Cancer incidence in ethnic German migrants from the Former Soviet Union in comparison to the host population |
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| Institution: | 1. University Hospital Heidelberg, Institute of Public Health, Unit of Epidemiology and Biostatistics, Im Neuenheimer Feld 324, D-69120 Heidelberg, Germany;2. Saarland Cancer Registry, Präsident Baltz-Straße 5, D-66119 Saarbrücken, Germany;1. Department of Cardiology, Boston Children’s Hospital, 300 Longwood Avenue, Boston, MA 02115, USA;2. Department of Pediatrics, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA;1. Paediatric Epidemiology and Community Health (PEACH) Unit, University of Glasgow, UK;2. University of Glasgow, UK;1. LEMN–Laboratório de Eletroquímica e Materiais Nanoestruturados–CCNH–Centro de Ciências Naturais e Humanas, UFABC–Universidade Federal do ABC, CEP 09.210-170, Rua Santa Adélia 166, Bairro Bangu, Santo André, SP, Brasil;2. Instituto de Pesquisas Energéticas e Nucleares, IPEN, CNEN/SP, Av. Prof. Lineu Prestes, 2242 Cidade Universitária, CEP 05508-900, São Paulo, SP, Brazil;1. School of Population Health, University of Auckland, Auckland, New Zealand;2. Cancer Council Queensland, Brisbane, Australia;3. School of Public Health, Queensland University of Technology, Brisbane, Australia;4. Griffith Health Institute, Griffith University, Gold Coast, Australia |
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| Abstract: | AimTo investigate cancer incidence patterns among ethnic German migrants (Aussiedler) from the Former Soviet Union, a large migrant group in Germany, in comparison to autochthonous Saarland population over a 20 year observation period.MethodsData were obtained from a cohort of Aussiedler residing in the federal state of Saarland (n = 18,619). Cancer incidence and vital status were ascertained through record linkage with the Saarland Cancer Registry and local population registries.ResultsDuring the follow up period from 1990 to 2009 we observed 638 incident diagnoses of malignant neoplasms (except non-melanoma skin cancer). The overall standardized incidence ratio (SIR) was 0.98 (95% confidence interval 0.92, 1.04). However, site-specific SIRs revealed great variation. Stomach cancer incidence was significantly higher among Aussiedler. Lung cancer was elevated for males, but lower among females. Additionally, diagnoses for colorectal cancer among males were significantly lower. Age-standardized rates (ASRs) over time show not all cancer rates of Aussiedler attenuate as expected to Saarland rates. For example, lung and prostate cancer incidence rates show increasing disparity from Saarland rates and female breast cancer incidence develops in parallel. Furthermore, ASR for overall cancer incidence of Aussiedler shows a yearly decrease (p = 0.06) whereas Saarland rates remain stable.DiscussionAussiedler incidence rates reflect incidence pattern observed in their countries of origin. |
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| Keywords: | Neoplasms Incidence Migrants Germany Cohort study Epidemiology |
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