The Incidence of Intestinal Gastric Cancer among Resettlers in Germany—Do Resettlers Remain at an Elevated Risk in Comparison to the General Population?

Anna Lindblad, Simone Kaucher, Philipp Jaehn, Hiltraud Kajüter, Bernd Holleczek, Lauren Lissner, Heiko Becher and Volker Winkler
Additional contact information
Anna Lindblad: Heidelberg Institute of Global Health, University Hospital Heidelberg, 69120 Heidelberg, Germany
Simone Kaucher: Heidelberg Institute of Global Health, University Hospital Heidelberg, 69120 Heidelberg, Germany
Philipp Jaehn: Institute of Social Medicine and Epidemiology, Brandenburg Medical School Theodor Fontane, 14770 Brandenburg an der Havel, Germany
Hiltraud Kajüter: Cancer Registry, North Rhine-Westphalia, 44801 Bochum, Germany
Bernd Holleczek: Saarland Cancer Registry, 66119 Saarbrücken, Germany
Lauren Lissner: School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, 41346 Gothenburg, Sweden
Heiko Becher: Institute for Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany
Volker Winkler: Heidelberg Institute of Global Health, University Hospital Heidelberg, 69120 Heidelberg, Germany

IJERPH, 2020, vol. 17, issue 24, 1-13

Abstract: Objective: Previous studies have shown that the incidence of gastric cancer (GC), and particularly intestinal GC, is higher among resettlers from the former Soviet Union (FSU) than in the general German population. Our aim was to investigate if the higher risk remains over time. Methods: GC cases between 1994 and 2013, in a cohort of 32,972 resettlers, were identified by the respective federal cancer registry. Age-standardized rates (ASRs) and standardized incidence ratios (SIRs) were analyzed in comparison to the general population for GC subtypes according to the Laurén classification. Additionally, the cohort was pooled with data from a second resettler cohort from Saarland to investigate time trends using negative binomial regression. Results: The incidence of intestinal GC was elevated among resettlers in comparison to the general population (SIR (men) 1.64, 95% CI: 1.09–2.37; SIR (women) 1.91, 95% CI: 1.15–2.98). The analysis with the pooled data confirmed an elevated SIR, which was stable over time. Conclusion: Resettlers’ higher risk of developing intestinal GC does not attenuate towards the incidence in the general German population. Dietary and lifestyle patterns might amplify the risk of GC, and we believe that further investigation of risk behaviors is needed to better understand the development of disease pattern among migrants.

Keywords: incidence; stomach cancer; Laurén classification; migrants; former Soviet Union; cohort; Germany (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/17/24/9215/pdf (application/pdf)
https://www.mdpi.com/1660-4601/17/24/9215/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:17:y:2020:i:24:p:9215-:d:459395

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().