Hepatocellular carcinoma incidence in Florida. Ethnic and racial distribution.
BACKGROUND
Hepatocellular carcinoma (HCC), the primary form of liver carcinoma, is increasing in incidence worldwide. The increasing numbers of Hispanic immigrants in Florida suggest that the rate of HCC in the Hispanic population should be of special concern. This study describes racial and ethnic distribution and trends of incident HCC in Florida from 1985 to 1995.


METHODS
A total of 2837 cases of incident HCC from 1985 to 1995 were examined from Florida's incident cancer registry, the Florida Cancer Data System. Age standardized and age specific average annual incidence rates were calculated for the state of Florida by gender and by racial and ethnic group.


RESULTS
Over the study period, the average annual incidence HCC rates in Florida among male and female Hispanics and blacks were consistently and significantly twice the rate of white males and females as standardized rate ratios. Males were at least twice as likely to have HCC compared with females in all three racial and ethnic subpopulations.


CONCLUSIONS
The incidence of HCC in Florida was comparable to the overall U.S. incidence with respect to average annual incidence and gender distribution. Florida blacks and Hispanics are at significantly increased risk for HCC incidence compared with Florida whites. These results have implications for preventive HCC recommendations in growing racial and ethnic subpopulations in the United States.
Shea
K A
KA
Department of Epidemiology and Public Health, University of Miami School of Medicine, Miami, Florida 33101, USA.
Fleming
L E
LE
Wilkinson
J D
JD
Wohler-Torres
B
B
McKinnon
J A
JA
D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000453:epidemiology* / Q000208:ethnology; D016021:Epidemiologic Studies; D005006:Ethnicity; D005260:Female; D005431:Florida / Q000453:epidemiology / Q000208:ethnology; D006630:Hispanic or Latino; D006801:Humans; D015994:Incidence; D008113:Liver Neoplasms / Q000453:epidemiology* / Q000208:ethnology; D008297:Male; D008875:Middle Aged; D044469:Racial Groups; D012189:Retrospective Studies; D012737:Sex Factors