Abstract

BACKGROUND:

Bladder cancer (BC) poses an enormous burden on health care systems. Latinos in Texas (TX) were underrepresented in previous studies on racial/ethnic disparity of BC in the US.

OBJECTIVE:

To examine whether BC incidence and survival rates differ among Latinos compared to non-Latino whites (NLW) in South TX, TX, and the US SEER.

METHODS:

Data was collected from the US SEER Program and the Texas Cancer Registry. Annual age-specific and age-adjusted BC incidence rates and annual 5-year relative survival were calculated.

RESULTS:

South TX and TX had significantly lower BC incidence rates than SEER for both Latinos and NLW regardless of gender (Ps < 0.05). South TX women had worse BC survival rates than SEER women for both Latinos and NLW (Ps < 0.05). TX NLW had worse BC survival rates than SEER NLW for both genders together and men only (Ps < 0.05). All Latino groups had lower incidence but worse survival rates than NLW groups for both men and women in each geographic area (all Ps < 0.05). Women had significantly lower BC incidence but worse survival rates than men regardless of race/ethnicity in each geographic area (all Ps < 0.05).

CONCLUSIONS:

South TX women had lower BC incidence but worse survival rates than US SEER women for both Latinos and NLW. Latinos had worse survival but lower incidence rates than NLW. Women had lower BC incidence but worse survival rates than men. The study identifies the BC distribution and high-risk population, racial/ethnic disparities, and geographic differences. It facilitates health care services planning.

中文翻译：

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美国和德克萨斯州非拉丁裔白人和拉丁裔的膀胱癌发病率和生存率

摘要

背景：

膀胱癌（BC）给医疗保健系统带来了巨大负担。德克萨斯州（TX）的拉丁美洲人在美国以前的不列颠哥伦比亚省种族/族裔差异研究中代表性不足。

目的：

为了检查德克萨斯州南部，德克萨斯州和美国SEER地区拉丁裔与非拉丁裔白人（NLW）相比，BC发病率和存活率是否存在差异。

方法：

数据是从美国SEER计划和德克萨斯癌症登记处收集的。计算了年度特定年龄和年龄调整后的BC发生率以及年度5年相对存活率。

结果：

不论性别，南德克萨斯州和德克萨斯州的拉丁裔和NLW的BC发病率均明显低于SEER（P s <0.05）。在拉丁裔和NLW地区，南德克萨斯州女性的BC生存率均比SEER女性低（P s <0.05）。无论是男性还是男性，TX NLW的BC生存率均比SEER NLW差（P s <0.05）。在每个地理区域，所有拉丁裔组的男女发病率均低于NLW组，但生存率较差（所有P s <0.05）。不论种族/民族在每个地理区域内，女性的BC发病率均显着低于男性，但存活率较男性差（所有P s <0.05）。

结论：

在拉丁裔和NLW地区，南德克萨斯州女性的BC发病率均较低，但存活率却比美国SEER女性低。拉丁美洲人的生存较差，但发病率低于NLW。女性的BC发病率较低，但存活率较男性差。该研究确定了卑诗省的分布和高风险人口，种族/族裔差异和地理差异。它有助于卫生保健服务计划。