Demographic and geographic variations in lung cancer mortality among US Hispanics. 1999-2009
Background: Lung cancer is the leading cause of cancer death among Hispanic men and the second among Hispanic women. Objective: Describe US Hispanic mortality from lung cancer. Methods: Age-adjusted mortality rates, 95% Confidence Intervals, and smoking prevalence were obtained from the CDC‘s public internet web sites. Demographic information was from the US Census. ARC View (hot spot) and SAS® 9.2 (multivariable analysis) software were used for analyses. Results: Hispanic mortality was significantly lower than Non-Hispanic mortality regardless of age, race, census region, state, and rural-urban classification; except for Hispanic Asian/Pacific Islanders residing in the West and in Medium Metropolitan and Non-Metro areas. The Hispanic advantage was particularly great for blacks. There was considerable geographic variation in Hispanic mortality by State and gender. Age-adjusted (ages 25+ years) mortality for Hispanic White women ranged from 64.3 (49.0, 83.0) in Kentucky to 9.1 (5.0, 15.2) in Tennessee. Corresponding state high-low values for men were 72.9 (64.3, 81.5) in Michigan and 19.4 (9.7, 34.8) in Mississippi. Hot-spot, county-based analysis of age-adjusted mortality among Hispanic whites ages 25+ years showed a significant geographic cluster in Central Florida (GiZScore 1.6-2.79 for women and 1.91-3.10 for men). This cluster could not be explained by poverty or smoking prevalence in multivariable analysis. Conclusions: Regardless of socio-demographic classification, Hispanics generally had lower risks of overall lung cancer mortality than non-Hispanics. Asian-Pacific Islanders and Hispanic Whites, however, may have significantly high risk in selected geographic areas. Analytic epidemiologic study is needed to elucidate etiologic factors.
Diversity and culture
Planning of health education strategies, interventions, and programs
Public health or related research
Describe demographic and geographic variations in lung cancer mortality among US Hispanics.
Assess the ethnic differences and epidemiological variations in lung cancer mortality among the US Hispanic population as a potentially useful tool for public health planning.
Keywords: Hispanic, Cancer
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: I am a Public health practitioner and a Preventive Medicine Resident in training actively involved in research, especially among minority populations. Among my scientific interests has been the understanding of cancer related health disparities among US Hispanic/Latino.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.