Онкологический риск у азиатов и жителей Гавайев в США сильно различается в зависимости от этнической группы

Cancer incidence varies widely among Asian American and Native Hawaiian/Pacific Islander (NHPI) groups in the US, despite these groups often being aggregated in research, according to findings published in Cancer. “Most Asian Americans in the United States can trace their roots to more than 24 origin groups that differ in immigration patterns, acculturation levels, languages, exposures in country of origin, and social determinants of health,” study researchers explained. In this report, they aimed to quantify cancer incidence and survival for 8 Asian American and 3 NHPI ethnic groups. Using population-level cancer registry data from 2000 through 2022 available through the National Cancer Institute’s Surveillance, Epidemiology, and End Results program, the researchers evaluated contemporary incidence (2018-2022), survival (2015-2022), and other cancer-related patterns among the groups. Incidence rates were reported as age-standardized to the 2000 US standard population, per 100,000 persons. The overall cancer incidence aggregated across Asian American and NHPI groups was 307.3 per 100,000. However, incidence varied among groups, with Kampuchean people demonstrating an incidence of 218.3 per 100,000 and the Native Hawaiian population having an incidence of 474.5 per 100,000, similar to the incidence among non-Hispanic White people of 477.8 per 100,000. Among patterns the researchers identified, elevated rates of female breast, colorectal, and prostate cancers were observed among Native Hawaiian people compared to other groups. Across Asian American ethnic groups, the prevalence of certain cancers potentially related to infection was increased compared to non-Hispanic White people. Screening patterns also varied among groups. The Vietnamese population demonstrated the highest incidence of liver and intrahepatic bile duct cancer, at 22.2 per 100,000, and the Korean population showed the highest incidence of stomach cancer, at 17.8 per 100,000. The Native Hawaiian population had lower rates of these cancer types, with incidence rates of 12.9 per 100,000 and 9.6 per 100,000, respectively. The highest incidence of lung and bronchus cancer was in the Samoan population, at 55.3 per 100,000, which was similar to the incidence in the non-Hispanic White population (54.4 per 100,000). For cancer of the uterine corpus, the Native Hawaiian population had an incidence of 56.9 per 100,000, and the Samoan population had an incidence of 80.8 per 100,000, which was the highest level observed across populations. The incidence of uterine corpus cancer was 15.1 per 100,000 for the Vietnamese population and 12.3 per 100,000 for the Korean population. Prostate cancer incidence also varied by population, ranging from a reported incidence of 18.6 per 100,000 for Laotian men to 104 per 100,000 for Native Hawaiian men, with both rates lower than that observed for non-Hispanic White men (118.9 per 100,000). Breast cancer incidence ranged from 48.8 per 100,000 for Laotian women to 177.2 per 100,000 for Native Hawaiian women. Survival rates at 5 years also varied across cancer types and Asian American and NHPI ethnic groups. For example, 5-year survival rates for colorectal cancer ranged from 43% for Laotian people to 72% for Asian Indian/Pakistani people. Five-year survival rates for prostate cancer ranged from 63% for Kampuchean individuals to 97% for both Japanese and Korean individuals. “This study clearly demonstrates that aggregated cancer occurrence information obscures substantial variation within Asian American and NHPI ethnic groups,” the researchers concluded. “Successful cancer prevention and control strategies must be tailored to specific ethnic groups rather than a one‐size‐fits‐all approach.” Disclosures: This study was reported by the American Cancer Society. No other funding was listed. Some study authors disclosed conflicts of interest. Please see the original reference for complete disclosures. References: Wagle NS, Giaquinto AN, Yu M, et al. Cancer statistics for Asian American, Native Hawaiian, and Pacific Islander people, 2026. Cancer. Published online August 27, 2026. doi:10.1002/cncr.70584