Affordable Access

Publisher Website

Tobacco smoke overload and ethnic, state, gender, and temporal cancer mortality disparities in Asian-Americans and Pacific Islander-Americans

Authors
Journal
Preventive Medicine
0091-7435
Publisher
Elsevier
Publication Date
Volume
42
Issue
6
Identifiers
DOI: 10.1016/j.ypmed.2005.12.015
Keywords
  • Smoking
  • Asian-Americans
  • State Governments
  • Time Factors
  • Sex Characteristics
  • California
  • Hawaii
  • New York
  • Illinois
  • New Jersey
  • Gender
  • Ethnicity

Abstract

Abstract Background. Asians and Pacific Islanders (APIs) are important populations nationally and globally. So we assessed cumulative tobacco smoke overexposure (smoke overload)/cancer mortality associations across states, ethnicities, years, and genders among API-Americans. Methods. Death rates were adjusted to the 2000 United States age standard, lung cancer death rates used as a smoke overload bio-index, and lung/non-lung cancer death rate linear regressions run. Cancer death rate smoking-attributable fractions (SAFs) are equal to 1 − estimated unexposed rate/observed rate. Results. The two lowest smoke overload and non-lung cancer death rates were in South Asian (Indo)-Californian females and males. The highest were in Korean-Californian males. Non-lung cancer death rates were tightly and steeply associated with smoke overload across ethnicity, state, year, or gender. Cancer death rate smoking-attributable fractions ranged from 0 in female and 6% in male Indo-Californians, to 39% in female and 57% in male API-Americans in 2002, to 71% in Korean-Californian and 69% in API Hawaiian males. Discussion. Many API American cancer death rate disparities across genders, ethnicities, states, or years can be explained by smoke overload disparities. Tobacco control may greatly reduce cancer death rates and disparities among API-Americans and, likely, others.

There are no comments yet on this publication. Be the first to share your thoughts.