Cancer incidence in first generation U.S. Hispanics: Cubans, Mexicans, Puerto Ricans, and new Latinos.
BACKGROUND
The diversity among Hispanics/Latinos, defined by geographic origin (e.g., Mexico, Puerto Rico, Cuba), has been neglected when assessing cancer morbidity. For the first time in the United States, we estimated cancer rates for Cubans, Mexicans, Puerto Ricans, and other Latinos, and analyzed changes in cancer risk between Hispanics in their countries of origin, U.S. Hispanics in Florida, and non-Hispanic Whites in Florida.


METHODS
Florida cancer registry (1999-2001) and the 2000 U.S. Census population data were used. The Hispanic Origin Identification Algorithm was applied to establish Hispanic ethnicity and subpopulation.


RESULTS
The cancer rate of 537/100,000 person-years (95% confidence interval, 522.5-552.5) for Hispanic males in Florida was lower than Whites (601; 595.4-606.9). Among women, these rates were 376 (365.6-387.1) and 460 (455.6-465.4), respectively. Among Florida Hispanics, Puerto Ricans had the highest rates, followed by Cubans. Mexicans had the lowest rates. Rates for Hispanics in Florida were at least 40% higher than Hispanics in their countries of origin, as reported by the IARC.


CONCLUSIONS
Substantial variability in cancer rates occurs among Hispanic subpopulations. Cubans, unlike other Hispanics, were comparable with Whites, especially for low rates of cervical and stomach cancers. Despite being overwhelmingly first generation in the U.S. mainland, Puerto Ricans and Cubans in Florida showed rates of colorectal, endometrial, and prostate cancers similar to Whites in Florida. Because rates are markedly lower in their countries of origin, the increased risk for cancer among Cubans, Mexicans, and Puerto Ricans who move to the United States should be further studied.
Pinheiro
Paulo S
PS
Department of Epidemiology and Public Health, University of Miami Miller School of Medicine, Miami, FL 33101, USA. paulopnhr@gmail.com
Sherman
Recinda L
RL
Trapido
Edward J
EJ
Fleming
Lora E
LE
Huang
Youjie
Y
Gomez-Marin
Orlando
O
Lee
David
D
D003462:Cuba / Q000208:ethnology; D005260:Female; D005431:Florida / Q000453:epidemiology; D006630:Hispanic or Latino / Q000208:ethnology*; D006801:Humans; D015994:Incidence; D008297:Male; D017058:Mexican Americans / Q000208:ethnology*; D009369:Neoplasms / Q000208:ethnology*; D011647:Puerto Rico / Q000208:ethnology; D014481:United States / Q000453:epidemiology