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Chronic Liver Disease and Asian Americans/Pacific Islanders

Among Asian Americans, chronic liver disease is a leading cause of death. While the cause is not always known, some cases can be initiated by conditions such as chronic alcoholism, obesity and exposure to Hepatitis B and C viruses.

  • In 2013, chronic liver disease was the seventh leading cause of death for Asian/Pacific Islander males, 25-54 years old. 1
  • Asian Americans have the highest incidence rates of liver cancer for both sexes compared with Hispanic, non-Hispanic whites, or non-Hispanic blacks. 2
  • Asian male subgroups have higher mortality rates for liver cancer, specifically 54.3 for Vietnamese, 33.9 for Koreans, 23.3 for Chinese, 16.8 for Filipino and 9.3 for Japanese. 2
  • Asian Americans are twice as likely to die from liver and IBD cancer, as compared to non-Hispanic whites.
  • The incidence rate for liver and IBD cancer is almost 2.5 times higher for Asian American women.

 

At a glance – Cancer Rates for Asian/Pacific Islanders (2008-2012)

Cancer Incidence Rates per 100,000 – Men

Cancer
Asian/Pacific Islander Men
Non-Hispanic White Men
Asian/Pacific Islander/
Non-Hispanic White Ratio
All Sites
325.4
540.0
0.6
Liver & IBD*
20.9
9.8
2.1

 

Cancer Incidence Rates per 100,000 – Women

Cancer
Asian/Pacific Islander Women
Non-Hispanic White Women
Asian/Pacific Islander/
Non-Hispanic White Ratio
All Sites
297.5
441.6
0.7
Liver & IBD*
7.9
3.2
2.5
*IBD = Intrahepatic Bile Duct

Source:  NCI 2014. Seer Cancer Statistics Review, 1975-2012. Tables 2.15, and 14.15
http://seer.cancer.gov/csr/1975_2012/results_single/sect_02_table.15.pdf [PDF | 11.2KB]
http://seer.cancer.gov/csr/1975_2012/results_single/sect_02_table.15.pdf [PDF | 11.3KB]

 

At a glance – Diagnosed

Age-adjusted percentage of persons 18 years of age and over who have been told by a doctor that they have chronic liver disease, 2012

Asian
Non-Hispanic White
Asian/ Non-Hispanic White Ratio
1.1
1.2
0.9

Source:  CDC 2014. Summary Health Statistics for U.S. Adults: 2012. Table 8.
http://www.cdc.gov/nchs/data/series/sr_10/sr10_260.pdf [PDF | 3.5MB]

 

At a glance – Death Rate

Cancer Death Rates per 100,000 – Men (2008-2012)

Cancer
Asian/Pacific Islander Men
Non-Hispanic White Men
Asian/Pacific Islander/
Non-Hispanic White Ratio
Liver & IBD*
14.5
7.6
1.9

 

Cancer Death Rates per 100,000 – Women (2008-2012)

Cancer
Asian/Pacific Islander Women
Non-Hispanic White Women
Asian/Pacific Islander/
Non-Hispanic White Ratio
Liver & IBD*
6.1
3.1
2.0
*IBD = Intrahepatic Bile Duct

Source:  NCI 2014. Seer Cancer Statistics Review, 1975-2012. Table 14.15
http://seer.cancer.gov/csr/1975_2012/results_single/sect_14_table.15.pdf [PDF | 11.3KB]

 

Age-Adjusted Chronic Liver Disease and Cirrhosis Death Rates per 100,000 (2013)

Asians/Pacific Islander
Non-Hispanic White
Asians/Pacific Islander/
Alaska Native/Non-Hispanic White Ratio
3.3
10.3
0.3

Source:  CDC 2014. Deaths: Final Data for 2013. Table 16 and Table 17.
http://www.cdc.gov/nchs/data/nvsr/nvsr64/nvsr64_02.pdf [PDF | 2MB]


1CDC, National Center for Injury Prevention and Control. Web-based Injury Statistics Query and Reporting System (WISQARS). http://www.cdc.gov/injury/wisqars/fatal.html

2 Source: CDC 2008. Health characteristics of the Asian adult population: United States, 2004–2006, page 2. http://www.cdc.gov/nchs/data/ad/ad394.pdf [PDF | 476KB]

Last Modified: 5/15/2015 6:11:00 PM