BH, McPhee SJ, Stewart SL, Doan HT (2008) Colorectal cancer screening in Vietnamese Americans. J Cancer Educ 23:37–45PubMedCrossRef

46.

Walsh JME, Kaplan CP, Nguyen B, Gildengorin G, McPhee SJ, Pérez-Stable EJ (2004) Barriers to colorectal cancer screening in Latino and Vietnamese Americans compared with non-Latino white Americans. J Gen Intern Med 19:156–166PubMedCrossRef

47.

Gomez SL, Glaser SL (2006) Misclassification of race/ethnicity in a population-based cancer registry (United States). Cancer Causes Control 17:771–781PubMedCrossRef

48.

Swallen KC, Glaser SL, Stewart SL, West DW, Jenkins CNH, McPhee SJ (1998) Accuracy of racial classification of Vietnamese patients in a population-based cancer registry. Ethn Dis 8:218–227PubMed

Title: Going against the tide: increasing incidence of colorectal cancer among Koreans, Filipinos, and South Asians in California, 1988–2007
Authors: Brenda Hofer Giddings
Sandy L. Kwong
Arti Parikh-Patel
Janet H. Bates
Kurt P. Snipes
Publication date: 01-05-2012
Publisher: Springer Netherlands
Published in: Cancer Causes & Control / Issue 5/2012
Print ISSN: 0957-5243
Electronic ISSN: 1573-7225
DOI: https://doi.org/10.1007/s10552-012-9937-6

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