Foreign- vs US-born asians and the association of type i uterine cancer

Elise Simons, Kevin Blansit, Torie Tsuei, Rebecca Brooks, Stefanie Ueda, Daniel S. Kapp, John K. Chan

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Objective The purpose of this study was to determine the association of type I endometrioid uterine cancer in US-born vs immigrant Asian women.

Study Design Data were obtained from the Surveillance, Epidemiology, and End Results Program from 2001-2009. Chi-squared, Kaplan-Meier, and binomial logistic regression analyses were used for statistics.

Results Of 4834 Asian women with uterine cancer, 62% were US-born and 38% were immigrants. Of these women, 2972 (61%) had type I (grade 1 or 2, endometrioid histologic type) uterine cancer. Compared with patients with type II disease (grade 3, clear cell and serous histologic type), patients with type I disease were younger (age 55 vs 59 years; P <.01) and had lower stage disease (90% vs 71%; P <.01). US-born Asian women had a significantly higher proportion of type I uterine cancers in contrast to their immigrant counterparts (65% vs 56%; P <.01). Of all immigrants, the proportion of type I cancers was lowest in Japanese women followed by Chinese and Filipino women, respectively (48% vs 52% vs 58%; P <.01). The 5-year disease-specific survivals of US-born vs immigrant Asian women with type I cancer was 92% for both groups. Over 3 time periods (2001-2003, 2004-2006, and 2007-2009), there was an increase in type I cancers among US-born Asian women (61% to 65% to 68%; P <.01).

Conclusion US-born Asian women are more likely to be diagnosed with type I uterine cancer compared with immigrants. Over the study period, there was a trend towards an increase in type I cancers among US-born Asian women.

Original languageEnglish (US)
Pages (from-to)43.e1-43.e6
JournalAmerican journal of obstetrics and gynecology
Volume212
Issue number1
DOIs
StatePublished - Jan 1 2015
Externally publishedYes

Keywords

  • Asian
  • birthplace
  • endometrial cancer
  • ethnicity
  • type I cancer

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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