ArticleCancer epidemiology2020
Cancer mortality among US blacks: Variability between African Americans, Afro-Caribbeans, and Africans.
Article in Cancer epidemiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 3 of them syntheses that pooled it.
What it found
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Who cites it
49 citing papers in PubMed, 3 syntheses or guidelines pooled it, 66 citations in OpenAlex.
- Exploring the role of racial/ethnic patient-physician concordance in optimizing health and patient outcomes among black populations in the United States: an integrative systematic review.Frontiers in public health · 2026Pooled it
- Gendered interpretations of the causes of breast cancer: a structured review of migrant studies.BMC women's health · 2025Pooled it
- Prognostic and Clinical Significance of Cyclooxygenase-2 Overexpression in Endometrial Cancer: A Meta-Analysis.Frontiers in oncology · 2020Pooled it
- Endometrial Cancer by ERBB2 Amplification (ERBB2amp) Status: Differences in Molecular Subtypes, Ancestry, and Real-World Outcomes.JCO precision oncology · 2026Article
- Article
- A Culturally Tailored Mobile Health Intervention to Improve Quality of Life in Black Survivors With Prostate Cancer: Protocol for a Stratified Randomized Controlled Trial.JMIR research protocols · 2026Article
- Personal Networks and Cervical Cancer Screening among Black Immigrant Women.Journal of racial and ethnic health disparities · 2026Article
- Beyond Black and White: Cancer Disparities Within Racial Groups.Journal of general internal medicine · 2026Article
- Differences in breast cancer outcomes amongst Caribbean born women in Florida, USA-a population-based analysis.Lancet regional health. Americas · 2025Article
- Physical Health Among Black Immigrants by Region of Birth: A Test of the Racial Context Hypothesis.Journal of racial and ethnic health disparities · 2025Article
- Advancing Equity in Breast Cancer Screening Among Immigrant East African Women in Seattle, WA: A Focus-Group Study.Journal of immigrant and minority health · 2025Article
- Impact of Immigration Status on Survival Among Stage 1 and 2 HER2-Positive and Triple-Negative Breast Cancer in Ontario, Canada.Cancer medicine · 2025Article
- Disparities in overall and site-specific cancer mortality among immigrant generations in Sweden: a nationwide follow-up study over 3 decades.American journal of epidemiology · 2025Article
- Association of Cancer Risk Perception and Patient-provider Communication with Pap Test Among African American and Sub-Saharan African-born Women.Journal of community health · 2025Article
- HPV Self-Sampling Promotion Among African American (AA) and Sub-Saharan African (SAI) Immigrant Women: Adaptation and Usability Testing.International journal of environmental research and public health · 2025Article
- Structural Racism in Cervical Cancer Care and Survival Outcomes: A Systematic Review of Inequities and Barriers.Current epidemiology reports · 2025Review
- A Health Belief Model Examination of Factors Related to Hepatitis B Screening Among African Immigrants in Philadelphia.Journal of racial and ethnic health disparities · 2024Article
- Endometrial cancer survival in populations of African descent.American journal of epidemiology · 2024Article
- Article
- Assessing racial, ethnic, and nativity disparities in US cancer mortality using a new integrated platform.Journal of the National Cancer Institute · 2024Article
Corrections and comments
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Authors and funding
8 authors at 6 institutions in 1 country.
Funding
Abstract
introductionAggregation of all Black populations in US cancer mortality profiles masks remarkable heterogeneity by place of birth. Comparing U.S-born African Americans with African and Afro-Caribbean immigrants may highlight specific cancer prevention and control needs and clarify global cancer epidemiology. Such a comparison has yet to be undertaken on a population basis.
methodsUsing 2012-2017 vital statistics data from California, Florida, Minnesota and New York, age-standardized cancer mortality rates were computed for distinct Black populations. Comparisons were made to the majority White population using mortality rate ratios (MRR) obtained from negative binomial regression.
resultsOf the 83,460 cancer deaths analyzed among Blacks, nearly 20 % were immigrants. African males and females had the lowest all-sites-combined cancer mortality rates (121 and 99 per 100,000, respectively), African Americans had the highest (232 and 163), while Afro-Caribbean were in between (140 and 106 respectively). The average Black:White MRR was significant for prostate (2.11), endometrial (2.05), stomach (2.02), multiple myeloma (1.87), premenopausal breast (1.66), liver (1.58) and cervical (1.56) cancers, (P < 0.05).
conclusionWhile, in aggregate, Blacks in the US have high cancer mortality rates, race itself is not the primary determinant of these disparities. Black immigrant populations show lower cancer mortality than both African Americans and Whites, especially for cancers where environmental factors feature more predominantly: lung, colorectal and breast. Even for cancers with high mortality among all African-descent groups, this study suggests a complex interplay between genetic and environmental factors. Endometrial cancer was unique; mortality rates were similarly high for all three analyzed Black groups.
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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.