Lung and Bronchus

    (BlackDoctor.org) — Cancer of the lung and bronchus (hereafter, lung cancer)
    is the second most common cancer among both men and women and is the leading
    cause of cancer death in both sexes. Among men, age-adjusted lung cancer
    incidence rates (per 100,000) range from a low of about 14 among American
    Indians to a high of 117 among blacks, an eight-fold difference. Between these
    two extremes, rates fall into two groups ranging from 42 to 53 for Hispanics,
    Japanese, Chinese, Filipinos, and Koreans and from 71 to 89 for Vietnamese,
    whites, Alaska Natives and Hawaiians. The range among women is much narrower,
    from a rate of about 15 among Japanese to nearly 51 among Alaska Natives, only a
    three-fold difference. Rates for the remaining female populations fall roughly
    into two groups with low rates of 16 to 25 for Korean, Filipino, Hispanic and
    Chinese women, and rates of 31 to 44 among Vietnamese, white, Hawaiian and black
    women. The rates among men are about two to three times greater than the rates
    among women in each of the racial/ethnic groups.

    In the 30-54 year age group, incidence rates among men are double those among
    women in most of the racial/ethnic groups. In white non-Hispanics and white
    Hispanics, however incidence rates for women are closer to those for men. This
    suggests that smoking cessation and prevention programs may have been especially
    successful among white men and/or that such programs have not been as effective
    among white women.

    Age-adjusted mortality rates follow similar racial/ethnic patterns to those
    for the incidence rates. Among men, the incidence and mortality rates are very
    similar. Filipino men are an exception, with an incidence rate nearly twice as
    large as their mortality rate. Incidence rates are also similar to mortality
    rates among women, with the exception of Filipinos and Hispanics. In these two
    groups, incidence rates are nearly twice as large as mortality rates. Among
    Hawaiian women, the mortality rate actually exceeds the incidence rate. This may
    be due to differences in the accuracy of race classification on medical records
    versus death certificates.

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