Abstract：
Federal, state, and institutional data collection practices and analyses involving Asian Americans as a single, aggregated group obscure critical health disparities among the vast diversity of Asian American subpopulations. Using from the Centers for Disease Control and Prevention Wide-Ranging Online Data for Epidemiologic Research (CDC WONDER) Underlying Causes of Death database, we conducted a cross-sectional study using data on disaggregated Asian American subgroups (Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, other Asians) between 2018 and 2021. We examine deaths from 22 cancer types and in situ, benign neoplasms, identified using ICD-10 codes C00-C97 and D00-D48. Overall, our study comprised 327,311 Asian American decedents, with a mean age of death at 70.57 years (SD=2.79), wherein females accounted for approximately half of the sample (n=36,596/73,207; 49.99%). Notably, compared to the aggregated Asian American reference group, we found higher proportions of deaths from total cancers among Chinese (25.99% vs. 22.37% [ref]), Korean (25.29% vs. 22.37% [ref]), and Vietnamese (24.98% vs. 22.37% [ref]) subgroups. In contrast, total cancer deaths were less prevalent among Asian Indians (17.49% vs. 22.37% [ref]), Japanese (18.90% vs. 22.37% [ref]), and other Asians (20.37% vs. 22.37% [ref]). We identified further disparities by cancer type, sex, and age. Disaggregated data collection and analyses are imperative to understanding differences in cancer mortality among Asian American subgroups, illustrating at-risk populations with greater granularity. Future studies should aim to describe the association between these trends and social, demographic, and environmental risk factors.
摘要：
联邦,state,以及涉及亚裔美国人作为一个单一的机构数据收集实践和分析，聚集的群体掩盖了亚裔美国人亚群的巨大多样性之间的严重健康差异。使用来自疾病控制和预防中心的广泛在线流行病学研究数据（CDCWONDER）的死亡原因数据库，我们使用分类的亚裔美国人亚组(亚裔印第安人，中文,菲律宾人,日本人,韩语,越南人,其他亚洲人)在2018年至2021年之间。我们检查了22种癌症类型和原位死亡，良性肿瘤,使用ICD-10代码C00-C97和D00-D48识别。总的来说,我们的研究包括327,311名亚裔美国人，平均死亡年龄为70.57岁（SD=2.79），其中女性占样品的大约一半(n=36,596/73,207;49.99%)。值得注意的是,与汇总的亚裔美国人参考组相比，我们发现中国人癌症死亡的比例更高(25.99%vs.22.37%[参考])，韩语（25.29%vs.22.37%[参考])，和越南人(24.98%vs.22.37%[ref])子组。相比之下,亚洲印度人的癌症死亡总数较少(17.49%vs.22.37%[参考])，日本人（18.90%vs.22.37%[参考])，和其他亚洲人(20.37%vs.22.37%[参考])。我们确定了癌症类型的进一步差异，性别,和年龄。分类数据收集和分析对于了解亚裔美国人亚组之间癌症死亡率的差异至关重要。用更大的粒度说明高危人群。未来的研究应旨在描述这些趋势与社会，人口统计学,和环境风险因素。
