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

Author

Listed:
  • 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)

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.

Suggested Citation

  • Anna Lindblad & Simone Kaucher & Philipp Jaehn & Hiltraud Kajüter & Bernd Holleczek & Lauren Lissner & Heiko Becher & Volker Winkler, 2020. "The Incidence of Intestinal Gastric Cancer among Resettlers in Germany—Do Resettlers Remain at an Elevated Risk in Comparison to the General Population?," IJERPH, MDPI, vol. 17(24), pages 1-13, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:24:p:9215-:d:459395
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    References listed on IDEAS

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    1. Mary Aparicio & Angela Döring & Andreas Mielck & Rolf Holle, 2005. "Unterschiede zwischen Aussiedlern und der übrigen deutschen Bevölkerung bezüglich Gesundheit, Gesundheitsversorgung und Gesundheitsverhalten: eine vergleichende Analyse anhand des KORA-Surveys 2000," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 50(2), pages 107-118, April.
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