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Chronic Liver Disease and Asian Americans

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 2018, chronic liver disease was the sixth leading cause of death for Asian/Pacific Islanders, 25-44 years old.1
  • Asian American men have higher incidence rates of liver cancer as compared to Hispanic, non-Hispanic white, or Asian/Pacific Islander 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 70 percent more likely to die from liver and IBD cancer, as compared to non-Hispanic whites.
  • The incidence rate for liver and IBD cancer is twice as high for Asian American women as compared to non-Hispanic white women.

Cancer Rates for Asian/Pacific Islanders (2012-2016)

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 301.1 505.5 0.6
Liver & IBD* 19.9 10.8 1.8

Source: NCI 2020. Seer Cancer Statistics Review, 1975-2016. Tables 2.15 through 24.15
https://seer.cancer.gov/csr/1975_2016/sections.html

 

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 299.7 448.0 0.7
Liver & IBD* 7.4 3.7 2.0

*IBD = Intrahepatic Bile Duct

Source: NCI 2020. Seer Cancer Statistics Review, 1975-2016. Tables 2.15 through 24.15
https://seer.cancer.gov/csr/1975_2016/sections.html 

 

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
Asian/Pacific Islander Non-Hispanic White Asian/Pacific Islander / Non-Hispanic White Ratio
1.1 1.6 0.7

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 (2012-2016)

Cancer Death Rates per 100,000 – Men
Cancer Asian/Pacific Islander Men Non-Hispanic White Men Asian/Pacific Islander / Non-Hispanic White Ratio
Liver & IBD* 13.8 8.3 1.7

Source: NCI 2020. Seer Cancer Statistics Review, 1975-2016. Table 14.15
https://seer.cancer.gov/csr/1975_2016/results_single/sect_14_table.15.pdf  [PDF | 11.16KB]

 

Cancer Death Rates per 100,000 – Women
Cancer Asian/Pacific Islander Women Non-Hispanic White Women Asian/Pacific Islander / Non-Hispanic White Ratio
Liver & IBD* 5.8 3.4 1.7

*IBD = Intrahepatic Bile Duct

Source: NCI 2020. Seer Cancer Statistics Review, 1975-2016. Tables 14.15
https://seer.cancer.gov/csr/1975_2016/results_single/sect_14_table.15.pdf  [PDF | 11.16KB]

 

Age-adjusted Chronic Liver Disease and Cirrhosis Death Rates per 100,000 (2017)
  Non-Hispanic Asian/Pacific Islander Non-Hispanic White Non-Hispanic Asian/Pacific Islander / Non-Hispanic White Ratio
Men 5.2 14.6 0.4
Women 2.3 8.2 0.3
Total 3.6 11.3 0.3

Source: CDC 2019. National Vital Statistics Report, Vol. 68, No. 9. Table 10.
https://www.cdc.gov/nchs/data/nvsr/nvsr68/nvsr68_09-508.pdf [PDF | 1.76MB]

 

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

2Source: 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: 3/13/2020 11:42:00 AM