Epidemiology characteristics of ethnic minority colorectal cancer in Yunnan in Southwestern China

Abstract

Background Colorectal cancer (CRC) is one of the world's deadliest cancers, and its mortality rate has been on the rise in China. Yunnan is a region with a higher concentration of ethnic minorities. CRC affects many people from ethnic minority groups, which differ from Han in terms of their age and gender compositions. Methods We collected samples from 1,016 cases of CRC patients along with their case files at Yunnan Provincial Cancer Hospital from the period between January 2013 and December 2018. Results In total, 7.1% (n=72) of all lung cancer cases diagnosed from 2013 to 2018 in Yunnan Provincial Cancer Hospital occurred in patients 40 years old or younger, 44% (n=447) were 40 to 60 years old, and 48.9% (n=497) were 60 years old or above. The composition ratio of CRC patients in the different age groups differed significantly and enhanced significantly with age, with a statistical significance of P<0.05. A total of 33.6% (n=38) of 113 minority patients and 16.8% (n=152) of 903 Han patients reported a history of smoking, and 23.0% (n=26) of 113 minority patients and 14.6% (n=132) of Han patients had a history of drinking. Long-term smoking and drinking are significantly associated with the incidence of CRC, and this was more significant among ethnic minorities (P<0.05). Conclusions The high incidence of CRC in Yunnan is strongly related to patients’ lifestyles, and diet should be a core focus of efforts to prevent and treat CRC. Early screening and regular check for common tumor markers can also help to reduce the incidence of CRC and provide a basis for improvements in CRC treatment and prognosis in Yunnan.

A latent profile analysis of residents' knowledge, attitude, and practice toward common chronic diseases among ethnic minority area in China

“…However, in our study population, the ethnic minority study population was predominantly Lahu (447 of 496), so this variation in chronic disease KAP among different ethnic minorities was not influential on the overall results. In addition, our search of previous literature revealed some commonalities across ethnic minorities in Yunnan: high illiteracy rates, low awareness of their health concerns, and high tobacco and alcohol consumption ( 34 , 35 ). Another limitation is that we used self-reported prevalence of chronic diseases.…”