Record Details

Title Indirect method to estimate specific Hispanic group cancer rates
Author Howe, HL
Secondary Authors Lake A, Schymura MJ, Edwards BK
Publication Type (Help) article
Journal Cancer Causes Control
Month Sep
Year 2009
Pages 1215-26
Volume 20
Number 7
Note doi: 10.1007/s10552-009-9398-8
PubMed ID 19609690
EPub Date
Citation Howe HL, Lake A, Schymura MJ, Edwards BK. Indirect method to estimate specific Hispanic group cancer rates. Cancer Causes Control. 2009 Sep;20(7):1215-26. PMID 19609690. []


Several states with large Hispanic populations have historically served as the source for U.S. Hispanic cancer incidence rates, with aggregation of data across all states limited by different methodologies to identify Hispanic persons. Now with data available for more than 85 percent of the U.S. Hispanic population, state rates suggest regional diversity in their Hispanic cancer profiles. The authors tested an approach of using a surrogate indicator of county residential homogeneity for Hispanic groups, based on the 2000 U.S. Census. The indicator used the counts of specific Hispanic residents compared to the total Hispanic population in the county to define counties with homogenous Hispanic populations. From these data, counties were aggregated into homogeneity categories for each Hispanic group, and defined thresholds and rules were defined for allocating Hispanic persons to a specific Hispanic group. It was possible to use county demographic data in many counties to meaningfully attribute a specific Hispanic ethnicity to incident cancer cases based on homogeneity thresholds. Cancer rates for the U.S. Hispanic population describe a profile of high rates of cancers of the liver, gallbladder, cervix (female), stomach, and lower rates of the cancers of the lung, female breast, and prostate compared with the non-Hispanic white population. In general, rates among U.S. Mexicans are lower than the U.S. Hispanic rates, while rates for Puerto Ricans and Cubans are higher than the U.S. Hispanic rates. Additional variations among the three Hispanic groups were also evident. The approach yielded reasonable and useful information to explore etiologic differences among the populations, as well as to develop relevant cancer control interventions. However, direct identification of specific Hispanic ethnicity in medical records and annual Census estimates of these populations would be preferable if they ever became available.