--- title: "Cancer in Asian Ams-national mortality trends by Asian grps. | Sutter Health" description: "Findings support need for disaggregated reports of cancer stats in Asian Ams & warrant consideration of tailored screening programs for liver, gastric cancers." url: "https://www.sutterhealth.org/research/publications/cancer-asian-ams-natl-mortality-trends-by-grps-1055312524" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. Cancer in Asian Ams-national mortality trends by Asian grps. # The burden of cancer in Asian Americans: a report of national mortality trends by Asian ethnicity. Thompson CA, Gomez SL, Hastings KG, Kapphahn K, Yu P, Shariff-Marco S, Bhatt AS, Wakelee HA, Patel MI, Cullen MR, & Palaniappan LP. _Cancer Epidemiol Biomarkers Prev. 25(10):1371-1382._ 2016-10-01 ## Abstract BACKGROUND: Asian Americans (AA) are the fastest growing U.S. population, and when properly distinguished by their ethnic origins, exhibit substantial heterogeneity in socioeconomic status, health behaviors, and health outcomes. Cancer is the second leading cause of death in the United States, yet trends and current patterns in the mortality burden of cancer among AA ethnic groups have not been documented. METHODS: We report age-adjusted rates, standardized mortality ratios, and modeled trends in cancer-related mortality in the following AA ethnicities: Asian Indians, Chinese, Filipinos, Japanese, Koreans, and Vietnamese, from 2003 to 2011, with non-Hispanic whites (NHW) as the reference population. RESULTS: For most cancer sites, AAs had lower cancer mortality than NHWs; however, mortality patterns were heterogeneous across AA ethnicities. Stomach and liver cancer mortality was very high, particularly among Chinese, Koreans, and Vietnamese, for whom these two cancer types combined accounted for 15% to 25% of cancer deaths, but less than 5% of cancer deaths in NHWs. In AA women, lung cancer was a leading cause of death, but (unlike males and NHW females) rates did not decline over the study period. CONCLUSIONS: Ethnicity-specific analyses are critical to understanding the national burden of cancer among the heterogeneous AA population. IMPACT: Our findings highlight the need for disaggregated reporting of cancer statistics in AAs and warrant consideration of tailored screening programs for liver and gastric cancers. [PubMed abstract](https://www.ncbi.nlm.nih.gov/pubmed/27694108) ## Research topics - [All Cancer](https://www.sutterhealth.org/research-search-results?query=%22%5C%22All+Cancer%5C%22%22) - [Digestive Disorders](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Digestive+Disorders%5C%22%22) - [Endocrinology and Metabolism](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Endocrinology+and+Metabolism%5C%22%22) - [Health Disparities](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Health+Disparities%5C%22%22) - [Lung Diseases](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Lung+Diseases%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [Does SLE widen or narrow race/ethnic disparities in the risk of five co-morbid conditions? 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Am J Prev Med. pii: S0749-3797(15)00638-8. doi: 10.1016/j.amepre.2015.09.035. \[Epub ahead of print\] 2015 Dec 01 - Publication ### [Cancer disparity by race and ethnicity in Nebraska: 1991–2005.](https://www.sutterhealth.org/research/publications/cancer-disparity-by-race-and-ethnicity-in-nebraska-1055312884) Lin G, Filos V, Ryan J, Zhang Y, Pu J, Qu M. Nebraska Department of Health and Human Services. 2009 Jun 01 - Publication ### [Genomic testing & therapies for breast cancer in clinical practice.](https://www.sutterhealth.org/research/publications/genomic-testing-therapies-for-breast-cancer-1055312617) Haas JS, Phillips KA, Liang SY, Hassett MJ, Keohane C, Elkin EB, Armstrong J, Toscano M. J Oncol Pract. 7(3 Suppl):e1s-7s. doi: 10.1200/JOP.2011.000299 2011 May 01 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/cancer-asian-ams-natl-mortality-trends-by-grps-1055312524#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Cancer in Asian Ams-national mortality trends by Asian grps."}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/cancer-asian-ams-natl-mortality-trends-by-grps-1055312524#medicalscholarlyarticle","name":"The burden of cancer in Asian Americans: a report of national mortality trends by Asian ethnicity.","headline":"Cancer in Asian Ams-national mortality trends by Asian grps.","abstract":"BACKGROUND: Asian Americans (AA) are the fastest growing U.S. population, and when properly distinguished by their ethnic origins, exhibit substantial heterogeneity in socioeconomic status, health behaviors, and health outcomes. Cancer is the second leading cause of death in the United States, yet trends and current patterns in the mortality burden of cancer among AA ethnic groups have not been documented. METHODS: We report age-adjusted rates, standardized mortality ratios, and modeled trends in cancer-related mortality in the following AA ethnicities: Asian Indians, Chinese, Filipinos, Japanese, Koreans, and Vietnamese, from 2003 to 2011, with non-Hispanic whites (NHW) as the reference population. RESULTS: For most cancer sites, AAs had lower cancer mortality than NHWs; however, mortality patterns were heterogeneous across AA ethnicities. Stomach and liver cancer mortality was very high, particularly among Chinese, Koreans, and Vietnamese, for whom these two cancer types combined accounted for 15% to 25% of cancer deaths, but less than 5% of cancer deaths in NHWs. In AA women, lung cancer was a leading cause of death, but (unlike males and NHW females) rates did not decline over the study period. CONCLUSIONS: Ethnicity-specific analyses are critical to understanding the national burden of cancer among the heterogeneous AA population. IMPACT: Our findings highlight the need for disaggregated reporting of cancer statistics in AAs and warrant consideration of tailored screening programs for liver and gastric cancers.","description":"Findings support need for disaggregated reports of cancer stats in Asian Ams & warrant consideration of tailored screening programs for liver, gastric cancers.","keywords":["All Cancer","Digestive Disorders","Endocrinology and Metabolism","Health Disparities","Lung Diseases"],"datePublished":"2016-10-01","url":"https://www.sutterhealth.org/research/publications/cancer-asian-ams-natl-mortality-trends-by-grps-1055312524","inLanguage":"en-US","identifier":[{"@type":"PropertyValue","propertyID":"PMID","value":"27694108"}],"sameAs":["https://pubmed.ncbi.nlm.nih.gov/27694108/"],"isPartOf":{"@type":"Periodical","name":"Cancer Epidemiol Biomarkers Prev"},"author":[{"@type":"Person","name":"Thompson CA"},{"@type":"Person","name":"Gomez SL"},{"@type":"Person","name":"Hastings KG"},{"@type":"Person","name":"Kapphahn K"},{"@type":"Person","name":"Yu P"},{"@type":"Person","name":"Shariff-Marco S"},{"@type":"Person","name":"Bhatt AS"},{"@type":"Person","name":"Wakelee HA"},{"@type":"Person","name":"Patel MI"},{"@type":"Person","name":"Cullen MR"},{"@type":"Person","name":"Palaniappan LP"}],"sourceOrganization":{"@type":"MedicalOrganization","name":"Palo Alto Medical Foundation Research Institute"},"about":[{"@type":"DefinedTerm","name":"All Cancer","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22All+Cancer%22%5D%7D%5D&verticalKey=research_publication"},{"@type":"DefinedTerm","name":"Digestive Disorders","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Digestive+Disorders%22%5D%7D%5D&verticalKey=research_publication"},{"@type":"DefinedTerm","name":"Endocrinology and Metabolism","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Endocrinology+and+Metabolism%22%5D%7D%5D&verticalKey=research_publication"},{"@type":"DefinedTerm","name":"Health Disparities","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Health+Disparities%22%5D%7D%5D&verticalKey=research_publication"},{"@type":"DefinedTerm","name":"Lung Diseases","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Lung+Diseases%22%5D%7D%5D&verticalKey=research_publication"}],"mainEntityOfPage":{"@type":"WebPage","@id":"https://www.sutterhealth.org/research/publications/cancer-asian-ams-natl-mortality-trends-by-grps-1055312524","breadcrumb":{"@id":"https://www.sutterhealth.org/research/publications/cancer-asian-ams-natl-mortality-trends-by-grps-1055312524#breadcrumblist"}}} ```