Penile cancer disparities in Puerto Rican men as compared to the United States population

Enviado por Mariela Torres-Cintron el

Imagen de Mariela Torres-Cintron
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TítuloPenile cancer disparities in Puerto Rican men as compared to the United States population
Publication TypeJournal Article
Year of Publication2012
AutoresColon-Lopez, V, Ortiz, AP, Soto-Salgado, M, Torres-Cintron, M, Pettaway, CA, Puras-Baez, A, Martinez-Ferrer, M, Suarez, E
JournalInt Braz J UrolInt Braz J Urol
Volume38
Pagination728-38
Date PublishedNov-Dec
ISBN Number1677-5538
Accession Number23302411
Palabras claveAge Distribution, Aged, Epidemiologic Methods, Ethnic Groups, Humans, Male, Middle Aged, Penile Neoplasms/*epidemiology/ethnology, Puerto Rico/epidemiology, Socioeconomic Factors, United States/epidemiology
AbstractPURPOSE: This study compares incidence and mortality of penile cancer in Puerto Rico (PR) with other racial/ethnic groups in the United States (US) and evaluates the extent in which socioeconomic position index (SEP) or its components influence incidence and mortality in PR. MATERIALS AND METHODS: Age-standardized rates were calculated for incidence and mortality based on data from the PR Cancer Registry and the US National Cancer Institute's Surveillance, Epidemiology and End Results program, using the direct method. RESULTS: PR men had approximately 3-fold higher incidence of penile cancer as compared to non-Hispanic white (Standardized rate ratio [SRR]: 3.33; 95%CI=2.80-3.95). A higher incidence of penile cancer was also reported in PR men as compared to non-Hispanic blacks and Hispanics men. Mortality from penile cancer was also higher for PR men as compared to all other ethnic/racial groups. PR men in the lowest SEP index had 70% higher incidence of penile cancer as compared with those PR men in the highest SEP index. However, the association was marginally significant (SRR: 1.70; 95%CI=0.97, 2.87). Only low educational attainment was statistically associated with higher penile cancer incidence (SRR: 2.18; 95%CI=1.42-3.29). CONCLUSIONS: Although penile cancer is relatively uncommon, our results support significant disparities in the incidence and mortality rates among men in PR. Low educational attainment might influence the high incidence of penile cancer among PR men. Further studies are strongly recommended to explore these disparities.