Racial/ethnic variations in lung cancer incidence and mortality, adjusted for smoking behavior: Results from the Women's Health Initiative.

Authors

null

Manali I. Patel

Stanford University Medical Center, Menlo Park, CA

Manali I. Patel , Ange Wang , Kristopher Kapphahn , Jessica Kubo , Manisha Desai , Rowan T. Chlebowski , Michael S. Simon , Chloe E. Bird , Giselle Corbie-Smith , Scarlett Lin Gomez , Lucile L. Adams-Campbell , Michele L Cote , Marcia L Stefanick , Heather A. Wakelee

Organizations

Stanford University Medical Center, Menlo Park, CA, Stanford University, School of Medicine, Stanford, CA, Stanford University, Stanford, CA, Stanford University School of Medicine, Stanford, CA, Harbor-UCLA Medical Center, Torrance, CA, Karmanos Cancer Institute, Wayne State University, Detroit, MI, RAND Corporation, Santa Monica, CA, University of North Carolina, Chapel Hill, NC, Northern California Cancer Center, Fremont, CA, Georgetown Lombardi Comprehensive Cancer Center, Washington, DC, Stanford Prevention Research Center, Stanford, CA, Stanford Cancer Institute, Stanford, CA

Research Funding

Other

Background: It is unclear whether there are racial/ethnic disparities in lung cancer incidence and mortality among women. Therefore, we examined lung cancer incidence and mortality in the Women’s Health Initiative (WHI), a prospective cohort of post-menopausal women. Methods: Lung cancer diagnoses were centrally adjudicated by pathology review. Logistic regression models estimated odds of incidence and mortality by race/ethnicity adjusted for age, education, calcium/vitamin D, BMI, smoking (status, age at start, duration and pack-years), alcohol, family history, oral contraceptive, hormones, physical activity, and diet. Results: The analytic cohort included 129,951 women -108,487 (83%) white (47.5% current/ past smoker); 10,892 (8%) Black (47.7% current/ past smoker); 4,882 (4%) Hispanic (33.7% current/past smoker); 3,696 (3%) Asian/Pacific Islander (A/PI) (26.2 % current/past smoker); 534 American Indian/Alaskan Native (48.3% current/past smoker) and 1994 (1.4%) other (41.6% current/past smoker). In unadjusted models Hispanics had 66% lower odds of lung cancer compared with whites (OR 0.34 95% CI (0.2-0.5)), followed by A/PI (OR 0.45 95% CI (0.27-0.75)) and blacks (OR 0.75 95% CI (0.59-0.95). In fully adjusted multivariable models, decreased risk of lung cancer for blacks, Hispanics, and A/PI compared to whites was no longer statistically significant. In unadjusted models Hispanics and A/PI had decreased risk of death from compared to whites (OR 0.3 95% CI (0.15-0.62), OR (0.3 95% (0.16-0.75)), respectively); however, no significant racial/ethnic differences were found in risk of death from lung cancer in fully adjusted models. Conclusions: We found no racial/ethnic disparities in lung cancer incidence or mortality in a population of post-menopausal women after adjusting for socio-demographic, clinical, and behavioral factors. Clinical trial information: 1757.

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Abstract Details

Meeting

2014 ASCO Annual Meeting

Session Type

Poster Highlights Session

Session Title

Cancer Prevention/Epidemiology

Track

Cancer Prevention/Epidemiology

Sub Track

Epidemiology

Clinical Trial Registration Number

1757

Citation

J Clin Oncol 32:5s, 2014 (suppl; abstr 1528)

DOI

10.1200/jco.2014.32.15_suppl.1528

Abstract #

1528

Poster Bd #

17

Abstract Disclosures

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