Tobacco smoke overload and ethnic, state, gender, and temporal cancer mortality disparities in Asian-Americans and Pacific Islander-Americans

Bruce N. Leistikow, Moon S Chen, Alexander Tsodikov

Research output: Contribution to journalArticle

23 Scopus citations

Abstract

Background.: Asians and Pacific Islanders (APIs) are important populations nationally and globally. So we assessed cumulative tobacco smoke overexposure (smoke overload)/cancer mortality associations across states, ethnicities, years, and genders among API-Americans. Methods.: Death rates were adjusted to the 2000 United States age standard, lung cancer death rates used as a smoke overload bio-index, and lung/non-lung cancer death rate linear regressions run. Cancer death rate smoking-attributable fractions (SAFs) are equal to 1 - estimated unexposed rate/observed rate. Results.: The two lowest smoke overload and non-lung cancer death rates were in South Asian (Indo)-Californian females and males. The highest were in Korean-Californian males. Non-lung cancer death rates were tightly and steeply associated with smoke overload across ethnicity, state, year, or gender. Cancer death rate smoking-attributable fractions ranged from 0 in female and 6% in male Indo-Californians, to 39% in female and 57% in male API-Americans in 2002, to 71% in Korean-Californian and 69% in API Hawaiian males. Discussion.: Many API American cancer death rate disparities across genders, ethnicities, states, or years can be explained by smoke overload disparities. Tobacco control may greatly reduce cancer death rates and disparities among API-Americans and, likely, others.

Original languageEnglish (US)
Pages (from-to)430-434
Number of pages5
JournalPreventive Medicine
Volume42
Issue number6
DOIs
StatePublished - Jun 2006

Keywords

  • Asian-Americans
  • California
  • Ethnicity
  • Gender
  • Hawaii
  • Illinois
  • New Jersey
  • New York
  • Sex characteristics
  • Smoking
  • State governments
  • Time factors

ASJC Scopus subject areas

  • Medicine(all)

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