title: Self-Reported Cancer Prevalence among Hispanics in the US: Results from the Hispanic Community Health Study/Study of Latinos.
abstract: Cancer has surpassed heart disease as the leading cause of death among Hispanics in the U.S., yet data on cancer prevalence and risk factors in Hispanics in regard to ancestry remain scarce. This study sought to describe (a) the prevalence of cancer among Hispanics from four major U.S. metropolitan areas, (b) cancer prevalence across Hispanic ancestry, and (c) identify correlates of self-reported cancer prevalence. Participants were 16,415 individuals from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL), who self-identified as Cuban, Dominican, Mexican, Puerto Rican, Central or South American. All data were collected at a single time point during the HCHS/SOL baseline clinic visit. The overall self-reported prevalence rate of cancer for the population was 4%. The rates varied by Hispanic ancestry group, with individuals of Cuban and Puerto Rican ancestry reporting the highest cancer prevalence. For the entire population, older age (OR = 1.47, p < .001, 95% CI, 1.26-1.71) and having health insurance (OR = 1.93, p < .001, 95% CI, 1.42-2.62) were all significantly associated with greater prevalence, whereas male sex was associated with lower prevalence (OR = 0.56, p < .01, 95% CI, .40-.79). Associations between study covariates and cancer prevalence also varied by Hispanic ancestry. Findings underscore the importance of sociodemographic factors and health insurance in relation to cancer prevalence for Hispanics and highlight variations in cancer prevalence across Hispanic ancestry groups. Characterizing differences in cancer prevalence rates and their correlates is critical to the development and implementation of effective prevention strategies across distinct Hispanic ancestry groups.
authors.affiliation: Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States of America.
authors.forename: Frank J
authors.initials: FJ
authors.lastname: Penedo
authors.affiliation: Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States of America.
authors.forename: Betina
authors.initials: B
authors.lastname: Yanez
authors.affiliation: Institute For Behavioral and Community Health, Graduate School of Public Health, San Diego State University, San Diego, CA, United States of America.
authors.forename: Sheila F
authors.initials: SF
authors.lastname: Castañeda
authors.affiliation: Department of Psychology, San Diego State University, San Diego, CA, United States of America.
authors.forename: Linda
authors.initials: L
authors.lastname: Gallo
authors.affiliation: Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States of America.
authors.forename: Katy
authors.initials: K
authors.lastname: Wortman
authors.affiliation: Department of Biostatistics, Gillings School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States of America.
authors.forename: Natalia
authors.initials: N
authors.lastname: Gouskova
authors.affiliation: Department of Obstetrics & Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States of America.
authors.forename: Melissa
authors.initials: M
authors.lastname: Simon
authors.affiliation: Department of Psychology, University of Miami, Coral Gables, FL, United States of America.
authors.forename: William
authors.initials: W
authors.lastname: Arguelles
authors.affiliation: Department of Psychology, University of Miami, Coral Gables, FL, United States of America.
authors.forename: Maria
authors.initials: M
authors.lastname: Llabre
authors.affiliation: Department of Psychiatry, University of Illinois at Chicago, Chicago, IL, United States of America.
authors.forename: Lisa
authors.initials: L
authors.lastname: Sanchez-Johnsen
authors.affiliation: Department of Psychology, University of Miami, Coral Gables, FL, United States of America.
authors.forename: Carrie
authors.initials: C
authors.lastname: Brintz
authors.affiliation: Institute For Behavioral and Community Health, Graduate School of Public Health, San Diego State University, San Diego, CA, United States of America.
authors.forename: Patricia
authors.initials: P
authors.lastname: Gonzalez
authors.affiliation: Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States of America.
authors.forename: Linda
authors.initials: L
authors.lastname: Van Horn
authors.affiliation: Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States of America.
authors.forename: Alfred W
authors.initials: AW
authors.lastname: Rademaker
authors.affiliation: Institute for Health Promotion, University of Texas Health Science Center, San Antonio, TX, United States of America.
authors.forename: Amelie G
authors.initials: AG
authors.lastname: Ramirez
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002140:California / Q000453:epidemiology; D002489:Central America / Q000208:ethnology; D002641:Chicago / Q000453:epidemiology; D003462:Cuba / Q000208:ethnology; D004293:Dominican Republic / Q000208:ethnology; D005260:Female; D005431:Florida / Q000453:epidemiology; D006306:Health Surveys; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000208:ethnology*; D009519:New York City / Q000453:epidemiology; D015995:Prevalence; D011446:Prospective Studies; D011647:Puerto Rico / Q000208:ethnology; D057566:Self Report; D017678:Sex Distribution; D013020:South America / Q000208:ethnology; D014505:Urban Population / Q000706:statistics & numerical data; D055815:Young Adult