Cancer Mortality by Ethnicity in Colombia Between 2011 and 2022: A Population-Based Study

ObjectivesTo examine cancer mortality rates in Colombia by ethnic groups (Indigenous, Rom, Raizal, Afro-Colombian, and Mestizo) and assess trends from 2011 to 2022.MethodsNational vital statistics from death certificates and the Colombian census data were used. Crude and direct age-standardized mort...

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Main Authors: Maria Camila Urrea Suescun, Isabel C. Garcés-Palacio, Amr S. Soliman
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:International Journal of Public Health
Subjects:
Online Access:https://www.ssph-journal.org/articles/10.3389/ijph.2025.1607975/full
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author Maria Camila Urrea Suescun
Isabel C. Garcés-Palacio
Amr S. Soliman
author_facet Maria Camila Urrea Suescun
Isabel C. Garcés-Palacio
Amr S. Soliman
author_sort Maria Camila Urrea Suescun
collection DOAJ
description ObjectivesTo examine cancer mortality rates in Colombia by ethnic groups (Indigenous, Rom, Raizal, Afro-Colombian, and Mestizo) and assess trends from 2011 to 2022.MethodsNational vital statistics from death certificates and the Colombian census data were used. Crude and direct age-standardized mortality rates were determined by ethnicity for the study period, by year, sex, and cancer type and Joinpoint analysis was conducted to examine trends.ResultsAge-standardized cancer mortality of Mestizos (60.1 per 100,000 population) was lower than in Rom and Raizales (557.3 and 77.7 per 100,000), and higher than for Afro-Colombians and Indigenous (37.2 and 20.0 per 100,000). Indigenous people in Colombia had greater proportions of individuals under 45 dying of cancer than Mestizos (18.7% vs. 9.7%, p-value = <0.01). Compared to the Mestizo population, Raizales and Afro-Colombians experienced disproportionately higher age-standardized mortality rates due to prostate cancer (26.6/100,000 and 8.6/100,000 vs. 8.1/100,000), and for Raizales and Rom breast cancer (14.0/100,000 and 103.2/100,000 vs. 9.1/100,000).ConclusionThe disparities in cancer mortality in ethnic minorities in Colombia call for investigating cancer etiology and access to care among the Rom and the Raizal populations.
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spelling doaj-art-b0fc72a130d94e0abdacacfe2a99196a2025-02-03T04:11:13ZengFrontiers Media S.A.International Journal of Public Health1661-85642025-02-017010.3389/ijph.2025.16079751607975Cancer Mortality by Ethnicity in Colombia Between 2011 and 2022: A Population-Based StudyMaria Camila Urrea Suescun0Isabel C. Garcés-Palacio1Amr S. Soliman2Department of Epidemiology and Biostatistics, CUNY Graduate School of Public Health and Health Policy, New York, NY, United StatesEpidemiology Group, School of Public Health, Universidad de Antioquia UdeA, Medellín, ColombiaDepartment of Community Health and Social Medicine, City University of New York School of Medicine, New York, NY, United StatesObjectivesTo examine cancer mortality rates in Colombia by ethnic groups (Indigenous, Rom, Raizal, Afro-Colombian, and Mestizo) and assess trends from 2011 to 2022.MethodsNational vital statistics from death certificates and the Colombian census data were used. Crude and direct age-standardized mortality rates were determined by ethnicity for the study period, by year, sex, and cancer type and Joinpoint analysis was conducted to examine trends.ResultsAge-standardized cancer mortality of Mestizos (60.1 per 100,000 population) was lower than in Rom and Raizales (557.3 and 77.7 per 100,000), and higher than for Afro-Colombians and Indigenous (37.2 and 20.0 per 100,000). Indigenous people in Colombia had greater proportions of individuals under 45 dying of cancer than Mestizos (18.7% vs. 9.7%, p-value = <0.01). Compared to the Mestizo population, Raizales and Afro-Colombians experienced disproportionately higher age-standardized mortality rates due to prostate cancer (26.6/100,000 and 8.6/100,000 vs. 8.1/100,000), and for Raizales and Rom breast cancer (14.0/100,000 and 103.2/100,000 vs. 9.1/100,000).ConclusionThe disparities in cancer mortality in ethnic minorities in Colombia call for investigating cancer etiology and access to care among the Rom and the Raizal populations.https://www.ssph-journal.org/articles/10.3389/ijph.2025.1607975/fullafro-descendantscancer mortalityColombiaethnic minorityindigenous people
spellingShingle Maria Camila Urrea Suescun
Isabel C. Garcés-Palacio
Amr S. Soliman
Cancer Mortality by Ethnicity in Colombia Between 2011 and 2022: A Population-Based Study
International Journal of Public Health
afro-descendants
cancer mortality
Colombia
ethnic minority
indigenous people
title Cancer Mortality by Ethnicity in Colombia Between 2011 and 2022: A Population-Based Study
title_full Cancer Mortality by Ethnicity in Colombia Between 2011 and 2022: A Population-Based Study
title_fullStr Cancer Mortality by Ethnicity in Colombia Between 2011 and 2022: A Population-Based Study
title_full_unstemmed Cancer Mortality by Ethnicity in Colombia Between 2011 and 2022: A Population-Based Study
title_short Cancer Mortality by Ethnicity in Colombia Between 2011 and 2022: A Population-Based Study
title_sort cancer mortality by ethnicity in colombia between 2011 and 2022 a population based study
topic afro-descendants
cancer mortality
Colombia
ethnic minority
indigenous people
url https://www.ssph-journal.org/articles/10.3389/ijph.2025.1607975/full
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AT amrssoliman cancermortalitybyethnicityincolombiabetween2011and2022apopulationbasedstudy