Inter- and intra-ethnic differences for female breast carcinoma incidence in the continental United States and in the state of Hawaii
Ethnic diversity is well-documented for female breast carcinoma incidence in the continental US but is not so well-established in the state of Hawaii. Using the Surveillance, Epidemiology, and End Results (SEER) program, we analyzed n=323,607 in situ and invasive female breast cancer cases for major...
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Published in | Breast cancer research and treatment Vol. 97; no. 1; pp. 57 - 65 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
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Springer
01.05.2006
Springer Nature B.V |
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Abstract | Ethnic diversity is well-documented for female breast carcinoma incidence in the continental US but is not so well-established in the state of Hawaii.
Using the Surveillance, Epidemiology, and End Results (SEER) program, we analyzed n=323,607 in situ and invasive female breast cancer cases for major ethnic groups in the continental US and in Hawaii, diagnosed during the years 1992-2002.
In the continental US, age-specific incidence rate patterns and prognostic factor profiles were good-risk for Asian or Pacific Islanders (API), intermediate for Whites, and poor-risk for Blacks. For example, early age-at-onset, high nuclear grade, aggressive histopathologic subtypes, and hormone receptor negative expression was associated with Black race in the continental US. In Hawaii, age-specific rate and prognostic profiles were more favorable for API than for White women, albeit not so striking as in the continental US.
We observed inter- and intra-ethnic differences for female breast carcinoma in the continental US and in the state of Hawaii. While inter-racial disparities were expected, intra-racial differences were somewhat unexpected and possibly due to variations in racial subgroup mixing and/or cultural assimilation. For example, API women with breast carcinoma in the continental US included 96.03% Asians and 2.4% Pacific Islanders. In contrast, API women with breast carcinoma in Hawaii included 76.52% Asians and 23.46% Pacific Islanders. Moreover, APIs were more likely to be first-generation migrants in the continental US ( approximately 92%) than in Hawaii ( approximately 34%). Future studies should attempt to disaggregate racial data to separately characterize epidemiological patterns for individual ethnic groups. |
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AbstractList | Background Ethnic diversity is well-documented for female breast carcinoma incidence in the continental US but is not so well-established in the state of Hawaii. Methods Using the Surveillance, Epidemiology, and End Results (SEER) program, we analyzed n=323,607 in situ and invasive female breast cancer cases for major ethnic groups in the continental US and in Hawaii, diagnosed during the years 1992-2002. Results In the continental US, age-specific incidence rate patterns and prognostic factor profiles were good-risk for Asian or Pacific Islanders (API), intermediate for Whites, and poor-risk for Blacks. For example, early age-at-onset, high nuclear grade, aggressive histopathologic subtypes, and hormone receptor negative expression was associated with Black race in the continental US. In Hawaii, age-specific rate and prognostic profiles were more favorable for API than for White women, albeit not so striking as in the continental US. Conclusion We observed inter- and intra-ethnic differences for female breast carcinoma in the continental US and in the state of Hawaii. While inter-racial disparities were expected, intra-racial differences were somewhat unexpected and possibly due to variations in racial subgroup mixing and/or cultural assimilation. For example, API women with breast carcinoma in the continental US included 96.03% Asians and 2.4% Pacific Islanders. In contrast, API women with breast carcinoma in Hawaii included 76.52% Asians and 23.46% Pacific Islanders. Moreover, APIs were more likely to be first-generation migrants in the continental US ((symbol omitted)92%) than in Hawaii ((symbol omitted)34%). Future studies should attempt to disaggregate racial data to separately characterize epidemiological patterns for individual ethnic groups. [PUBLICATION ABSTRACT] Ethnic diversity is well-documented for female breast carcinoma incidence in the continental US but is not so well-established in the state of Hawaii. Using the Surveillance, Epidemiology, and End Results (SEER) program, we analyzed n=323,607 in situ and invasive female breast cancer cases for major ethnic groups in the continental US and in Hawaii, diagnosed during the years 1992-2002. In the continental US, age-specific incidence rate patterns and prognostic factor profiles were good-risk for Asian or Pacific Islanders (API), intermediate for Whites, and poor-risk for Blacks. For example, early age-at-onset, high nuclear grade, aggressive histopathologic subtypes, and hormone receptor negative expression was associated with Black race in the continental US. In Hawaii, age-specific rate and prognostic profiles were more favorable for API than for White women, albeit not so striking as in the continental US. We observed inter- and intra-ethnic differences for female breast carcinoma in the continental US and in the state of Hawaii. While inter-racial disparities were expected, intra-racial differences were somewhat unexpected and possibly due to variations in racial subgroup mixing and/or cultural assimilation. For example, API women with breast carcinoma in the continental US included 96.03% Asians and 2.4% Pacific Islanders. In contrast, API women with breast carcinoma in Hawaii included 76.52% Asians and 23.46% Pacific Islanders. Moreover, APIs were more likely to be first-generation migrants in the continental US ( approximately 92%) than in Hawaii ( approximately 34%). Future studies should attempt to disaggregate racial data to separately characterize epidemiological patterns for individual ethnic groups. BACKGROUNDEthnic diversity is well-documented for female breast carcinoma incidence in the continental US but is not so well-established in the state of Hawaii.METHODSUsing the Surveillance, Epidemiology, and End Results (SEER) program, we analyzed n=323,607 in situ and invasive female breast cancer cases for major ethnic groups in the continental US and in Hawaii, diagnosed during the years 1992-2002.RESULTSIn the continental US, age-specific incidence rate patterns and prognostic factor profiles were good-risk for Asian or Pacific Islanders (API), intermediate for Whites, and poor-risk for Blacks. For example, early age-at-onset, high nuclear grade, aggressive histopathologic subtypes, and hormone receptor negative expression was associated with Black race in the continental US. In Hawaii, age-specific rate and prognostic profiles were more favorable for API than for White women, albeit not so striking as in the continental US.CONCLUSIONWe observed inter- and intra-ethnic differences for female breast carcinoma in the continental US and in the state of Hawaii. While inter-racial disparities were expected, intra-racial differences were somewhat unexpected and possibly due to variations in racial subgroup mixing and/or cultural assimilation. For example, API women with breast carcinoma in the continental US included 96.03% Asians and 2.4% Pacific Islanders. In contrast, API women with breast carcinoma in Hawaii included 76.52% Asians and 23.46% Pacific Islanders. Moreover, APIs were more likely to be first-generation migrants in the continental US ( approximately 92%) than in Hawaii ( approximately 34%). Future studies should attempt to disaggregate racial data to separately characterize epidemiological patterns for individual ethnic groups. SummaryBackgroundEthnic diversity is well-documented for female breast carcinoma incidence in the continental US but is not so well-established in the state of Hawaii.MethodsUsing the Surveillance, Epidemiology, and End Results (SEER) program, we analyzed n=323,607 in situ and invasive female breast cancer cases for major ethnic groups in the continental US and in Hawaii, diagnosed during the years 1992–2002.ResultsIn the continental US, age-specific incidence rate patterns and prognostic factor profiles were good-risk for Asian or Pacific Islanders (API), intermediate for Whites, and poor-risk for Blacks. For example, early age-at-onset, high nuclear grade, aggressive histopathologic subtypes, and hormone receptor negative expression was associated with Black race in the continental US. In Hawaii, age-specific rate and prognostic profiles were more favorable for API than for White women, albeit not so striking as in the continental US.ConclusionWe observed inter- and intra-ethnic differences for female breast carcinoma in the continental US and in the state of Hawaii. While inter-racial disparities were expected, intra-racial differences were somewhat unexpected and possibly due to variations in racial subgroup mixing and/or cultural assimilation. For example, API women with breast carcinoma in the continental US included 96.03% Asians and 2.4% Pacific Islanders. In contrast, API women with breast carcinoma in Hawaii included 76.52% Asians and 23.46% Pacific Islanders. Moreover, APIs were more likely to be first-generation migrants in the continental US (≈92%) than in Hawaii (≈34%). Future studies should attempt to disaggregate racial data to separately characterize epidemiological patterns for individual ethnic groups. |
ArticleNumber | 57 |
Author | HENSON, Donald E MEGAN FONG ANDERSON, William F DEVESA, Susan S |
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Cites_doi | 10.1001/archinte.163.1.49 10.1002/1097-0142(19950101)75:1+<257::AID-CNCR2820751311>3.0.CO;2-Y 10.1002/1097-0258(20000715)19:13<1729::AID-SIM484>3.0.CO;2-9 10.1093/ije/26.6.1151 10.1016/S0895-4356(97)00183-2 10.1023/A:1020299707510 10.2307/2344317 10.2307/2281868 10.1038/303767a0 10.1038/bjc.1965.28 10.1007/978-1-4757-3656-4 10.1016/S0895-4356(03)00079-9 10.1200/JCO.2001.19.1.18 10.1016/S0959-8049(01)00267-2 10.3322/canjclin.55.1.10 10.1002/cncr.11558 10.1001/archfami.8.6.521 10.1093/jnci/85.22.1819 10.1001/jama.272.12.947 10.1038/bjc.1954.1 10.1038/bjc.1957.22 10.1111/j.1532-5415.1981.tb01227.x |
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Keywords | Ethnic origin racial diversity hormone receptor expression Breast cancer Malignant tumor age frequency distribution Gene expression Epidemiology Ethnic group Incidence Mammary gland diseases Breast carcinoma age-specific incidence rates Anatomic pathology Histopathology Race Female Frequency Age Age distribution Hormonal receptor |
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References | WF Anderson (9088_CR12) 2002; 76 BF Hankey (9088_CR17) 1994; 16 KC Chu (9088_CR20) 1999; 8 P Armitage (9088_CR9) 1954; 8 WF Anderson (9088_CR11) 2001; 19 P Armitage (9088_CR10) 1957; 11 BY Hernandez (9088_CR2) 2003; 62 R Peto (9088_CR14) 1972; 135 A Jemal (9088_CR1) 2005; 55 RG Ziegler (9088_CR28) 1993; 85 DM Parkin (9088_CR18) 2001; 37 9088_CR7 CI Li (9088_CR3) 2003; 163 9088_CR8 FF Holmes (9088_CR22) 1981; 29 9088_CR5 JW Berg (9088_CR6) 1995; 75 HJG Bloom (9088_CR21) 1965; 19 9088_CR4 DE Henson (9088_CR26) 2003; 98 EL Kaplan (9088_CR13) 1958; 53 G Maskarinec (9088_CR19) 2003; 56 9088_CR27 JW Eley (9088_CR25) 1994; 272 KA Cronin (9088_CR15) 2000; 19 L Meng (9088_CR23) 1997; 50 MC Pike (9088_CR16) 1983; 303 L Meng (9088_CR24) 1997; 26 |
References_xml | – volume: 163 start-page: 49 year: 2003 ident: 9088_CR3 publication-title: Arch Intern Med doi: 10.1001/archinte.163.1.49 contributor: fullname: CI Li – volume: 75 start-page: 257 year: 1995 ident: 9088_CR6 publication-title: Cancer doi: 10.1002/1097-0142(19950101)75:1+<257::AID-CNCR2820751311>3.0.CO;2-Y contributor: fullname: JW Berg – ident: 9088_CR4 – volume: 19 start-page: 1729 year: 2000 ident: 9088_CR15 publication-title: Stat Med doi: 10.1002/1097-0258(20000715)19:13<1729::AID-SIM484>3.0.CO;2-9 contributor: fullname: KA Cronin – ident: 9088_CR27 – volume: 26 start-page: 1151 year: 1997 ident: 9088_CR24 publication-title: Int J Epidemiol doi: 10.1093/ije/26.6.1151 contributor: fullname: L Meng – volume: 16 start-page: 7 year: 1994 ident: 9088_CR17 publication-title: J Natl Cancer Inst Monogr contributor: fullname: BF Hankey – volume: 50 start-page: 1289 year: 1997 ident: 9088_CR23 publication-title: J Clin Epidemiol doi: 10.1016/S0895-4356(97)00183-2 contributor: fullname: L Meng – volume: 76 start-page: 27 year: 2002 ident: 9088_CR12 publication-title: Breast Cancer Res Treat doi: 10.1023/A:1020299707510 contributor: fullname: WF Anderson – volume: 135 start-page: 185 year: 1972 ident: 9088_CR14 publication-title: J Roy Stat Soc, A doi: 10.2307/2344317 contributor: fullname: R Peto – volume: 53 start-page: 457 year: 1958 ident: 9088_CR13 publication-title: J Am Stat Assoc doi: 10.2307/2281868 contributor: fullname: EL Kaplan – ident: 9088_CR8 – volume: 62 start-page: 17 year: 2003 ident: 9088_CR2 publication-title: Hawaii Med J contributor: fullname: BY Hernandez – volume: 303 start-page: 767 year: 1983 ident: 9088_CR16 publication-title: Nature doi: 10.1038/303767a0 contributor: fullname: MC Pike – volume: 19 start-page: 228 year: 1965 ident: 9088_CR21 publication-title: Br J Cancer doi: 10.1038/bjc.1965.28 contributor: fullname: HJG Bloom – ident: 9088_CR5 doi: 10.1007/978-1-4757-3656-4 – volume: 56 start-page: 678 year: 2003 ident: 9088_CR19 publication-title: J Clin Epidemiol doi: 10.1016/S0895-4356(03)00079-9 contributor: fullname: G Maskarinec – volume: 19 start-page: 18 year: 2001 ident: 9088_CR11 publication-title: J Clin Oncol doi: 10.1200/JCO.2001.19.1.18 contributor: fullname: WF Anderson – volume: 37 start-page: S4 issue: Suppl 8 year: 2001 ident: 9088_CR18 publication-title: Eur J Cancer doi: 10.1016/S0959-8049(01)00267-2 contributor: fullname: DM Parkin – volume: 55 start-page: 10 year: 2005 ident: 9088_CR1 publication-title: CA Cancer J Clin doi: 10.3322/canjclin.55.1.10 contributor: fullname: A Jemal – volume: 98 start-page: 908 year: 2003 ident: 9088_CR26 publication-title: Cancer doi: 10.1002/cncr.11558 contributor: fullname: DE Henson – volume: 8 start-page: 521 year: 1999 ident: 9088_CR20 publication-title: Arch Fam Med doi: 10.1001/archfami.8.6.521 contributor: fullname: KC Chu – volume: 85 start-page: 1819 year: 1993 ident: 9088_CR28 publication-title: J Natl Cancer Inst doi: 10.1093/jnci/85.22.1819 contributor: fullname: RG Ziegler – volume: 272 start-page: 947 year: 1994 ident: 9088_CR25 publication-title: JAMA doi: 10.1001/jama.272.12.947 contributor: fullname: JW Eley – ident: 9088_CR7 – volume: 8 start-page: 1 year: 1954 ident: 9088_CR9 publication-title: Br J Cancer doi: 10.1038/bjc.1954.1 contributor: fullname: P Armitage – volume: 11 start-page: 161 year: 1957 ident: 9088_CR10 publication-title: Br J Cancer doi: 10.1038/bjc.1957.22 contributor: fullname: P Armitage – volume: 29 start-page: 55 year: 1981 ident: 9088_CR22 publication-title: J Am Geriatr Soc doi: 10.1111/j.1532-5415.1981.tb01227.x contributor: fullname: FF Holmes |
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Snippet | Ethnic diversity is well-documented for female breast carcinoma incidence in the continental US but is not so well-established in the state of Hawaii.
Using... Background Ethnic diversity is well-documented for female breast carcinoma incidence in the continental US but is not so well-established in the state of... SummaryBackgroundEthnic diversity is well-documented for female breast carcinoma incidence in the continental US but is not so well-established in the state of... BACKGROUNDEthnic diversity is well-documented for female breast carcinoma incidence in the continental US but is not so well-established in the state of... |
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SubjectTerms | Adenocarcinoma - ethnology Adenocarcinoma - etiology Adenocarcinoma - pathology Adenocarcinoma, Mucinous - ethnology Adenocarcinoma, Mucinous - etiology Adenocarcinoma, Mucinous - pathology African Americans Age Age Distribution Aged Aged, 80 and over Asian Americans Biological and medical sciences Breast cancer Breast carcinoma Breast Neoplasms - ethnology Breast Neoplasms - etiology Breast Neoplasms - pathology Cancer research Cancer therapies Carcinoma, Ductal, Breast - ethnology Carcinoma, Ductal, Breast - etiology Carcinoma, Ductal, Breast - pathology Cohort Studies Cultural differences Epidemiology Ethnic Groups European Continental Ancestry Group Female Gynecology. Andrology. Obstetrics Hawaii - epidemiology Humans Incidence Invasiveness Mammary gland diseases Medical sciences Middle Aged Minority & ethnic groups Neoplasm Invasiveness Neoplasm Staging Neoplasms, Ductal, Lobular, and Medullary - ethnology Neoplasms, Ductal, Lobular, and Medullary - etiology Neoplasms, Ductal, Lobular, and Medullary - pathology Odds Ratio Pacific Islander people Pacific Islands Population Surveillance Racial differences Receptors, Estrogen - analysis Receptors, Progesterone - analysis Risk Factors SEER Program Survival Rate Tumors United States - epidemiology |
Title | Inter- and intra-ethnic differences for female breast carcinoma incidence in the continental United States and in the state of Hawaii |
URI | https://www.ncbi.nlm.nih.gov/pubmed/16322891 https://www.proquest.com/docview/212445219/abstract/ https://www.proquest.com/docview/2663821843/abstract/ https://search.proquest.com/docview/67979489 |
Volume | 97 |
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