International Journal of Epidemiology, Vol 26, 249-255, Copyright © 1997 by International Epidemiological Association
M Schiff, CR Key, FD Gilliland and TM Becker
BACKGROUND: Although ethnic and radical differences in uterine corpus
cancer incidence and mortality have been reported worldwide, few published
data have addressed the epidemiology of uterine cancer among US American
Indians and Hispanics. METHODS: We reviewed uterine corpus cancer incidence
and survival data from New Mexico's population-based cancer registry
collected from 1969 to 1992, and examined State vital records data for
uterine cancer deaths collected from 1958 to 1992, focusing on ethnic
differences in occurrence and outcomes of uterine malignancies. RESULTS:
Non-Hispanic white women had age-adjusted incidence rates that were
substantially higher (20.8 per 100,000) than rates for Hispanics (10.3) and
American Indians (6.0) over the 24-year period. Uterine cancer mortality
rates were also higher for non- Hispanic whites and Hispanics than for
American Indian women, although mortality rates were substantially lower
than incidence rates. Five- year survival for uterine cancer was comparable
among all groups for all stages combined (87.3% for non-Hispanic whites,
81.4% for Hispanics, and 84.6% for American Indians). CONCLUSIONS: Our
population- based data show ethnic differences in uterine corpus cancer
incidence rates for non-Hispanic white women that were double those for
Hispanics, and triple those for American Indian women. Ethnic differences
in survival were comparable. Aetiologic studies are warranted to
investigate the dramatic ethnic differences in occurrence of uterine
cancer.
ARTICLES
Ethnic differences in uterine corpus cancer incidence and mortality in New Mexico's American Indians, hispanics and non-Hispanic whites
Department of Obstetrics and Gynecology, University of New Mexico School of Medicine, Albuquerque 87131, USA.
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