title: U.S. Latino population composition change and comprehensive cancer centers.
abstract: BACKGROUND
  We describe a typology characterizing population trends of U.S. Latinos/Hispanics from 1990 to 2000 with respect to National Cancer Institute-designated comprehensive cancer centers (CCCs) and corresponding consolidated metropolitan statistical or metropolitan statistical areas (CMSA/MSAs).
  
  
  METHODS
  Using U.S. Census Bureau data, we constructed population pyramids to analyze population growth and composition for each CMSA/MSA with a CCC.
  
  
  RESULTS
  We identified four types of population growth and composition: Type I--Very Fast and Unstable; Type II--Fast and Unstable; Type III--Somewhat Fast and Stable; Type IV--Slow and Stable.
  
  
  CONCLUSIONS
  The CCCs in areas with Types I and II population growth face the greatest challenges because of the lack of infrastructure for reaching medically underserved Latinos. In contrast, CCCs in areas with Types III and IV population growth may have significant infrastructure but must quickly develop interventions to reach and provide access to aging Latinos to reduce health disparities in cancer mortality and morbidity.
authors.affiliation: Department of Orthopaedics and Rehabilitation and School of Nursing at Vanderbilt University Medical Center, Medical Center East, South Tower, Suite 4460, Nashville, TN 37232-8828, USA. ann.m.flores@vanderbilt.edu
authors.forename: Ann Marie
authors.initials: AM
authors.lastname: Flores
authors.forename: Diana D
authors.initials: DD
authors.lastname: Jeffery
authors.forename: Barry A
authors.initials: BA
authors.lastname: Miller
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002173:Cancer Care Facilities; D002648:Child; D002675:Child, Preschool; D003710:Demography; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000453:epidemiology / Q000401:mortality; D014481:United States / Q000453:epidemiology; D055815:Young Adult