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Using CDC WONDER Underlying Causes of Death data, a cross-sectional analysis examined deaths from 22 cancer types plus in situ/benign neoplasms (ICD-10 C00-C97, D00-D48) among disaggregated Asian American groups from 2018 to 2021.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/disparities-in-cancer-mortality-among-disaggregated-asian-american-subpopulations-2018-2021/331766/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/disparities-in-cancer-mortality-among-disaggregated-asian-american-subpopulations-2018-2021/331766.png","ImageObject",300,407,{"name":92,"@type":93},"Ophelia","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-07","2026-09-21",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why do aggregated Asian American data collection practices obscure cancer mortality disparities?","Question",{"text":112,"@type":113},"Aggregating Asian Americans into a single group can hide differences across diverse subpopulations, making subgroup-specific cancer mortality patterns harder to detect.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What dataset and cancer classifications were used in the study?",{"text":117,"@type":113},"The study used the CDC WONDER Underlying Causes of Death database and analyzed 22 cancer types plus in situ and benign neoplasms identified with ICD-10 codes C00-C97 and D00-D48.",{"name":119,"@type":110,"acceptedAnswer":120},"What time period and population size were analyzed?",{"text":121,"@type":113},"The analysis covered 2018 to 2021 and included 327,311 Asian American decedents, with a mean age of death of 70.57 years.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},331766,1790165918,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},7971461741311,"https://ap-avatar.wpscdn.com/avatar/74000253aff267980c6?x-image-process=image/resize,m_fixed,w_180,h_180&k=1779345379180704826","Disparities in Cancer Mortality among Disaggregated Asian American Subpopulations, 2018–2021  \nDavid T. Zhu1,2 · Alan Lai2 · Andrew Park2 · Anthony Zhong3 · Suzanne Tamang4,5  \nReceived: 25 May 2024 / Revised: 17 June 2024 / Accepted: 18 June 2024 / Published online: 25 June 2024 © The Author(s) 2024  \nAbstract  \nFederal, state, and institutional data collection practices and analyses involving Asian Americans as a single, aggregated group obscure critical health disparities among the vast diversity of Asian American subpopulations. Using from the Centers for Disease Control and Prevention Wide-Ranging Online Data for Epidemiologic Research (CDC WONDER) Underlying Causes of Death database, we conducted a cross-sectional study using data on disaggregated Asian American subgroups (Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, other Asians) between 2018 and 2021. We examine deaths from 22 cancer types and in situ, benign neoplasms, identified using ICD-10 codes C00-C97 and D00-D48 . Overall, our study comprised 327,311 Asian American decedents, with a mean age of death at 70.57 years (SD=2.79), wherein females accounted for approximately half of the sample (n=36,596/73,207; 49.99%) . Notably, compared to the aggregated Asian American reference group, we found higher proportions of deaths from total cancers among Chinese (25.99% vs. 22.37%[ref]), Korean (25.29% vs. 22.37%[ref]), and Vietnamese (24.98% vs. 22.37%[ref]) subgroups. In contrast, total cancer deaths were less prevalent among Asian Indians (17.49% vs. 22.37%[ref]), Japanese (18.90% vs. 22.37%[ref]), and other Asians (20.37% vs. 22.37%[ref]). We identified further disparities by cancer type, sex, and age. Disaggregated data collection and analyses are imperative to understanding differences in cancer mortality among Asian American subgroups, illustrating at-risk populations with greater granularity. Future studies should aim to describe the association between these trends and social, demographic, and environmental risk factors.  \nKeywords Cancer · Mortality · Asian American · Disaggregated  \nIntroduction  \nAsian Americans, Native Hawaiian, and Pacific Islanders (AANHPI) are one of the fastest growing racial and ethnic groups in the United States (US), accounting for 20.6 million  \n* David T. Zhu [davetzhu@gmail.com](davetzhu@gmail.com)  \n1 Medical Scientist Training Program, School of Medicine, Virginia Commonwealth University, Richmond, VA 23298, USA  \n2 School of Medicine, Virginia Commonwealth University, 1201 E Marshall St, Richmond, VA 23298, USA  \n3 Harvard Medical School, Boston, MA 02115, USA  \n4 Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA  \n5 Program Evaluation Resource Center, Office of Mental Health and Suicide Prevention, Department of Veterans Affairs, Menlo Park, CA 94025, USA  \nindividuals (6% of total US population) and are projected to rise to 9% of the total US population by 2060 [1–3] . Unlike all other racial and ethnic groups—for whom heart disease is the leading cause of death—cancer has been the leading cause of death for AANHPI individuals since the early 2000s. [4–7] As AANHPI immigration increases and the older population size expands [3], the AANHPI cancer burden may continue to increase.  \nDespite remarkable heterogeneity, with over 50 different AANHPI subgroups widely distributed across different ethno-geographic regions in the US, AANHPI populations are often categorized as a single monolithic population within local and national health databases [4 , 8] . Often described as a “model minority,” AANHPI communities are subjected to a myth that they uniformly enjoy better health than other populations due to academic and economic success [1]. The roots of such generalizations can be traced back to the 1985 Heckler Report asserting “[t]he Asian/Pacific Island minority, in aggregate, is healthier than all racial/  \nethnic groups in the United States, including Whites” [9 , 10] . Thus, ","cbCaiuBCuWQj3USR","https://ap.wps.com/l/cbCaiuBCuWQj3USR","pdf",795408,23,"English","# Abstract\n# Introduction","[{\"question\":\"Why do aggregated Asian American data collection practices obscure cancer mortality disparities?\",\"answer\":\"Aggregating Asian Americans into a single group can hide differences across diverse subpopulations, making subgroup-specific cancer mortality patterns harder to detect.\"},{\"question\":\"What dataset and cancer classifications were used in the study?\",\"answer\":\"The study used the CDC WONDER Underlying Causes of Death database and analyzed 22 cancer types plus in situ and benign neoplasms identified with ICD-10 codes C00-C97 and D00-D48.\"},{\"question\":\"What time period and population size were analyzed?\",\"answer\":\"The analysis covered 2018 to 2021 and included 327,311 Asian American decedents, with a mean age of death of 70.57 years.\"}]","Disparities in Cancer Mortality among Disaggregated Asian American Subpopulations, 2018-2021 | PDF",1789995024,58]