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Cancer Incidence and Mortality Patterns Among Chinese Americans

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Cancer Epidemiology Among Asian Americans

Abstract

Chinese is the largest Asian ethnic group in the USA with four million individuals accounting for 23.1 % of the total Asian Americans and 1.3 % of the total US population. Given its large population size and the long history of migration to many countries throughout the world, Chinese immigrants are a valuable resource for epidemiologic investigations of cancer and other diseases to identify environmental and lifestyle risk factors and to understand the interactions between genetics and environment in disease etiology. Using data from population-based cancer registries, this chapter examines the sex-specific cancer incidence and mortality rates of common cancers among Chinese Americans and their relative risks as compared to whites or non-Hispanic (NH) whites. Comparisons of incidence trends and age-specific patterns by cancer type between Chinese Americans and Chinese in China are also provided. For most of the cancers examined, Chinese Americans have lower incidence and mortality rates than the NH whites, but they have substantially higher risk for nasopharyngeal, liver, and stomach cancers and slightly higher risk of gallbladder cancer. Except for lung and colorectal cancer, Chinese Americans display intermediate-risk level between the US whites and Chinese in China. The cancer experience of Chinese Americans highlights the significance of environmental and lifestyle factors in cancer development.

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Financial Disclosure

The authors declare no financial benefits in writing this chapter. Work by Liu and Deapen was supported by the National Cancer Institute, National Institutes of Health, Department of Health and Human Services, under Contract No. HHSN261201000035C, and by grant number U58DP003862-10 from the Centers for Disease Control and Prevention. The ideas and opinions expressed herein are those of the authors, and no endorsement by the funding agencies or the federal government is intended or should be inferred.

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Correspondence to Lihua Liu Ph.D. .

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Liu, L., Deapen, D., Wu, A.H. (2016). Cancer Incidence and Mortality Patterns Among Chinese Americans. In: Wu, A., Stram, D. (eds) Cancer Epidemiology Among Asian Americans. Springer, Cham. https://doi.org/10.1007/978-3-319-41118-7_2

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