Disparities in head and neck cancer incidence and trends by race/ethnicity and sex
Background The epidemiology of head and neck cancer (HNC) sites differ substantially. This study compares HNC incidence trends by site and demographic subgroups. Methods We used the U.S. Cancer Statistics Public Use Database to calculate HNC incidence rates per 100 000. We assessed trends with annua...
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Veröffentlicht in: | Head & neck 2023-01, Vol.45 (1), p.75-84 |
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description | Background
The epidemiology of head and neck cancer (HNC) sites differ substantially. This study compares HNC incidence trends by site and demographic subgroups.
Methods
We used the U.S. Cancer Statistics Public Use Database to calculate HNC incidence rates per 100 000. We assessed trends with annual percent change (APC) longitudinally from 2001 to 2017.
Results
The oropharyngeal cancer incidence APC decreased from 4.38% (95% CI: 3.6, 5.1) to 2.93% (2.5, 3.3) in 2008 among White males. Oral cavity cancer incidence rose in Other race males (APC 2.5% [1.6, 3.36]) and White females (APC: 0.96% [0.7, 1.2]). Although decreasing (APC: −1.15% [−1.48, −0.83]), laryngeal cancer incidence remained disproportionately high among Black males.
Conclusions
Notable incidence trends occurred in non‐White groups at non‐oropharyngeal sites. With parity of smoking rates by race, differing sexual behaviors, and shifting demographics by race and sex, future studies of HNC trends should consider stratifying analyses to understand health disparities. |
doi_str_mv | 10.1002/hed.27209 |
format | Article |
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The epidemiology of head and neck cancer (HNC) sites differ substantially. This study compares HNC incidence trends by site and demographic subgroups.
Methods
We used the U.S. Cancer Statistics Public Use Database to calculate HNC incidence rates per 100 000. We assessed trends with annual percent change (APC) longitudinally from 2001 to 2017.
Results
The oropharyngeal cancer incidence APC decreased from 4.38% (95% CI: 3.6, 5.1) to 2.93% (2.5, 3.3) in 2008 among White males. Oral cavity cancer incidence rose in Other race males (APC 2.5% [1.6, 3.36]) and White females (APC: 0.96% [0.7, 1.2]). Although decreasing (APC: −1.15% [−1.48, −0.83]), laryngeal cancer incidence remained disproportionately high among Black males.
Conclusions
Notable incidence trends occurred in non‐White groups at non‐oropharyngeal sites. With parity of smoking rates by race, differing sexual behaviors, and shifting demographics by race and sex, future studies of HNC trends should consider stratifying analyses to understand health disparities.</description><identifier>ISSN: 1043-3074</identifier><identifier>ISSN: 1097-0347</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.27209</identifier><identifier>PMID: 36200577</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Adenomatous polyposis coli ; Black People ; demographic disparities ; Demography ; Epidemiology ; Ethnicity ; Female ; Head & neck cancer ; head and neck cancer ; Head and Neck Neoplasms - epidemiology ; Humans ; Incidence ; Laryngeal cancer ; Male ; Males ; Oral carcinoma ; Oral cavity ; Oropharyngeal cancer ; Oropharyngeal Neoplasms - epidemiology ; otolaryngology ; Sexual behavior ; Throat cancer ; Trends</subject><ispartof>Head & neck, 2023-01, Vol.45 (1), p.75-84</ispartof><rights>2022 Wiley Periodicals LLC.</rights><rights>2023 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3389-ebc87b9116c37e8767689c928ed82f7d596d0f4ad17dded226a850481185fe1d3</citedby><cites>FETCH-LOGICAL-c3389-ebc87b9116c37e8767689c928ed82f7d596d0f4ad17dded226a850481185fe1d3</cites><orcidid>0000-0001-5650-8821 ; 0000-0002-9111-6767 ; 0000-0003-2015-9855</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fhed.27209$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fhed.27209$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36200577$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mazul, Angela L.</creatorcontrib><creatorcontrib>Chidambaram, Smrithi</creatorcontrib><creatorcontrib>Zevallos, Jose P.</creatorcontrib><creatorcontrib>Massa, Sean T.</creatorcontrib><title>Disparities in head and neck cancer incidence and trends by race/ethnicity and sex</title><title>Head & neck</title><addtitle>Head Neck</addtitle><description>Background
The epidemiology of head and neck cancer (HNC) sites differ substantially. This study compares HNC incidence trends by site and demographic subgroups.
Methods
We used the U.S. Cancer Statistics Public Use Database to calculate HNC incidence rates per 100 000. We assessed trends with annual percent change (APC) longitudinally from 2001 to 2017.
Results
The oropharyngeal cancer incidence APC decreased from 4.38% (95% CI: 3.6, 5.1) to 2.93% (2.5, 3.3) in 2008 among White males. Oral cavity cancer incidence rose in Other race males (APC 2.5% [1.6, 3.36]) and White females (APC: 0.96% [0.7, 1.2]). Although decreasing (APC: −1.15% [−1.48, −0.83]), laryngeal cancer incidence remained disproportionately high among Black males.
Conclusions
Notable incidence trends occurred in non‐White groups at non‐oropharyngeal sites. With parity of smoking rates by race, differing sexual behaviors, and shifting demographics by race and sex, future studies of HNC trends should consider stratifying analyses to understand health disparities.</description><subject>Adenomatous polyposis coli</subject><subject>Black People</subject><subject>demographic disparities</subject><subject>Demography</subject><subject>Epidemiology</subject><subject>Ethnicity</subject><subject>Female</subject><subject>Head & neck cancer</subject><subject>head and neck cancer</subject><subject>Head and Neck Neoplasms - epidemiology</subject><subject>Humans</subject><subject>Incidence</subject><subject>Laryngeal cancer</subject><subject>Male</subject><subject>Males</subject><subject>Oral carcinoma</subject><subject>Oral cavity</subject><subject>Oropharyngeal cancer</subject><subject>Oropharyngeal Neoplasms - epidemiology</subject><subject>otolaryngology</subject><subject>Sexual behavior</subject><subject>Throat cancer</subject><subject>Trends</subject><issn>1043-3074</issn><issn>1097-0347</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kUtLAzEUhYMoVqsL_4AMuNHF2Lw6yWwEaesDBEF0HdLkjo1OMzWZqv33xlaLCq7u5Z6Pw0kOQgcEnxKMaW8C9pQKissNtENwKXLMuNj83DnLGRa8g3ZjfMIYs4LTbdRhBcW4L8QOuhu6ONPBtQ5i5nw2AW0z7W3mwTxnRnsDId2Ns5DWpdIG8DZm40UWtIEetBPvjGsXSzHC-x7aqnQdYf9rdtHDxeh-cJXf3F5eD85vcsOYLHMYGynGJSGFYQKkKEQhS1NSCVbSSth-WVhccW2JsBYspYWWfcwlIbJfAbGsi85WvrP5eArWgG-DrtUsuKkOC9Vop34r3k3UY_OqSsEpIyIZHH8ZhOZlDrFVUxcN1LX20MyjSl-auJRVJvToD_rUzINPz0sUl0JwltguOllRJjQxBqjWYQhWn02p1JRaNpXYw5_p1-R3NQnorYA3V8Pifyd1NRquLD8AQQacqw</recordid><startdate>202301</startdate><enddate>202301</enddate><creator>Mazul, Angela L.</creator><creator>Chidambaram, Smrithi</creator><creator>Zevallos, Jose P.</creator><creator>Massa, Sean T.</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-5650-8821</orcidid><orcidid>https://orcid.org/0000-0002-9111-6767</orcidid><orcidid>https://orcid.org/0000-0003-2015-9855</orcidid></search><sort><creationdate>202301</creationdate><title>Disparities in head and neck cancer incidence and trends by race/ethnicity and sex</title><author>Mazul, Angela L. ; Chidambaram, Smrithi ; Zevallos, Jose P. ; Massa, Sean T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3389-ebc87b9116c37e8767689c928ed82f7d596d0f4ad17dded226a850481185fe1d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adenomatous polyposis coli</topic><topic>Black People</topic><topic>demographic disparities</topic><topic>Demography</topic><topic>Epidemiology</topic><topic>Ethnicity</topic><topic>Female</topic><topic>Head & neck cancer</topic><topic>head and neck cancer</topic><topic>Head and Neck Neoplasms - epidemiology</topic><topic>Humans</topic><topic>Incidence</topic><topic>Laryngeal cancer</topic><topic>Male</topic><topic>Males</topic><topic>Oral carcinoma</topic><topic>Oral cavity</topic><topic>Oropharyngeal cancer</topic><topic>Oropharyngeal Neoplasms - epidemiology</topic><topic>otolaryngology</topic><topic>Sexual behavior</topic><topic>Throat cancer</topic><topic>Trends</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mazul, Angela L.</creatorcontrib><creatorcontrib>Chidambaram, Smrithi</creatorcontrib><creatorcontrib>Zevallos, Jose P.</creatorcontrib><creatorcontrib>Massa, Sean T.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Head & neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mazul, Angela L.</au><au>Chidambaram, Smrithi</au><au>Zevallos, Jose P.</au><au>Massa, Sean T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Disparities in head and neck cancer incidence and trends by race/ethnicity and sex</atitle><jtitle>Head & neck</jtitle><addtitle>Head Neck</addtitle><date>2023-01</date><risdate>2023</risdate><volume>45</volume><issue>1</issue><spage>75</spage><epage>84</epage><pages>75-84</pages><issn>1043-3074</issn><issn>1097-0347</issn><eissn>1097-0347</eissn><abstract>Background
The epidemiology of head and neck cancer (HNC) sites differ substantially. This study compares HNC incidence trends by site and demographic subgroups.
Methods
We used the U.S. Cancer Statistics Public Use Database to calculate HNC incidence rates per 100 000. We assessed trends with annual percent change (APC) longitudinally from 2001 to 2017.
Results
The oropharyngeal cancer incidence APC decreased from 4.38% (95% CI: 3.6, 5.1) to 2.93% (2.5, 3.3) in 2008 among White males. Oral cavity cancer incidence rose in Other race males (APC 2.5% [1.6, 3.36]) and White females (APC: 0.96% [0.7, 1.2]). Although decreasing (APC: −1.15% [−1.48, −0.83]), laryngeal cancer incidence remained disproportionately high among Black males.
Conclusions
Notable incidence trends occurred in non‐White groups at non‐oropharyngeal sites. With parity of smoking rates by race, differing sexual behaviors, and shifting demographics by race and sex, future studies of HNC trends should consider stratifying analyses to understand health disparities.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>36200577</pmid><doi>10.1002/hed.27209</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-5650-8821</orcidid><orcidid>https://orcid.org/0000-0002-9111-6767</orcidid><orcidid>https://orcid.org/0000-0003-2015-9855</orcidid></addata></record> |
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subjects | Adenomatous polyposis coli Black People demographic disparities Demography Epidemiology Ethnicity Female Head & neck cancer head and neck cancer Head and Neck Neoplasms - epidemiology Humans Incidence Laryngeal cancer Male Males Oral carcinoma Oral cavity Oropharyngeal cancer Oropharyngeal Neoplasms - epidemiology otolaryngology Sexual behavior Throat cancer Trends |
title | Disparities in head and neck cancer incidence and trends by race/ethnicity and sex |
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