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Colorectal cancer incidence in Asian migrants to the United States and their descendants

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Abstract

Objectives: To examine the incidence of colorectal cancer among Asian residents of the United States according to country of birth.

Methods: We determined the incidence of colorectal cancer during 1973–1986 among Asian residents in three areas of the western United States (Hawaii, San Francisco/Oakland SMSA, and western Washington state) in relation to country of birth. Numerators for the rates were obtained from the Surveillance, Epidemiology and End Results (SEER) program; a special tabulation of the 1980 US Census was used to estimate the size and composition of the population at risk.

Results: US-born Japanese men experienced incidence rates of colorectal cancer twice as high as foreign-born Japanese men and about 60% higher than those of US-born white men. Incidence among US-born Japanese women was about 40% higher than that among Japanese women born in Japan or US-born white women. Foreign-born Chinese men had about the same incidence of colorectal cancer as US-born white men, while US-born Chinese men experienced slightly reduced rates. Chinese women had rates that were generally 30–40% lower than that of US-born white women, regardless of place of birth. Incidence rates for both US-born and foreign-born Filipinos were 20–50% those of US-born whites.

Conclusions: These findings suggest that one or more exposures or characteristics that differ between Japanese migrants and their descendants affect the development of colorectal cancer.

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Flood, D.M., Weiss, N.S., Cook, L.S. et al. Colorectal cancer incidence in Asian migrants to the United States and their descendants. Cancer Causes Control 11, 403–411 (2000). https://doi.org/10.1023/A:1008955722425

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