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Cancer and Native Hawaiians/Pacific Islanders

  • Native Hawaiians/Pacific Islanders (NHOPI) are 30% more likely to be diagnosed with cancer, as compared to non-Hispanic Whites.
  • American Samoan women are twice as likely to be diagnosed with, and to die from, cervical cancer, as compared to non-Hispanic Whites.
  • American Samoan men are eight times more likely to develop liver cancer, and Native Hawaiian men are 2.4 times more likely to be diagnosed with the same disease, as compared to non-Hispanic Whites.
  • In Hawaii, Native Hawaiian men have the highest mortality rate (220.1) for all types of cancer, as compared to other ethnic groups in the state.1
  • Also in Hawaii, Native Hawaiian women have the highest incidence rate (463.6) for all types of cancer, as compared to other ethnic groups in the state.1
  • In the U.S. territory of Guam, the incidence rate for liver cancer was 6.7 times higher in the Micronesian population, as compared to the national U.S.population (38.2 and 5.8 respectively), from 2003-2007.2
* NOTE: This is the most recent national data which is available at this time. Additional data will be added as reports are issued from the Centers for Disease Control and Prevention.

At a glance – Diagnosis:

Age-adjusted percentages of cancer among persons 18 years of age and over, 2008 *

Native Hawaiian/Pacific Islander

Non-Hispanic White

Native Hawaiian/Pacific Islander/ Non-Hispanic White Ratio

11.4

9.0

1.3

Source:  CDC 2009. Summary Health Statistics for U.S. Adults: 2008. Table 6.
http://www.cdc.gov/nchs/data/series/sr_10/sr10_242.pdf [PDF | 2.6MB]

At a glance – Top Cancer Sites for Native Hawaiians/Pacific Islanders (1998-2002):

Cancer Incidence Rates per 100,000 - Men (1998-2002) *

Cancer

Native Hawaiian

Samoan

Tongan

Non-Hispanic
White (NHW)

Native Hawaiian/
NHW Ratio

Samoan/
NHW Ratio

Tongan/NHW
Ratio

All Sites

531.6

566.7

428.8

587.0

0.9

1.0

0.7

Colorectal

65.7

43.1

--

65.6

1.0

0.7

--

Liver & IBD*

16.3

54.5

--

6.7

2.4

8.1

--

Lung

109.8

111.9

107.0

89.2

1.2

1.3

1.2

Prostate

119.7

144.1

85.0

170.0

0.7

0.8

0.1

Stomach

18.8

53.0

--

9.9

1.9

5.4

--



Cancer Incidence Rates per 100,000 - Women (1998-2002) *

Cancer

Native Hawaiian

Samoan

Tongan

Non-Hispanic
White (NHW)

Native Hawaiian/
NHW Ratio

Samoan/
NHW Ratio

Tongan/NHW
Ratio

All Sites

488.5

472.0

504.7

448.5

1.1

1.1

1.1

Breast

175.8

102.5

118.0

145.2

1.2

0.7

0.8

Cervical

12.3

18.1

--

8.1

1.5

2.2

--

Colorectal

44.0

38.6

--

47.6

0.9

0.8

--

Lung

69.7

56.9

--

59.0

1.2

1.0

--

Stomach

14.5

--

--

4.3

3.4

--

--

*IBD = Intrahepatic Bile Duct

Source:  NCI 2008. Cancer Incidence and Mortality Patterns among Specific Asian and Pacific Islander Populations in the U.S.
http://seer.cancer.gov/publications/apicancer/index.html

At a glance – 5 Year Survival Rate:
National data not available at this time.

At a glance – Death Rate:

Cancer Death Rates per 100,000 - Men (1998-2002) *

Cancer

Native Hawaiian

Samoan

Non-Hispanic
White (NHW)

Native Hawaiian/
NHW Ratio

Samoan/
NHW Ratio

All Sites

263.7

293.9

241.3

1.1

1.2

Liver & IBD*

11.8

32.9

6.1

1.9

5.4

Lung

87.7

74.0

72.2

1.2

1.0

Stomach

14.1

40.9

5.8

2.4

7.1



Cancer Death Rates per 100,000 - Women (1998-2002) *

Cancer

Native Hawaiian

Samoan

Non-Hispanic
White (NHW)

Native Hawaiian/
NHW Ratio

Samoan/
NHW Ratio

All Sites

198.9

209.3

171.7

1.2

1.2

Breast

33.5

36.2

27.8

1.2

1.3

Cervical

5.2

--

2.4

2.2

--

Liver & IBD

6.4

--

2.7

2.4

--

Stomach

10.3

--

2.8

3.3

--

*IBD = Intrahepatic Bile Duct

Source:  NCI 2008. Cancer Incidence and Mortality Patterns among Specific Asian and Pacific Islander Populations in the U.S.
http://seer.cancer.gov/publications/apicancer/index.html

At a glance – Screening:

Colon Cancer

Adults age 50 and over who did not receive a blood stool test in the past 2 years or did not ever have a sigmoidoscopy/colonoscopy, United States 2008 *

Native Hawaiian/Pacific Islander

White

Native Hawaiian/Pacific Islander/White Ratio

39.3

29.2

1.3

Source:  2009 National Healthcare Disparities Report. Table 18_3_2.1a
http://www.ahrq.gov/qual/qrdr09/18_populations/T18_3_2-1a.htm

Cervical Cancer

State of Hawaii - Percent of women, age 18 and over, who ever had a pap smear within the past 3 years, 2011

Native Hawaiian

Caucasian

Native Hawaiian/Caucasian
Ratio

78.4

86.8

0.9

Source:  State of Hawaii. Hawaii Health Data Warehouse 2013.
http://www.hhdw.org/cms/index.php?page=cervical-2 Exit Disclaimer
[Report date July 31, 2013]

Breast Cancer

State of Hawaii - Percent of women, age 40 and over, who had a mammogram within the past 2 years, 2008-2010

Native Hawaiian

Other Pacific Islander

Caucasian

Native Hawaiian/Caucasian
Ratio

Other Pacific Islander/
Caucasian Ratio

77.1

67.9

76.3

1.0

0.9

Source:  State of Hawaii. Hawaii Health Data Warehouse 2012.
http://www.hhdw.org/cms/index.php?page=breast-2 Exit Disclaimer
[Report date January 24, 2012]

 

Prostate Cancer

State of Hawaii - Prostate Cancer Prevalence 2006-2010

Native Hawaiian

Other Pacific Islander

Caucasian

Native Hawaiian/Caucasian
Ratio

Other Pacific Islander/
Caucasian Ratio

3.2

7.5

3.8

0.8

2.0

Source:  State of Hawaii. Hawaii Health Data Warehouse 2012.
http://www.hhdw.org/cms/index.php?page=prostate-2 Exit Disclaimer
[Report date January 27, 2012]


1 Source:  Hawaii Dept. of Health 2003. Hawaii Cancer Facts & Figures 2003 - 2004. Table 5.
http://hawaii.gov/health/statistics/other-reports/cancer2003-04.pdf [PDF | 1.6MB]

2 Source:  Guam Dept. of Public Health and Social Services 2009. Guam Cancer Facts and Figures 2003 - 2007. Table 10.
http://dphss.guam.gov/docs/GUAMCANCERFinal10.14.09.pdf [PDF | 8.42MB]


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Content Last Modified: 9/12/2013 11:10:00 AM
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