Journal article
Stomach Cancer Incidence and Mortality Trends among Circumpolar Nations
Cancer epidemiology, biomarkers & prevention, Vol.30(5), pp.845-856
05/2021
DOI: 10.1158/1055-9965.EPI-20-1618
PMID: 33627381
Abstract
Stomach cancer incidence and mortality rates are declining across circumpolar nations, but the burden may not be distributed equally across subpopulations, including Indigenous peoples. Our objective was to examine stomach cancer incidence and mortality trends across circumpolar populations.
Cancer incidence and mortality data from 1999-2016 were obtained from the Canadian Cancer Registry, Canadian Vital Statistics, CDC WONDER, NORDCAN, Northwestern Russian cancer registries, and National Cancer Reports. The direct method was used to calculate 10-year rolling age-standardized incidence and mortality rates to the world (WHO 2000-2025) and 2011 Canadian standard populations. Standardized incidence rate ratios (SRR) were calculated. Data were stratified by sex, year, and region. U.S. data were broken down by race [White; American Indian/Alaska Native (AIAN)]. Race data were not available from non-U.S. cancer registries.
Most populations showed declining incidence and mortality rates over time. Incidence rates among Greenland males and females, Alaska AIAN males and females, and Northern Canadian both sexes were elevated compared with regional counterparts and remained stable. The largest male SRR was observed among Alaska AIAN versus Alaska Whites [SRR = 3.82; 95% confidence interval (95% CI), 2.71-5.37]. The largest female SRR was observed among Alaska AIAN versus Alaska Whites (SRR = 4.10; 95% CI, 2.62-6.43).
Despite stomach cancer incidence and mortality rates declining overall, some northern and Indigenous populations experience elevated and stable incidence and mortality rates.
There is a need to address disparities observed among circumpolar subpopulations. Given similarities in incidence, mortality, and risk factor prevalence across circumpolar regions, addressing disparities could benefit from coordinated international action.
Details
- Title: Subtitle
- Stomach Cancer Incidence and Mortality Trends among Circumpolar Nations
- Creators
- Jonathan Simkin - School of Population and Public Health, Faculty of Medicine, University of British Columbia, British Columbia, CanadaSarah H Nash - Alaska Native Tribal Health Consortium, Anchorage, AlaskaAnton Barchuk - NN Petrov National Cancer Research Medical Center of Oncology, Saint Petersburg, RussiaDavid K O'Brien - Alaska Cancer Registry, Health Analytics and Vital Records Section (HAVRS), Alaska Department of Health and Social Services, Anchorage, AlaskaAnders C Erickson - School of Population and Public Health, Faculty of Medicine, University of British Columbia, British Columbia, CanadaBrendan Hanley - Office of the Chief Medical Officer of Health, Department of Health and Social Services, Government of Yukon, Whitehorse, Yukon Territory, CanadaHeather Hannah - Department of Health and Social Services, Government of Northwest Territories, Yellowknife, Northwest Territories, CanadaAndre Corriveau - Department of Health and Social Services, Government of Northwest Territories, Yellowknife, Northwest Territories, CanadaInger K Larsen - Cancer Registry of Norway, Oslo, NorwayCharlotte Wessel Skovlund - Danish Cancer Society Research Center, Copenhagen, DenmarkSiri Larønningen - Cancer Registry of Norway, Oslo, NorwayTrevor J B Dummer - Centre of Excellence in Cancer Prevention, School of Population and Public Health, University of British Columbia, British Columbia, CanadaMichael G Bruce - Arctic Investigations Program, Division of Preparedness and Emerging Infections, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Anchorage, AlaskaGina Ogilvie - Women's Health Research Institute, BC Women's Hospital + Health Centre, Vancouver, British Columbia, Canada
- Resource Type
- Journal article
- Publication Details
- Cancer epidemiology, biomarkers & prevention, Vol.30(5), pp.845-856
- DOI
- 10.1158/1055-9965.EPI-20-1618
- PMID
- 33627381
- NLM abbreviation
- Cancer Epidemiol Biomarkers Prev
- ISSN
- 1055-9965
- eISSN
- 1538-7755
- Grant note
- CIHR
- Language
- English
- Date published
- 05/2021
- Academic Unit
- Epidemiology; Center for Social Science Innovation
- Record Identifier
- 9984214957502771
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