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Cancer incidence among Hispanic children in the United States.

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Title: Cancer incidence among Hispanic children in the United States.
Alternate Title: La incidencia de cáncer en niños hispanos en Estados Unidos.
Authors: Wilkinson, James D.1,2,3 jwilkins@med.miami.edu, Gonzalez, Alex2, Wohler-Torres, Brad1,3, Fleming, Lora E.1,2,3, MacKinnon, Jill1,3, Trapido, Edward1,2,3, Button, Jaclyn1,3, Peace, Steven1,3
Source: Pan American Journal of Public Health / Revista Panamericana de Salud Pública. Jul2005, Vol. 18 Issue 1, p5-13. 9p. 3 Charts.
Subjects: CHILDHOOD cancer, HISPANIC American children, TUMORS, LEUKEMIA in children, DISEASES
Geographic Terms: CALIFORNIA, FLORIDA
Abstract (English): Objective. To directly compare cancer incidence among Hispanic children and non-Hispanic white children in California and Florida, two states in the United States of America that include nearly one in three Hispanic children in the country. Methods. Cross-sectional data for 1988 through 1998 pertaining to all incident pediatric cancer cases (age < 15 years) with race/ethnicity coded as either Hispanic or non-Hispanic white came from the Florida Cancer Data System database and the California Cancer Registry database. The results were expressed as age-standardized incidence rates, standardized to the world standard million population. Hispanic rates and non-Hispanic white rates were compared using standardized incidence ratios (SIRs) with 95% confidence intervals (95% CIs.). Results. The SIR for all cancers for Hispanic children compared to non-Hispanic white children was 1.02 (95% CI: 0.99, 1.05). For selected tumor types, SIRs indicated higher incidences among Hispanic children for leukemia (SIR = 1.26; 95% CI: 1.19, 1.34), Hodgkin's lymphoma (SIR = 1.29; 95% CI: 1.08, 1.54), and germ cell tumors (SIR = 1.62; 95% CI: 1.34, 1.96). There were lower incidences for the Hispanic children for central nervous system tumors (SIR = 0.72; 95% CI: 0.66, 0.78) and for sympathetic nervous system tumors (SIR = 0.76; 95% CI: 0.66, 0.87). In terms of interstate differences, the incidence of lymphoma, central nervous system tumors, sympathetic nervous system tumors, and malignant bone tumors was highest among Hispanic youth in Florida; the incidence of hepatic tumors was highest among Hispanic youth in California. Conclusions. While the overall cancer incidence rate among Hispanic children was similar to that for non-Hispanic white children, significant differences for specific tumor types were identified. Since Hispanic ethnicity may be a confounder for other cancer risk factors (e.g., familial, socioeconomic, or environmental), it is recommended that future research into Hispanic pediatric cancer risk investigate these risk factors. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Objetivo. Comparar de manera directa la incidencia de cáncer en niños hispanos y en niños blancos no hispanos en los estados de California y la Florida, donde viven casi las dos terceras partes de toda la población infantil hispana de Estados Unidos de América. Métodos. Del Sistema de Estadísticas de Cáncer de la Florida (Florida Cancer Data System) y del Registro de Cáncer de California (California Cancer Registry) se sacaron datos transversales de 1988 a 1998 correspondientes a todos los casos nuevos de cáncer en niños (<15 años de edad), codificados según raza u origen étnico en "hispanos" o "blancos no hispanos". Los resultados se expresaron en forma de tasas de incidencia estandarizadas por edad, usando como referencia la población mundial estándar en millones de habitantes. Se comparó la frecuencia de cáncer en niños hispanos y en niños blancos no hispanos mediante razones de incidencia estandarizadas (RIE) y sus respectivos intervalos de confianza del 95% (IC95%). Resultados. Al compararse la frecuencia de todos los tipos de cáncer en niños hispanos y niños blancos no hispanos, la RIE fue de 1,02 (IC95%: 0,99 a 1,05). Al examinarse ciertos tipos de tumores en particular, las RIE apuntaron a mayores tasas de incidencia de leucemia (RIE = 1,26; IC95%: 1,19 a 1,34), linfoma de Hodgkin (RIE = 1,29; IC95%: 1,08 a 1,54), y tumores de células germinativas (RIE = 1,62; IC95%: 1,34 a 1,96) en niños hispanos. Estos últimos tuvieron menores incidencias de tumores del sistema nervioso central (RIE = 0,72; IC95%: 0,66 a 0,78) y de tumores del sistema nervioso simpático (RIE = 0,76; IC95%: 0,66 a 0,87). En lo que respecta a diferencias entre estados, la incidencia de linfoma, de tumores del sistema nervioso central, de tumores del sistema nervioso simpático y de tumores óseos malignos fue mayor entre jóvenes hispanos residentes de la Florida; en cambio, la incidencia de hepatomas malignos fue mayor entre jóvenes hispanos residentes de California. Conclusiones. Aunque la incidencia general de cáncer en niños hispanos fue semejante a la observada en niños blancos no hispanos, se hallaron diferencias significativas en el caso de ciertos tumores en particular. Habida cuenta de que ser hispano puede ser un factor de confusión en relación con otros factores de riesgo de cáncer (familiares, socioeconómicos o ambientales), se recomienda explorar estos últimos factores en futuras investigaciones sobre el riesgo de cáncer en niños hispanos. [ABSTRACT FROM AUTHOR]
Copyright of Pan American Journal of Public Health / Revista Panamericana de Salud Pública is the property of Pan American Health Organization and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
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  Data: Cancer incidence among Hispanic children in the United States.
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  Data: La incidencia de c&#225;ncer en ni&#241;os hispanos en Estados Unidos.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Wilkinson%2C+James+D%2E%22&quot;&gt;Wilkinson, James D.&lt;/searchLink&gt;&lt;relatesTo&gt;1,2,3&lt;/relatesTo&gt;&lt;i&gt; jwilkins@med.miami.edu&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Gonzalez%2C+Alex%22&quot;&gt;Gonzalez, Alex&lt;/searchLink&gt;&lt;relatesTo&gt;2&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Wohler-Torres%2C+Brad%22&quot;&gt;Wohler-Torres, Brad&lt;/searchLink&gt;&lt;relatesTo&gt;1,3&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Fleming%2C+Lora+E%2E%22&quot;&gt;Fleming, Lora E.&lt;/searchLink&gt;&lt;relatesTo&gt;1,2,3&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22MacKinnon%2C+Jill%22&quot;&gt;MacKinnon, Jill&lt;/searchLink&gt;&lt;relatesTo&gt;1,3&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Trapido%2C+Edward%22&quot;&gt;Trapido, Edward&lt;/searchLink&gt;&lt;relatesTo&gt;1,2,3&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Button%2C+Jaclyn%22&quot;&gt;Button, Jaclyn&lt;/searchLink&gt;&lt;relatesTo&gt;1,3&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Peace%2C+Steven%22&quot;&gt;Peace, Steven&lt;/searchLink&gt;&lt;relatesTo&gt;1,3&lt;/relatesTo&gt;
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Pan+American+Journal+of+Public+Health+%2F+Revista+Panamericana+de+Salud+P&#250;blica%22&quot;&gt;Pan American Journal of Public Health / Revista Panamericana de Salud P&#250;blica&lt;/searchLink&gt;. Jul2005, Vol. 18 Issue 1, p5-13. 9p. 3 Charts.
– Name: Subject
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22CHILDHOOD+cancer%22&quot;&gt;CHILDHOOD cancer&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22HISPANIC+American+children%22&quot;&gt;HISPANIC American children&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22TUMORS%22&quot;&gt;TUMORS&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22LEUKEMIA+in+children%22&quot;&gt;LEUKEMIA in children&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22DISEASES%22&quot;&gt;DISEASES&lt;/searchLink&gt;
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22CALIFORNIA%22&quot;&gt;CALIFORNIA&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22FLORIDA%22&quot;&gt;FLORIDA&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Objective. To directly compare cancer incidence among Hispanic children and non-Hispanic white children in California and Florida, two states in the United States of America that include nearly one in three Hispanic children in the country. Methods. Cross-sectional data for 1988 through 1998 pertaining to all incident pediatric cancer cases (age &lt; 15 years) with race/ethnicity coded as either Hispanic or non-Hispanic white came from the Florida Cancer Data System database and the California Cancer Registry database. The results were expressed as age-standardized incidence rates, standardized to the world standard million population. Hispanic rates and non-Hispanic white rates were compared using standardized incidence ratios (SIRs) with 95% confidence intervals (95% CIs.). Results. The SIR for all cancers for Hispanic children compared to non-Hispanic white children was 1.02 (95% CI: 0.99, 1.05). For selected tumor types, SIRs indicated higher incidences among Hispanic children for leukemia (SIR = 1.26; 95% CI: 1.19, 1.34), Hodgkin&#39;s lymphoma (SIR = 1.29; 95% CI: 1.08, 1.54), and germ cell tumors (SIR = 1.62; 95% CI: 1.34, 1.96). There were lower incidences for the Hispanic children for central nervous system tumors (SIR = 0.72; 95% CI: 0.66, 0.78) and for sympathetic nervous system tumors (SIR = 0.76; 95% CI: 0.66, 0.87). In terms of interstate differences, the incidence of lymphoma, central nervous system tumors, sympathetic nervous system tumors, and malignant bone tumors was highest among Hispanic youth in Florida; the incidence of hepatic tumors was highest among Hispanic youth in California. Conclusions. While the overall cancer incidence rate among Hispanic children was similar to that for non-Hispanic white children, significant differences for specific tumor types were identified. Since Hispanic ethnicity may be a confounder for other cancer risk factors (e.g., familial, socioeconomic, or environmental), it is recommended that future research into Hispanic pediatric cancer risk investigate these risk factors. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Objetivo. Comparar de manera directa la incidencia de c&#225;ncer en ni&#241;os hispanos y en ni&#241;os blancos no hispanos en los estados de California y la Florida, donde viven casi las dos terceras partes de toda la poblaci&#243;n infantil hispana de Estados Unidos de Am&#233;rica. M&#233;todos. Del Sistema de Estad&#237;sticas de C&#225;ncer de la Florida (Florida Cancer Data System) y del Registro de C&#225;ncer de California (California Cancer Registry) se sacaron datos transversales de 1988 a 1998 correspondientes a todos los casos nuevos de c&#225;ncer en ni&#241;os (&lt;15 a&#241;os de edad), codificados seg&#250;n raza u origen &#233;tnico en &quot;hispanos&quot; o &quot;blancos no hispanos&quot;. Los resultados se expresaron en forma de tasas de incidencia estandarizadas por edad, usando como referencia la poblaci&#243;n mundial est&#225;ndar en millones de habitantes. Se compar&#243; la frecuencia de c&#225;ncer en ni&#241;os hispanos y en ni&#241;os blancos no hispanos mediante razones de incidencia estandarizadas (RIE) y sus respectivos intervalos de confianza del 95% (IC95%). Resultados. Al compararse la frecuencia de todos los tipos de c&#225;ncer en ni&#241;os hispanos y ni&#241;os blancos no hispanos, la RIE fue de 1,02 (IC95%: 0,99 a 1,05). Al examinarse ciertos tipos de tumores en particular, las RIE apuntaron a mayores tasas de incidencia de leucemia (RIE = 1,26; IC95%: 1,19 a 1,34), linfoma de Hodgkin (RIE = 1,29; IC95%: 1,08 a 1,54), y tumores de c&#233;lulas germinativas (RIE = 1,62; IC95%: 1,34 a 1,96) en ni&#241;os hispanos. Estos &#250;ltimos tuvieron menores incidencias de tumores del sistema nervioso central (RIE = 0,72; IC95%: 0,66 a 0,78) y de tumores del sistema nervioso simp&#225;tico (RIE = 0,76; IC95%: 0,66 a 0,87). En lo que respecta a diferencias entre estados, la incidencia de linfoma, de tumores del sistema nervioso central, de tumores del sistema nervioso simp&#225;tico y de tumores &#243;seos malignos fue mayor entre j&#243;venes hispanos residentes de la Florida; en cambio, la incidencia de hepatomas malignos fue mayor entre j&#243;venes hispanos residentes de California. Conclusiones. Aunque la incidencia general de c&#225;ncer en ni&#241;os hispanos fue semejante a la observada en ni&#241;os blancos no hispanos, se hallaron diferencias significativas en el caso de ciertos tumores en particular. Habida cuenta de que ser hispano puede ser un factor de confusi&#243;n en relaci&#243;n con otros factores de riesgo de c&#225;ncer (familiares, socioecon&#243;micos o ambientales), se recomienda explorar estos &#250;ltimos factores en futuras investigaciones sobre el riesgo de c&#225;ncer en ni&#241;os hispanos. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: &lt;i&gt;Copyright of Pan American Journal of Public Health / Revista Panamericana de Salud P&#250;blica is the property of Pan American Health Organization and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.1590/S1020-49892005000600002
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        Text: English
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      Pagination:
        PageCount: 9
        StartPage: 5
    Subjects:
      – SubjectFull: CHILDHOOD cancer
        Type: general
      – SubjectFull: HISPANIC American children
        Type: general
      – SubjectFull: TUMORS
        Type: general
      – SubjectFull: LEUKEMIA in children
        Type: general
      – SubjectFull: DISEASES
        Type: general
      – SubjectFull: CALIFORNIA
        Type: general
      – SubjectFull: FLORIDA
        Type: general
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      – TitleFull: Cancer incidence among Hispanic children in the United States.
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              Text: Jul2005
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              Y: 2005
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