TABLE 2-10 Five-Year Relative Survival Rates by Selected Sites Among Racial or Ethnic Groups in the United Statesa

Racial or Ethnic Group

Colon and Rectum

Lung and Bronchus

Female Breast

Cervix Uteri

All Sites

Native American

37

5

53

67

34

Black

44

11

63

63

38

Chinese

50

15

78

72

44

Filipino

41

12

72

72

46

Hawaiian

51

16

76

73

44

Japanese

58

14

85

72

51

Korean

NAb

NA

NA

NA

NA

Vietnamese

NA

NA

NA

NA

NA

Hispanic (total)

46

11

72

69

47

White, non-Hispanic

51

12

75

68

50

a Percentage (both sexes) surviving 5 years following cancer diagnosis; SEER program estimates are from 1978 to 1981.

b SEER program does not calculate incidence when fewer than 25 cases are reported.

SOURCE: Miller et al., (1996).

will be alive 5 years from the time of diagnosis. In contrast, 5-year survival rates among African Americans and Native Americans are considerably reduced (38 percent and 34 percent, respectively). Similar patterns are seen, for example, for breast cancer among females and cancers of the colon and rectum. The 5-year breast cancer survival rate among U.S. white women is 75 percent, whereas the rates are 63 percent among African Americans and 53 percent among Native American women. Survival rates for cancer of the colon and rectum are 51 percent among U.S. whites, 41 percent among Filipinos, and 37 percent among Native Americans. Updated survival rates (1960 to 1992), which are available only for African Americans, support the suggested picture of poor survival among ethnic minority populations.

Thus, the effort to improve survival rates appears to have been least effective for members of ethnic minority groups. This has largely been attributed to late stage at diagnosis, perhaps in part due the limited use of early-detection services and access to state-of-the-art treatment.

Other Data Sources

Information from sources other than the SEER program, such as other national databases, special collaborative reports, or the results of independent



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