caa a22 4500 477129390 CHVBK 20180405111700.0 cr unu---uuuuu 170330e19970901xx s 000 0 eng 10.1023/A:1018423219749 doi (NATIONALLICENCE)springer-10.1023/A:1018423219749 Cancer incidence in the Hmong of Central California, United States, 1987-94 [Elektronische Daten] [P. Mills, R. Yang] The Hmong are an ethnic minority in China, some of whom migrated tothe mountainous areas of North Vietnam, Laos, and Thailand in the 19th and20th centuries. Because of their support for the United States during theVietnam war, many Laotian Hmong fled to Thailand and eventually werere-settled in the US after the end of that conflict. Approximately100,000Hmong currently live in the US, of whom about half reside in theCentral Valley of California. The purpose of this study was to measure cancerincidence in this unique new immigrant population. Using the resources of theCancer Registry of Central California (CRCC), a population-based cancerregistry, cancer incidence in the Hmong was evaluated by calculatingage-adjusted incidence rates as well as by calculating proportional incidenceratios. Compared with all races combined, elevated rates of cancer in theHmong were observed for the following sites: nasopharynx, stomach, liver,pancreas, leukemia, and non-Hodgkin's lympho ma. Cervical cancer incidenceoverall was elevated, but more noteworthy, invasive cervix cancer rates weremuch higher than expected. Lower cancer rates were found for breast,prostate, and colorectal cancer. Hmong also experienced advanced stage andgrade of disease at diagnosis for many cancer sites in addition to cervicalcancer, which may be explained by cultural factors, including avoidance ofWestern medical care and low rates of participation in screening programs.This population should be followed closely and monitored for patterns ofcancer incidence in the future since it provides a natural laboratory forstudies of cancer etiology as this population gradually becomes acculturatedto the Western lifestyle. Chapman and Hall, 1997 Cancer incidence nationallicence Hmong nationallicence registry nationallicence United States nationallicence Mills P. Cancer Registry of Central California, Fresno, USA aut Yang R. Cancer Registry of Central California, Fresno, USA aut Cancer Causes & Control Kluwer Academic Publishers 8/5(1997-09-01), 706-712 0957-5243 8:5<706 1997 8 10552 https://doi.org/10.1023/A:1018423219749 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1023/A:1018423219749 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Mills P. Cancer Registry of Central California, Fresno, USA aut NATIONALLICENCE 700 1- Yang R. Cancer Registry of Central California, Fresno, USA aut NATIONALLICENCE 773 0- Cancer Causes & Control Kluwer Academic Publishers 8/5(1997-09-01), 706-712 0957-5243 8:5<706 1997 8 10552 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer