## Abstract ## Background. African Amercians afflicted with head and neck squamous cell carcinoma (HNSCC) have a strikingly worse survival than do whites. One apparent cause is an advanced stage of presentation in African Americans. This study was designed to identify barriers to early treatment a
Higher incidence of head and neck cancers among Vietnamese American men in California
โ Scribed by Edith J. Filion; Laura A. McClure; Derek Huang; Kosal Seng; Michael J. Kaplan; Alexander Dimitrios Colevas; Scarlett Lin Gomez; Ellen T. Chang; Quynh-Thu Le
- Publisher
- John Wiley and Sons
- Year
- 2010
- Tongue
- English
- Weight
- 143 KB
- Volume
- 32
- Category
- Article
- ISSN
- 1043-3074
No coin nor oath required. For personal study only.
โฆ Synopsis
Abstract
Background
Our aim was to determine the incidence rates of head and neck cancer in Vietnamese Californians compared with other Asian and nonโAsian Californians.
Methods
Ageโadjusted incidence rates of head and neck cancer between 1988 and 2004 were computed for Vietnamese Californians compared with other racial/ethnic groups by time period, ethnicity, neighborhoodโlevel socioeconomic status (SES), and sex using data from the populationโbased California Cancer Registry (CCR). Data by smoking and alcohol status were tabulated from the California Health Interview Survey.
Results
Vietnamese men had a higher incidence rate of head and neck cancer than other Asian men. Specifically, the laryngeal cancer rate was significantly higher for Vietnamese men (6.5/100,000; 95% confidence interval [CI], 5.0โ8.2) than all other Asian men (range, 2.6โ3.8/100,000), except Korean men (5.1/100,000; 95% CI, 3.9โ6.4). Both Vietnamese and Korean men had the highest percentage of current smokers. Neighborhood SES was inversely related to head and neck cancer rates among Vietnamese men and women.
Conclusion
The higher incidence rate of head and neck cancer in Vietnamese men may correspond to the higher smoking prevalence in this group. Individualโlevel data are needed to establish the link of tobacco, alcohol, and other risk factors with head and neck cancer in these patients. ยฉ 2010 Wiley Periodicals, Inc. Head Neck, 2010
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