NDLI: Cancer incidence in the Hmong of Central California, United States, 1987-94

Content Provider	Springer Nature Link
Author	Mills, P. K. Yang, R.
Copyright Year	1997
Abstract	The Hmong are an ethnic minority in China, some of whom migrated tothe mountainous areas of North Vietnam, Laos, and Thailand in the 19th and20th centuries. Because of their support for the United States during theVietnam war, many Laotian Hmong fled to Thailand and eventually werere-settled in the US after the end of that conflict. Approximately100,000Hmong currently live in the US, of whom about half reside in theCentral Valley of California. The purpose of this study was to measure cancerincidence in this unique new immigrant population. Using the resources of theCancer Registry of Central California (CRCC), a population-based cancerregistry, cancer incidence in the Hmong was evaluated by calculatingage-adjusted incidence rates as well as by calculating proportional incidenceratios. Compared with all races combined, elevated rates of cancer in theHmong were observed for the following sites: nasopharynx, stomach, liver,pancreas, leukemia, and non-Hodgkin’s lympho ma. Cervical cancer incidenceoverall was elevated, but more noteworthy, invasive cervix cancer rates weremuch higher than expected. Lower cancer rates were found for breast,prostate, and colorectal cancer. Hmong also experienced advanced stage andgrade of disease at diagnosis for many cancer sites in addition to cervicalcancer, which may be explained by cultural factors, including avoidance ofWestern medical care and low rates of participation in screening programs.This population should be followed closely and monitored for patterns ofcancer incidence in the future since it provides a natural laboratory forstudies of cancer etiology as this population gradually becomes acculturatedto the Western lifestyle.
Starting Page	706
Ending Page	712
Page Count	7
File Format	PDF
ISSN	09575243
Journal	Cancer Causes & Control
Volume Number	8
Issue Number	5
e-ISSN	15737225
Language	English
Publisher	Kluwer Academic Publishers
Publisher Date	1997-01-01
Publisher Place	Dordrecht
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Public Health/Gesundheitswesen Hematology Oncology Epidemiology
Content Type	Text
Resource Type	Article
Subject	Cancer Research Oncology

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