{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T08:08:38Z","timestamp":1787731718625,"version":"build-2784847793"},"reference-count":39,"publisher":"Wiley","issue":"17","license":[{"start":{"date-parts":[[2018,7,5]],"date-time":"2018-07-05T00:00:00Z","timestamp":1530748800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["5 NU58DP003922"],"award-info":[{"award-number":["5 NU58DP003922"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Minnesota has the second largest Hmong population in the United States. The objective of the current study was to estimate the cancer incidence among Hmong individuals in Minnesota between 2000 and 2012 to determine targets for screening and interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>Cancer cases in Minnesota between 2000 and 2012 were obtained from the Minnesota Cancer Surveillance System, and proportional incidence ratios (PIRs) were calculated. The 2000 and 2010 US Census reports were used to obtain total population estimates. Age\u2010adjusted cancer incidence rates (AAR) and 95% confidence intervals (95% CIs) were calculated for Hmong individuals, Asian\/Pacific Islander individuals, and all Minnesotans using direct method and Poisson regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Compared with all Minnesotans, the Hmong had elevated PIRs and AARs for malignancies related to infections, including nasopharyngeal, stomach, liver, and cervical cancers. The AAR ratios in Hmong versus all Minnesotans were found to be significantly increased for nasopharyngeal (AAR, 15.90; 95% CI, 9.48\u201026.68), stomach (AAR, 2.99; 95% CI, 2.06\u20104.33), liver (AAR, 1.77; 95% CI, 1.04\u20103.02), and cervical (AAR, 3.88; 95% CI, 2.61\u20105.77) cancers. The AARs in Hmong versus all Minnesotans were significantly lower for all\u2010cause cancer (AAR, 0.39; 95% CI, 0.35\u20100.44); cancers of the breast, lung, and colorectum; melanoma; and non\u2010Hodgkin lymphoma. Compared with Asian\/Pacific Islander individuals, the rates in Hmong were significantly higher for melanoma and cervical cancer, with AAR ratios of 2.23 (95% CI, 1.09\u20104.56) and 1.59 (95% CI, 1.01\u20102.49), respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Compared with all Minnesotans, the Hmong have an increased incidence of cancers related to infectious agents. These findings indicate a need for cancer prevention and screening programs in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cncr.31592","type":"journal-article","created":{"date-parts":[[2018,7,5]],"date-time":"2018-07-05T11:09:56Z","timestamp":1530788996000},"page":"3560-3566","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Cancer patterns in Hmong in Minnesota, 2000 to 2012"],"prefix":"10.1002","volume":"124","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8106-0483","authenticated-orcid":false,"given":"Mosunmoluwa","family":"Oyenuga","sequence":"first","affiliation":[{"name":"Division of Epidemiology and Community Health University of Minnesota School of Public Health Minneapolis Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John K.","family":"Yang","sequence":"additional","affiliation":[{"name":"Division of Epidemiology and Community Health University of Minnesota School of Public Health Minneapolis Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna E.","family":"Prizment","sequence":"additional","affiliation":[{"name":"Division of Epidemiology and Community Health University of Minnesota School of Public Health Minneapolis Minnesota"},{"name":"Masonic Cancer Center University of Minnesota Minneapolis Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally","family":"Bushhouse","sequence":"additional","affiliation":[{"name":"Minnesota Cancer Reporting System, Minnesota Department of Health St. Paul Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen W.","family":"Demerath","sequence":"additional","affiliation":[{"name":"Division of Epidemiology and Community Health University of Minnesota School of Public Health Minneapolis Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Logan G.","family":"Spector","sequence":"additional","affiliation":[{"name":"Masonic Cancer Center University of Minnesota Minneapolis Minnesota"},{"name":"Division of Pediatric Epidemiology and Clinical Research Department of Pediatrics, University of Minnesota Minneapolis Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,7,5]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Minnesota Department of Health.Refugee health statistics; cumulative arrivals 1979\u20102014.http:\/\/www.health.state.mn.us\/divs\/idepc\/refugee\/index.html. 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September 2008. Minneapolis MN.http:\/\/www.health.state.mn.us\/divs\/chs\/tobacco\/matscomptech07.pdf. Accessed May 29 2018."},{"key":"e_1_2_8_32_1","unstructured":"Blue Cross and Blue Shield of Minnesota ClearWay Minnesota Asian Pacific Tobacco\u2010Free Coalition of Minnesota Southeast Asian Refugee Community Home.Tobacco use in Minnesota: a quantitative survey of Cambodian Hmong Lao and Vietnamese community members. November 2009.http:\/\/clearwaymn.org\/wp-content\/uploads\/2012\/12\/Tabacco-Use-in-Minnesota-2010-Full-Report.pdf. Accessed May 29 2018."},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-14-791"},{"key":"e_1_2_8_34_1","unstructured":"ClearWay Minnesota and Minnesota Department of Health.Tobacco use in Minnesota: 2010 update. February 2011. Minneapolis MN.http:\/\/www.health.state.mn.us\/divs\/chs\/tobacco\/matscomptech07.pdf. 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