Cancer incidence in the Somali population of Olmsted County: A Rochester epidemiology project study

Abstract Background Somali immigrants and refugees constitute one of the largest African ethnic groups immigrating to the United States over the past three decades with the majority resettling in the state of Minnesota. Previous studies have documented significant cancer screening disparities betwee...

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Main Authors: Ahmed A. Mohamed, Alanna M. Chamberlain, Kathleen J. Yost, Gregory Jenkins, Lila J. Finney Rutten, Mark L. Wieland, Jane W. Njeru
Format: Article
Language:English
Published: Wiley 2023-10-01
Series:Cancer Medicine
Subjects:
Online Access:https://doi.org/10.1002/cam4.6558
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author Ahmed A. Mohamed
Alanna M. Chamberlain
Kathleen J. Yost
Gregory Jenkins
Lila J. Finney Rutten
Mark L. Wieland
Jane W. Njeru
author_facet Ahmed A. Mohamed
Alanna M. Chamberlain
Kathleen J. Yost
Gregory Jenkins
Lila J. Finney Rutten
Mark L. Wieland
Jane W. Njeru
author_sort Ahmed A. Mohamed
collection DOAJ
description Abstract Background Somali immigrants and refugees constitute one of the largest African ethnic groups immigrating to the United States over the past three decades with the majority resettling in the state of Minnesota. Previous studies have documented significant cancer screening disparities between the Somali population and the general population. However, little is known about cancer incidence among Somali groups living in the United States. Methods We determined the incidence of 18 types or sites of malignancy using ICD‐9 and ICD‐10 codes and compared them between Somali and non‐Somali populations in Olmsted County, Minnesota utilizing the Rochester Epidemiology Project medical records‐linkage infrastructure for the years 2000–2020. Poisson regression models were used to model the rates for each malignancy. Results There was a higher incidence and relative risk of liver malignancies among the Somali population versus non‐Somali population, but lower relative risk and incidence of the following malignancies: breast, cervical, and melanoma. After direct age‐sex adjustment to the United States 2000 Census population, liver was the most common cancer in Somali men, while breast cancer was the most common malignancy in women. Conclusion Malignancies related to infectious agents such as viral hepatitis have a higher incidence in the Somali immigrant population of Olmsted County. There is a lower incidence of malignancies related to lifestyle factors in this Somali population. Findings of this study may help inform cancer prevention and screening strategies among Somali communities in the United States.
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spelling doaj.art-06048f4e634743c681b5e1ad6d1dc1e52024-06-18T06:26:02ZengWileyCancer Medicine2045-76342023-10-011219200272003410.1002/cam4.6558Cancer incidence in the Somali population of Olmsted County: A Rochester epidemiology project studyAhmed A. Mohamed0Alanna M. Chamberlain1Kathleen J. Yost2Gregory Jenkins3Lila J. Finney Rutten4Mark L. Wieland5Jane W. Njeru6Department of Medicine Mayo Clinic Rochester Minnesota USADepartment of Quantitative Health Sciences Mayo Clinic Rochester Minnesota USADepartment of Quantitative Health Sciences Mayo Clinic Rochester Minnesota USADepartment of Quantitative Health Sciences Mayo Clinic Rochester Minnesota USADepartment of Quantitative Health Sciences Mayo Clinic Rochester Minnesota USADepartment of Medicine Mayo Clinic Rochester Minnesota USADepartment of Medicine Mayo Clinic Rochester Minnesota USAAbstract Background Somali immigrants and refugees constitute one of the largest African ethnic groups immigrating to the United States over the past three decades with the majority resettling in the state of Minnesota. Previous studies have documented significant cancer screening disparities between the Somali population and the general population. However, little is known about cancer incidence among Somali groups living in the United States. Methods We determined the incidence of 18 types or sites of malignancy using ICD‐9 and ICD‐10 codes and compared them between Somali and non‐Somali populations in Olmsted County, Minnesota utilizing the Rochester Epidemiology Project medical records‐linkage infrastructure for the years 2000–2020. Poisson regression models were used to model the rates for each malignancy. Results There was a higher incidence and relative risk of liver malignancies among the Somali population versus non‐Somali population, but lower relative risk and incidence of the following malignancies: breast, cervical, and melanoma. After direct age‐sex adjustment to the United States 2000 Census population, liver was the most common cancer in Somali men, while breast cancer was the most common malignancy in women. Conclusion Malignancies related to infectious agents such as viral hepatitis have a higher incidence in the Somali immigrant population of Olmsted County. There is a lower incidence of malignancies related to lifestyle factors in this Somali population. Findings of this study may help inform cancer prevention and screening strategies among Somali communities in the United States.https://doi.org/10.1002/cam4.6558epidemiology and preventionliver cancerneoplasmrisk factors
spellingShingle Ahmed A. Mohamed
Alanna M. Chamberlain
Kathleen J. Yost
Gregory Jenkins
Lila J. Finney Rutten
Mark L. Wieland
Jane W. Njeru
Cancer incidence in the Somali population of Olmsted County: A Rochester epidemiology project study
Cancer Medicine
epidemiology and prevention
liver cancer
neoplasm
risk factors
title Cancer incidence in the Somali population of Olmsted County: A Rochester epidemiology project study
title_full Cancer incidence in the Somali population of Olmsted County: A Rochester epidemiology project study
title_fullStr Cancer incidence in the Somali population of Olmsted County: A Rochester epidemiology project study
title_full_unstemmed Cancer incidence in the Somali population of Olmsted County: A Rochester epidemiology project study
title_short Cancer incidence in the Somali population of Olmsted County: A Rochester epidemiology project study
title_sort cancer incidence in the somali population of olmsted county a rochester epidemiology project study
topic epidemiology and prevention
liver cancer
neoplasm
risk factors
url https://doi.org/10.1002/cam4.6558
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