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Chronic Liver Disease and African Americans

Among African 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 2019, chronic liver disease was the eighth leading cause of death for non-Hispanic blacks, ages 45-64 years old.1
  • African American/black men are 60 percent more likely to have liver and IBD cancer and to die from this disease as compared to non-Hispanic white men.
  • African American/black women are 30 percent more likely to die from liver and IBD cancer than non-Hispanic white women.

Cancer Rates (2014-2018)

Cancer Incidence Rates per 100,000 – Men
Cancer Black Men Non-Hispanic White Men Black/Non-Hispanic White Ratio
All Sites 518.9 520.4 1.0
Liver & IBD* 17.6 11.3 1.6

*IBD = Intrahepatic Bile Duct

Source: NCI 2021. Seer Cancer Statistics Review, 1975-2018. Table 1.24 and SEER*Explorer [ Accessed 7/22/2021].
https://seer.cancer.gov/csr/1975_2018/; https://seer.cancer.gov/explorer/

 

Cancer Incidence Rates per 100,000 – Women

Cancer Black Women Non-Hispanic White Women Black/Non-Hispanic White Ratio
All Sites 396.4 460.2 0.9
Liver & IBD 5.3 4.0 1.3

Source: NCI 2021. Seer Cancer Statistics Review, 1975-2018. Table 1.25 and SEER*Explorer [ Accessed 7/22/2021].
https://seer.cancer.gov/csr/1975_2018/; https://seer.cancer.gov/explorer/

 

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, 2018**

Non-Hispanic Black Non-Hispanic White Non-Hispanic Black/Non-Hispanic White Ratio
1.1 1.6 0.7

**NOTE: This is the most recent national data available at this time.

Source: CDC 2020. Summary Health Statistics: National Health Interview Survey: 2018. Table A-4a.
http://www.cdc.gov/nchs/nhis/shs/tables.htm

 

Death Rates (2014-2018)

Cancer Death Rates per 100,000 – Men
Cancer Black Men Non-Hispanic White Men Black/Non-Hispanic White Ratio
All Sites 221.1 190.2 1.2
Liver & IBD 13.1 8.4 1.6

Source: NCI 2021. Seer Cancer Statistics Review, 1975-2018. Table 1.20
https://seer.cancer.gov/csr/1975_2018/sections.html

 

Cancer Death Rates per 100,000 – Women

Cancer Black Women Non-Hispanic White Women Black/Non-Hispanic White Ratio
All Sites 150.5 137.8 1.1
Liver & IBD 4.8 3.6 1.3

Source: NCI 2021. Seer Cancer Statistics Review, 1975-2018. Table 1.20
https://seer.cancer.gov/csr/1975_2018/sections.html

 

Age-adjusted Chronic Liver Disease and Cirrhosis Death Rates per 100,000 (2018)

  Non-Hispanic Black Non-Hispanic White Non-Hispanic Black/Non-Hispanic White Ratio
Men 10.3 14.9 0.7
Women 5.1 8.3 0.6
Total 7.4 11.5 0.6

Source: CDC 2021. National Vital Statistics Report, Vol. 69, No. 13. Table 10.
https://www.cdc.gov/nchs/data/nvsr/nvsr69/nvsr69-13-508.pdf [PDF 2.05MB]

 

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

Last Modified: 8/11/2021 9:36:00 AM