Prostate Cancer Incidence and Mortality among Puerto Ricans: An Updated Analysis Comparing Men in Puerto Rico with US Racial/Ethnic Groups
- 1 September 2012
- journal article
- research article
- Vol. 31 (3), 107-113
Abstract
Objective: Prostate cancer is the most common cancer and the most common cause of cancer death among men in Puerto Rico (PR). Socioeconomic and racial/ethnic disparities with regard to prostate cancer incidence have been reported in the United States of America (US); however, detailed information regarding health disparities in PR is scarce. Methods: Age-standardized rates for prostate cancer incidence and mortality were calculated based on the world standard population using data from the PR Central Cancer Registry and the National Cancer Institute SER program. The age-specific relative risks were calculated using Poisson regression models. In addition, incidence and mortality rates in PR were compared by socioeconomic position (SE P) at the municipal level. Results: For the period from 1992 to 2004, the incidence and mortality trends of prostate cancer decreased in all racial/ethnic groups except for PR men and US Hispanics (USH). Non-Hispanic whites (NHW), non-Hispanic blacks (NHB), and USH had higher incidence of prostate cancer than did PR men; however, PR men aged 85+ yrs and USH aged 45-54 yrs/85+ yrs, respectively, had higher incidences than did NHW and USH. Nonetheless, men in PR had a higher mortality than did USH and NHW. PR men aged 55-64 years with the highest SE P had a 40% higher mortality of prostate cancer than did those with the lowest SE P. Conclusion: Areas of concern include the higher mortality of prostate cancer in PR as compared with the USH and NHW in the US. Further research should be performed to guide the design and implementation of prostate cancer prevention and education programs that can increase early detection in PR men. [P R Health Sci J 2012; 3: 107-113]Keywords
This publication has 12 references indexed in Scilit:
- Using a Socioeconomic Position Index to Assess Disparities in Cancer Incidence and Mortality, Puerto Rico, 1995-2004Preventing Chronic Disease, 2011
- Socioeconomic status and prostate cancer incidence and mortality rates among the diverse population of CaliforniaCancer Causes & Control, 2009
- Cancer Statistics, 2008CA: A Cancer Journal for Clinicians, 2008
- Recent Genetic Selection in the Ancestral Admixture of Puerto RicansAmerican Journal of Human Genetics, 2007
- A Genomewide Admixture Mapping Panel for Hispanic/Latino PopulationsAmerican Journal of Human Genetics, 2007
- Cancer Incidence and Mortality in the CaribbeanCancer Investigation, 2007
- Efficient interval estimation for age-adjusted cancer ratesStatistical Methods in Medical Research, 2006
- Annual report to the nation on the status of cancer, 1975–2003, featuring cancer among U.S. Hispanic/Latino populationsCancer, 2006
- Patterns of cancer incidence among US Hispanics/Latinos, 1995–2000Cancer Causes & Control, 2006
- Ethnic Differences in the Frequency of Prostate Cancer Susceptibility Alleles at SRD5A2 and CYP3A4Human Heredity, 2002