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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 2015, chronic liver disease was the fifth leading cause of death for Asian/Pacific Islander males, 55-64 years old. 1
  • Asian American men have the highest incidence rates of liver cancer as compared to Hispanic, non-Hispanic white, or non-Hispanic black men. 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 almost 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.

 

Cancer Rates for Asian/Pacific Islanders (2009-2013)

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
317.3
529.2
0.6
Liver & IBD*
20.8
10.1
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
296.7
440.8
0.7
Liver & IBD*
7.6
3.3
2.3
*IBD = Intrahepatic Bile Duct

Source: NCI 2017. Seer Cancer Statistics Review, 1975-2013. Tables 2.15, and 14.15
http://seer.cancer.gov/csr/1975_2013/results_single/sect_02_table.15.pdf [PDF | 11.27KB]
http://seer.cancer.gov/csr/1975_2013/results_single/sect_02_table.15.pdf [PDF | 11.25KB]

 

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, 2015

Asian
Non-Hispanic White
Asian/ Non-Hispanic White Ratio
1.8
1.5
1.2

Source: CDC 2017. Summary Health Statistics: National Health Interview Survey: 2015. Table A-4a. http://www.cdc.gov/nchs/nhis/shs/tables.htm

 

Death Rate

Cancer Death Rates per 100,000 – Men (2009-2013)

Cancer
Asian/Pacific Islander Men
Non-Hispanic White Men
Asian/Pacific Islander/
Non-Hispanic White Ratio
Liver & IBD*
14.4
7.8
1.8

 

Cancer Death Rates per 100,000 – Women (2009-2013)

Cancer
Asian/Pacific Islander Women
Non-Hispanic White Women
Asian/Pacific Islander/
Non-Hispanic White Ratio
Liver & IBD*
6.0
3.2
1.9
*IBD = Intrahepatic Bile Duct

Source: NCI 2017. Seer Cancer Statistics Review, 1975-2013. Table 14.15
http://seer.cancer.gov/csr/1975_2013/results_single/sect_14_table.15.pdf [PDF | 11.25KB]

 

Age-Adjusted Chronic Liver Disease and Cirrhosis Death Rates per 100,000 (2014)

Asians/Pacific Islander
Non-Hispanic White
Asians/Pacific Islander/
Alaska Native/Non-Hispanic White Ratio
3.3
10.6
0.3

Source: CDC 2016. Deaths: Final Data for 2014. Table 16 and Table 17.
http://www.cdc.gov/nchs/data/nvsr/nvsr65/nvsr65_04.pdf [PDF | 4.3MB]


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: 9/15/2017 10:19:00 AM