ArticleCancer epidemiology2017
Cancer in Guam and Hawaii: A comparison of two U.S. Island populations.
Article in Cancer epidemiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 28 citations in OpenAlex.
- Maternal Nativity and Residence in US Territories and Preterm Birth.JAMA network open · 2026Article
- Article
- Ethnic disparities in early-onset colorectal cancer incidence, screening rates and risk factors prevalence in Guam.Preventive medicine reports · 2024Article
- Disparities in Colorectal Cancer Incidence among Asian and Pacific Islander Populations in Guam, Hawai'i, and the United States.International journal of environmental research and public health · 2024Article
- Oral Cancer Disparities in the Outer US-affiliated Pacific Islands.The Laryngoscope · 2023Article
- Barriers, Facilitators, and Strategies for Developing a Culturally Informed Lifestyle Intervention for Native Hawaiian, CHamoru, and Filipino Breast Cancer Survivors: Mixed-Methods Findings from Focus Group Participants.International journal of environmental research and public health · 2023Article
- Traditional and new lifestyle interventions to prevent breast cancer recurrence (TANICA): a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Review
- Environmental Exposure to Cyanobacteria Hepatotoxins in a Pacific Island Community: A Cross-Sectional Assessment.Microorganisms · 2022Article
- Head and Neck Cancer Stage at Presentation and Survival Outcomes Among Native Hawaiian and Other Pacific Islander Patients Compared With Asian and White Patients.JAMA otolaryngology-- head & neck surgery · 2022Article
- Oral exposure to environmental cyanobacteria toxins: Implications for cancer risk.Environment international · 2021Article
- An Instagram-Based Study to Understand Betel Nut Use Culture in Micronesia: Exploratory Content Analysis.Journal of medical Internet research · 2020Article
- Cumulative Incidence Rates of Breast Cancer by Age for Filipinos and Chamorros in Guam.Hawai'i journal of health & social welfare · 2020Article
- Cultural Considerations for Conducting the Health Information National Trends Survey with Micronesian Communities: Lessons from a Qualitative Study.Hawai'i journal of health & social welfare · 2020Article
- Addressing Cancer Health Disparities in the Pacific Peoples of Hawai'i, Guam, and the US Associated Pacific Islands Through Pacific-Focused Research Capacity Building.JCO global oncology · 2020Article
- Design and Outcomes of a Community Trial to Increase Pap Testing in Pacific Islander Women.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2019Article
- Cancer control in the Pacific: big challenges facing small island states.The Lancet. Oncology · 2019Review
- A Unique Partnership Between the University of Hawai'i Cancer Center and the University of Guam: Fifteen Years of Addressing Cancer Health Disparities in Pacific Islanders in Hawai'i and Guam.Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health · 2019Article
- Together we can: Collaborative Efforts to Reduce the Cancer Burden on Guam and Save Lives.The Guam Medical Association journal · 2019Article
- Utilizing Filipino key informants to guide community outreach for cancer prevention in Hawai'i.Public health nursing (Boston, Mass.)Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundCancer disparities within and across populations provide insight into the influence of lifestyle, environment, and genetic factors on cancer risk.
methodsGuam cancer incidence and mortality were compared to that of Hawaii using data from their respective population-based, central cancer registries.
resultsIn 2009-2013, overall cancer incidence was substantially lower in Guam than in Hawaii for both sexes while overall cancer mortality was higher for Guam males. Cervical cancer incidence and prostate cancer mortality were higher in Guam. Both incidence and mortality were higher among Guam men for cancers of the lung & bronchus, liver & intrahepatic bile duct, and nasopharynx; Chamorro men were disproportionately affected by these cancers. Filipinos and Whites in Guam had lower overall cancer incidence compared to Filipinos and Whites in Hawaii. Although breast cancer incidence was significantly lower in Guam compared to Hawaii, women in Guam presented at younger ages and with rarer disease histologies such as inflammatory carcinoma were more prevalent. Guam patients were also diagnosed at younger ages for cancers of bladder, pancreas, colon & rectum, liver & intrahepatic bile duct, lung & bronchus, stomach, non-Hodgkin lymphoma, and leukemia.
conclusionSmoking, infectious agents, and betel nut chewing appear to be important contributors to the burden of cancer in Guam. Earlier onset of cancer in Guam suggests earlier age of exposure to key risk factors and/or a more aggressive pathogenesis. Contrasting cancer patterns within Guam and between Guam and Hawaii underscore the potential influence of genes, lifestyle, and environmental factors on cancer development and progression.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.