Cancers, Vol. 13, Pages 3710: Racial Differences in Hepatocellular Carcinoma Incidence and Risk Factors among a Low Socioeconomic Population

Cancers, Vol. 13, Pages 3710: Racial Differences in Hepatocellular Carcinoma Incidence and Risk Factors among a Low Socioeconomic Population Cancers doi: 10.3390/cancers13153710 Authors: Sylvie Muhimpundu Rebecca Baqiyyah N. Conway Shaneda Warren Andersen Loren Lipworth Mark D. Steinwandel William J. Blot Xiao-Ou Shu Staci L. Sudenga The purpose of this study was to examine differences in risk factors associated with hepatocellular carcinoma (HCC) among White and African Americans from low socioeconomic backgrounds in the Southern Community Cohort Study (SCCS). The SCCS is a prospective cohort study with participants from the southeastern US. HCC incidence rates were calculated. Multivariable Cox regression was used to calculate HCC-adjusted hazard ratios (aHR) associated with known baseline HCC risk factors for White and African Americans, separately. There were 294 incident HCC. The incidence rate ratio for HCC was higher (IRR = 1.4, 95%CI: 1.1–1.9) in African Americans compared to White Americans. White Americans saw a stronger association between self-reported hepatitis C virus (aHR = 19.24, 95%CI: 10.58–35.00) and diabetes (aHR = 3.55, 95%CI: 1.96–6.43) for the development of HCC compared to African Americans (aHR = 7.73, 95%CI: 5.71–10.47 and aHR = 1.48, 95%CI: 1.06–2.06, respectively) even though the prevalence of these risk factors was similar between races. Smoking (aHR = 2.91, 95%CI: 1.87–4.52) and heavy alcohol consumption (aHR = 1...
Source: Cancers - Category: Cancer & Oncology Authors: Tags: Article Source Type: research