Cancer incidence in ethnic German migrants from the Former Soviet Union in comparison to the host population
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Cancer incidence in ethnic German migrants from the Former Soviet Union in comparison to the host population. / Winkler, Volker; Holleczek, Bernd; Stegmaier, Christa; Becher, Heiko.
in: CANCER EPIDEMIOL, Jahrgang 38, Nr. 1, 2014, S. 22-27.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Cancer incidence in ethnic German migrants from the Former Soviet Union in comparison to the host population
AU - Winkler, Volker
AU - Holleczek, Bernd
AU - Stegmaier, Christa
AU - Becher, Heiko
N1 - Copyright © 2013 Elsevier Ltd. All rights reserved.
PY - 2014
Y1 - 2014
N2 - AIM: To investigate cancer incidence patterns among ethnic German migrants (Aussiedler) from the Former Soviet Union, a large migrant group in Germany, in comparison to autochthonous Saarland population over a 20 year observation period.METHODS: Data were obtained from a cohort of Aussiedler residing in the federal state of Saarland (n=18,619). Cancer incidence and vital status were ascertained through record linkage with the Saarland Cancer Registry and local population registries.RESULTS: During the follow up period from 1990 to 2009 we observed 638 incident diagnoses of malignant neoplasms (except non-melanoma skin cancer). The overall standardized incidence ratio (SIR) was 0.98 (95% confidence interval 0.92, 1.04). However, site-specific SIRs revealed great variation. Stomach cancer incidence was significantly higher among Aussiedler. Lung cancer was elevated for males, but lower among females. Additionally, diagnoses for colorectal cancer among males were significantly lower. Age-standardized rates (ASRs) over time show not all cancer rates of Aussiedler attenuate as expected to Saarland rates. For example, lung and prostate cancer incidence rates show increasing disparity from Saarland rates and female breast cancer incidence develops in parallel. Furthermore, ASR for overall cancer incidence of Aussiedler shows a yearly decrease (p=0.06) whereas Saarland rates remain stable.DISCUSSION: Aussiedler incidence rates reflect incidence pattern observed in their countries of origin.
AB - AIM: To investigate cancer incidence patterns among ethnic German migrants (Aussiedler) from the Former Soviet Union, a large migrant group in Germany, in comparison to autochthonous Saarland population over a 20 year observation period.METHODS: Data were obtained from a cohort of Aussiedler residing in the federal state of Saarland (n=18,619). Cancer incidence and vital status were ascertained through record linkage with the Saarland Cancer Registry and local population registries.RESULTS: During the follow up period from 1990 to 2009 we observed 638 incident diagnoses of malignant neoplasms (except non-melanoma skin cancer). The overall standardized incidence ratio (SIR) was 0.98 (95% confidence interval 0.92, 1.04). However, site-specific SIRs revealed great variation. Stomach cancer incidence was significantly higher among Aussiedler. Lung cancer was elevated for males, but lower among females. Additionally, diagnoses for colorectal cancer among males were significantly lower. Age-standardized rates (ASRs) over time show not all cancer rates of Aussiedler attenuate as expected to Saarland rates. For example, lung and prostate cancer incidence rates show increasing disparity from Saarland rates and female breast cancer incidence develops in parallel. Furthermore, ASR for overall cancer incidence of Aussiedler shows a yearly decrease (p=0.06) whereas Saarland rates remain stable.DISCUSSION: Aussiedler incidence rates reflect incidence pattern observed in their countries of origin.
KW - Adolescent
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Child
KW - Child, Preschool
KW - Cohort Studies
KW - Emigrants and Immigrants
KW - Female
KW - Follow-Up Studies
KW - Germany
KW - Humans
KW - Incidence
KW - Infant
KW - Male
KW - Middle Aged
KW - Neoplasms
KW - Registries
KW - Sex Distribution
KW - Time Factors
KW - USSR
KW - Young Adult
U2 - 10.1016/j.canep.2013.10.011
DO - 10.1016/j.canep.2013.10.011
M3 - SCORING: Journal article
C2 - 24275258
VL - 38
SP - 22
EP - 27
JO - CANCER EPIDEMIOL
JF - CANCER EPIDEMIOL
SN - 1877-7821
IS - 1
ER -