{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T11:19:26Z","timestamp":1782991166994,"version":"3.54.5"},"reference-count":51,"publisher":"Wiley","issue":"14","license":[{"start":{"date-parts":[[2024,7,17]],"date-time":"2024-07-17T00:00:00Z","timestamp":1721174400000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100006636","name":"Forskningsr\u00e5det om H\u00e4lsa, Arbetsliv och V\u00e4lf\u00e4rd","doi-asserted-by":"publisher","award":["2016\u201007128_Forte"],"award-info":[{"award-number":["2016\u201007128_Forte"]}],"id":[{"id":"10.13039\/501100006636","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Numerous studies have reported lower overall cancer mortality rates among immigrants compared to native populations. However, limited information exists regarding cancer mortality among immigrants based on specific birth countries and cancer types. We used population\u2010based registries and followed 10\u2009million individuals aged 20\u2009years or older in Sweden between 1992 and 2016. The Cox proportional hazard model was used to explore the disparities in cancer mortality by country of birth and cancer type, stratified by gender. Age\u2010standardized mortality rates were also computed using the world standard population. Hazard ratio (HR) of all\u2010site cancer was slightly lower among immigrants (males: HR<jats:sub>m<\/jats:sub>\u2009=\u20090.97: 95% confidence interval: 0.95, 0.98; females: HR<jats:sub>f<\/jats:sub>\u2009=\u20090.93: 0.91, 0.94) than Swedish\u2010born population. However, the immigrants showed higher mortality for infection\u2010related cancers, including liver (HR<jats:sub>f<\/jats:sub>\u2009=\u20091.10: 1.01, 1.19; HR<jats:sub>m<\/jats:sub>\u2009=\u20091.10: 1.02, 1.17), stomach (HR<jats:sub>f<\/jats:sub>\u2009=\u20091.39: 1.31, 1.49; HR<jats:sub>m<\/jats:sub>\u2009=\u20091.33: 1.26, 1.41) cancers, and tobacco\u2010related cancers, including lung (HR<jats:sub>m<\/jats:sub>\u2009=\u20091.44: 1.40, 1.49), and laryngeal cancers (HR<jats:sub>m<\/jats:sub>\u2009=\u20091.47: 1.24, 1.75). The HR of mesothelioma was also significantly higher in immigrants (HR<jats:sub>f<\/jats:sub>\u2009=\u20091.44: 1.10, 1.90). Mortality from lung cancer was specifically higher in men from Nordic (HR<jats:sub>m<\/jats:sub>\u2009=\u20091.41: 1.27, 1.55) and non\u2010Nordic Europe (HR<jats:sub>m<\/jats:sub>\u2009=\u20091.49: 1.43, 1.55) countries and lower in Asian (HR<jats:sub>m<\/jats:sub>\u2009=\u20090.78: 0.66, 0.93) and South American men (HR<jats:sub>m<\/jats:sub>\u2009=\u20090.70: 0.57, 0.87). In conclusion, there are large variations in cancer mortality by country of birth, and cancer type and require regular surveillance. Our detailed analyses lead to some novel findings such as excess mortality rate of mesothelioma and laryngeal cancers in Immigrants in Sweden. A targeted cancer prevention program among immigrants in Sweden is needed.<\/jats:p>","DOI":"10.1002\/cam4.70020","type":"journal-article","created":{"date-parts":[[2024,7,17]],"date-time":"2024-07-17T12:10:17Z","timestamp":1721218217000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Cancer mortality by country of birth and cancer type in Sweden: A 25\u2010year registry\u2010based cohort study"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3265-6034","authenticated-orcid":false,"given":"Daniel Nigusse","family":"Tollosa","sequence":"first","affiliation":[{"name":"Department of Public Health Sciences Stockholm University  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0269-4945","authenticated-orcid":false,"given":"Kazem","family":"Zendehdel","sequence":"additional","affiliation":[{"name":"Cancer Research Center, Cancer Institute Tehran University of Medical Sciences  Tehran Iran"},{"name":"Department of Medical and Surgical Sciences University of Bologna  Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Procopio","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences Stockholm University  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agneta","family":"Cederstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences Stockholm University  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3811-2791","authenticated-orcid":false,"given":"Paolo","family":"Boffetta","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Sciences University of Bologna  Bologna Italy"},{"name":"Stony Brook Cancer Center Stony Brook University  Stony Brook New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9536-6440","authenticated-orcid":false,"given":"Eero","family":"Pukkala","sequence":"additional","affiliation":[{"name":"Finnish Cancer Registry Institute for Statistical and Epidemiological Cancer Research  Helsinki Finland"},{"name":"Health Sciences Unit, Faculty of Social Sciences Tampere University  Tampere Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikael","family":"Rostila","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences Stockholm University  Stockholm Sweden"},{"name":"Centre for Health Equity Studies (CHESS) Stockholm University\/Karolinska Institutet  Stockholm Sweden"},{"name":"Aging Research Center (ARC) Karolinska Institutet  Solna Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,17]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"FerlayJ ErvikM LamF et\u00a0al.Global Cancer Observatory: Cancer Today. 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