肺癌(LC)发病率和肿瘤特征之间(非西班牙裔)黑人和西班牙裔详细组,通常以骨料为特征,在美国被忽视了。我们使用了佛罗里达州癌症登记处的LC数据,2012-2018年,计算美国出生的黑人的LC年龄调整发病率(AAIR),加勒比海出生的黑人,墨西哥人,波多黎各人,古巴人,多米尼加,以及中美洲和南美洲人口。我们分析了120,550例LC病例。在西班牙裔美国人中,古巴男性的AAIR最高(每100,000人中有65.6;95CI:63.6-67.6),只有8%[发病率比率(IRR):0.92;95CI:0.89-0.95]比白人低,但比中美洲人高2.7倍(IRR95CI:2.31-3.19)。在黑人中,美国出生的黑人男性的AAIR是加勒比海出生的男性的三倍多(IRR:3.12;95CI:2.80-3.40),比白人男性高14%(IRR:1.14;95CI:1.11-1.18)。在女性中,美国出生的黑人(每100,000人中有46.4人)和外国出生的墨西哥人(每100,000人中有12.2人)的比率最高和最低。非西班牙裔黑人或西班牙裔的聚集掩盖了群体内的固有差异。了解美国人群中不同的LC率对于针对LC诊断的公共卫生措施至关重要。预防,和治疗。进一步的LC研究探索关于从不吸烟者的LC的详细种族-种族是必要的,特别是在女性中,并考虑相关的环境因素。
Lung cancer (LC) incidence rates and tumor characteristics among (non-Hispanic) Black and Hispanic detailed groups, normally characterized in aggregate, have been overlooked in the US. We used LC data from the Florida state cancer registry, 2012-2018, to compute LC age-adjusted incidence rates (AAIR) for US-born Black, Caribbean-born Black, Mexican, Puerto Rican, Cuban, Dominican, and Central and South American populations. We analyzed 120,550 total LC cases. Among Hispanics, Cuban males had the highest AAIR (65.6 per 100,000; 95%CI: 63.6-67.6), only 8% [Incidence Rate Ratio (IRR): 0.92; 95%CI: 0.89-0.95] lower than Whites, but 2.7 (IRR 95%CI: 2.31-3.19) times higher than Central Americans. Among Blacks, the AAIR for US-born Black males was over three times that of those Caribbean-born (IRR: 3.12; 95%CI: 2.80-3.40) and 14% higher than White males (IRR: 1.14; 95%CI: 1.11-1.18). Among women, US-born Blacks (46.4 per 100,000) and foreign-born
Mexicans (12.2 per 100,000) had the highest and lowest rates. Aggregation of non-Hispanic Blacks or Hispanics obscures inherent disparities within groups. Understanding the distinct LC rates in US populations is crucial for targeting public health measures for LC diagnosis, prevention, and treatment. Further LC research exploring detailed race-ethnicity regarding LC in never-smokers is necessary, particularly among females and considering pertinent environmental factors.