OHIO CANCER and ASIAN AMERICANS, NATIVE HAWAIIANS AND PACIFIC ISLANDERS 1 National Cancer Trends for AAs and NHPIs Asian Americans, Native Hawaiians and Pacific Islanders (AAs and NHPIs) tend to have lower cancer incidence rates than non-Hispanic whites, except for Native Hawaiian women. Native Hawaiians and Samoans have the greatest incidence and mortality rates of the AA and NHPI groups. Liver, stomach, and nasopharyngeal cancers are more prevalent in certain groups and exceed rates for non-Hispanic whites. Unfavorable patterns of stage at diagnosis for cancers of the colon and rectum, breast, cervix uteri, and prostate suggest a need for cancer control interventions in selected groups. 2,3 Impact of Cancer on AAs and NHPIs  Compared to whites, AA and NHPI men are twice as likely to have stomach cancer. AA and NHPI women are almost three times as likely to have stomach cancer.  AA and NHPI men are 40% less likely to have prostate cancer as white men, but prostate cancer is the top cancer for AA and NHPI men.  AA and NHPI women are 30% less likely to have breast cancer as white women, but breast cancer is still the top cancer for AA and NHPI women.  AA and NHPI men and women have three times the incidence of liver & intrahepatic bile duct (IBD) cancer as the non-Hispanic white population.  AA and NHPI men are twice as likely and AA and NHPI women are 2.6 times as likely to die from stomach cancer as compared to the nonHispanic white population. Ohio’s State Population (alone) Race Population 2006 Percent White 9,645,844 84.0% African American 1,357,343 11.8% American Indian and Alaska Native 21,570 0.2% Asian 175,000 1.5% Native Hawaiian and Pacific Islander 2,447 0.02% Other Race 104,589 0.9% Two or more races 171,213 1.5% Total 100.0% 11,478,006 Source: U.S. Census Bureau, 2006 American Community Survey Of Ohio’s population, 2.3% (265,762) is Hispanic or Latino. Ohio’s Minority Population American Indian & Alaska Native 1.3% African American 81.7% Asian 10.5% Other Race 6.3% Native Hawaiian & Pacific Islander 0.1% Source: U.S. Census Bureau, 2006 American Community Survey Ohio’s Asian Population (alone) Asian Group Population 2000 38,752 555 2,725 Population 2006 56,619 352 4,586 Percent Percent Change 46% -37% 68% Asian Indian 32.4% Bangladeshi 0.2% Cambodian 2.6% Chinese, except 28,579 40,974 23.4% 43% Taiwanese Filipino 12,393 14,528 8.3% 17% Hmong 376 0 0% -100% Indonesian 900 415 0.2% -54% Japanese 10,732 9,117 5.2% -15% Korean 13,376 12,036 6.9% -10% Laotian 2,749 2,974 1.7% 8% Malaysian 259 140 0.08% -46% Pakistani 1,955 2,224 1.3% 14% Sri Lankan 471 1,525 0.9% 224% Taiwanese 1,846 2,193 1.3% 19% Thai 1,778 2,701 1.5% 52% Vietnamese 9,812 18,635 10.6% 90% Other Asian 348 4,244 2.4% 1120% Other Asian, not 3,065 1,737 1.0% -43% specified Total 130,671 175,000 1.5% 34% Source: U.S. Census Bureau 2000, 2006 American Community Survey The largest Asian populations in Ohio are Asian Indian (32%) followed by Chinese (23%) and Vietnamese (11%). The fastest growing group is Sri Lankan with an increase of over 200% since 2000. OH’s Native Hawaiians and Pacific Islanders (alone) NHPI Group Population 2000 788 Population 2005-2007 959 Percent Percent Change 22% Native Hawaiian 28.4% Guamanian or 618 66 2.0% -89% Chamorro Samoan 565 2,046 60.7% 262% Other Pacific 749 301 9.0% -60% Islander Total 2,720 3,372 0.02% 24% Source: U.S. Census Bureau 2000, 2005-2007 American Community Survey Asian & Pacific Islander American Health Forum 450 Sutter Street, Suite 600, San Francisco, CA 94108  415-954-9988  www.apiahf.org Last Updated April 2010 The NHPI population of Ohio is only 0.02%, but is increasing. Samoans are the largest group, making up almost two-thirds of the NHPIs. Their population has almost quadrupled since 2000. Guamanians and Chamorros are the smallest group and their population has decreased in Ohio. Languages Spoken Asian Americans, Native Hawaiians and Pacific Islanders speak over 100 languages and dialects. In Ohio, 59% (22,856) of native Asians and 14% (17,152) of foreign-born Asians speak English only. Of Asians who speak other language(s) besides English, 3% (1,271) of natives and 16% (19,256) of foreign-born speak English not well or not at all. Income Median Family Per Capita Income Income Asian $64,071 $28,244 NHPI $35,810 $14,752 White $59,279 $24,914 OH $56,148 $23,543 Source: U.S. Census Bureau, 2006 American Community Survey Group Asians as a group have the highest median family income and per capita income of all groups. There is a much lower median family income for NHPIs, which is a third less than the state’s median family income. Educational Attainment Population 25 years and over OH Asian NHPI Less than high school diploma 14% 11% 23%* High school graduate (includes 37% 14% 38%* equivalency) Some college or associate's degree 26% 15% 32%* Bachelor's degree or higher 23% 61% 7%* Source: U.S. Census Bureau, 2006 American Community Survey *U.S. Census Bureau, 2005-2007 American Community Survey Of the total Ohio population, over a third is a high school graduate, which is equivalent to the NHPI population. A greater proportion of NHPIs are high school graduates (38%) or have some college experience or their associate’s degree (32%). Over 60% of Asians hold a bachelor’s degree or higher, while only 23% of Ohioans are college graduates. Health Insurance Coverage About 16% of Asians and 11% of Native Hawaiian and 4 Pacific Islanders were uninsured from 2004-2006. 5 From 2005-2007, 11% of all Ohioans were uninsured. Average Annual Number of New Invasive Cancer 6 Cases & Age-adjusted Rates, 2002-2006 Data was provided by the Ohio Cancer Incidence Surveillance System, Ohio Department of Health. The Department specifically disclaims responsibility for any analyses, interpretations or conclusions. Incidence All AA and White Races NHPI All Cancer Sites/Types 466.4 447.8 218.4 Female Breast 120.4 117.5 57.2 Prostate 144.7 124.9 44.3 Lung and Bronchus 75.0 73.2 32.5 Colon and Rectum 52.1 49.6 30.2 Uterine Corpus & Uterine, NOS 26.4 26.6 11.0 Non-Hodgkin’s Lymphoma 19.2 19.1 10.0 Liver and Intrahepatic Bile Duct 4.3 3.8 9.7 Urinary Bladder 21.6 21.5 7.7 Stomach 6.1 5.4 7.4 Cervical 8.0 7.7 4.2 *Average annual rate per 100,000, age-adjusted to the 2000 US standard population Cancer Sites/Types Mortality All AA and White Races NHPI All Cancer Sites/Types 201.4 198.0 79.4 Lung and Bronchus 60.2 59.6 17.2 Female Breast 27.0 26.3 12.7 Liver and Intrahepatic Bile Duct 4.4 4.1 8.3 Colon and Rectum 20.0 19.4 7.8 Prostate 26.9 24.7 5.3 Stomach 3.5 3.1 4.3 Non-Hodgkin’s Lymphoma 7.5 7.7 3.7 Cervix 2.4 2.4 1.8 Urinary Bladder 5.0 5.1 ~ Uterine Corpus & Uterine, NOS 4.4 4.2 ~ *Average annual rate per 100,000, age-adjusted to the 2000 US standard population Cancer Sites/Types Though female breast cancer and prostate cancer are the most prevalent cancers among the AA and NHPI population, lung and bronchus cancer is the greatest killer along within the state and white populations. The same cancers that affect whites the most are also found in AAs and NHPIs. Overall, Asians and Pacific Islanders have higher liver and IBD cancer rates (9.7) and stomach rates (7.4) compared to whites. In fact, Asians and Pacific Islanders have twice the death rate from liver and IBD cancer. For more information, contact: Asian & Pacific Islander American Health Forum Asian & Pacific Islander National Cancer Survivors Network 450 Sutter Street, Suite 600 San Francisco, CA 94108 Tel: (415) 954-9988 Email: CDprogram@apiahf.org Websites: www.apiahf.org and www.apincsn.org Asian & Pacific Islander American Health Forum 450 Sutter Street, Suite 600, San Francisco, CA 94108  415-954-9988  www.apiahf.org Last Updated April 2010 State Programs: Ohio Cross-Cultural Tobacco Control Alliance http://www.ohiocctca.org/Ohiocctca/index.html Ohio Department of Health Bureau of Health Promotion & Risk Reduction Breast and Cervical Cancer Project 246 North High Street Columbus, OH 43215 Tel: (614) 728-2177 Fax: (614) 564-2409 Website: http://www.odh.ohio.gov/odhPrograms/hprr/bc_canc/bca nc1.aspx Ohio Department of Health Cancer Program th 246 North High Street, 8 Floor Columbus, OH 43215 Tel: (614) 728-7418 Fax: (614) 564-2409 Email: bhprr@odh.ohio.gov Website: http://www.odh.ohio.gov/odhPrograms/pmlt/cancer/canc erprog.aspx Ohio Department of Health Tobacco Use Prevention and Cessation Program 246 North High Street Columbus, OH 43215 Tel: (614) 752-2130 Fax: (614) 644-7740 Email: tobaccoprevention@odh.ohio.gov Website: http://www.odh.ohio.gov/odhPrograms/hprr/tob_risk/tob_ risk1.aspx Ohio Commission on Minority Health th 77 South High Street, 7 Floor Columbus, OH 43215 Tel: (614) 466-4000 Fax: (614) 752-9049 Website: http://www.mih.ohio.gov/MHM.stm Health Services and Outreach: Asian American Community Services 4700 Reed Road, Suite B Upper Arlington, OH 43220 Tel: (614) 220-4023 Fax: (614) 220-4024 Website: http://aacsohio.org/ Asian American Council of Dayton c/o Sharon Sherlock DHA 25 E. Foraker Street Dayton, OH 45409 Website: http://iis.stat.wright.edu/aac-dayton/ Asian Community Alliance, Inc. 4770 Duke Drive, Suite 195 Cincinnati, OH 45040 Jiah Jung: 513-680-1349 Email: info@acacinci.org Asian Services in Action, Inc. 730 Carroll Street Akron, OH 44304 Tel: (330) 535-3263 Fax: (330) 535-3338 Website: http://www.asiainc-ohio.org/ Asian Services in Action, Inc. 3631 Perkins Ave., Ste 2A-W Cleveland, OH 44114 Tel: (216) 881-0330 Fax: (216) 881-6920 Website: http://www.asiainc-ohio.org/ Ohio Asian American Health Coalition http://www.oahcoalition.org Cultural Organizations: ASHA - Ray of Hope 1505 Bethel Road, Suite 103 Columbus, Ohio 43220 Tel: (614) 326-2121 Fax: (614) 326-2131 Email: asharayofhope@sbcglobal.net Website: www.asharayofhope.org Association of Asian Indian Women in Ohio 401 Broad St., Suite 211 Elyria, OH 44035 Tel: (440) 218-6959 Website: http://www.aaiwo.org/ Bharatiya Hindu Temple 3671 Hyatts Road P.O.Box 1466, Powell OH 43065-1466 Tel: (740) 369-0717 Email: bht@columbushindutemple.org Website: http://www.columbushindutemple.org/home.aspx Buddhist Bodhi Association of Columbus 5208 Dierker Rd. Columbus, OH 43220 Tel: (614) 326-3871 Email: bbac@columbusbuddhist.org Website: http://www.columbusbuddhist.org Cambodian-American National Council 1450 Sherwood Forest Drive Dayton, OH 45449 Asian & Pacific Islander American Health Forum 450 Sutter Street, Suite 600, San Francisco, CA 94108  415-954-9988  www.apiahf.org Last Updated April 2010 Cambodian Association of Greater Cincinnati 26 East 6th Street, Suite 306 Cincinati, OH 45202 Tel: (513) 579-1383 Cambodian Mutual Assistance Association 787 East Broad Street Columbus, Ohio 43205 Tel / Fax: (614) 224-8888 E-mail: Cambodianm@yahoo.com Website: http://www.servintfree.net/cmaa/ Cambodia's of Ohio 1450 Sherwood Forest Drive Dayton, OH 45449 Tel: (513) 866-8731 Chinese Association of Greater Toledo http://www.toledochinese.org/ Chinese Women’s Association of Cleveland 6755 Ridgecliff Drive Solon, OH 44139 Email: ClevelandChineseWomenAssociation@yahoo.com Website: http://www.chinesewomencleveland.org/ Cleveland Korean Presbyterian Church 4839 Pearl Road Cleveland, OH 44109-5138 Tel: (216) 459-8512 Columbus Chinese Christian Church 4141 Maize Road Columbus, OH 43224 Tel: (614) 263-9287 Fax: (614) 263-9298 Website: http://www.columbusccc.org Federation of Asian Indian Associations Central Ohio P.O. Box 20369 Columbus, OH 43220 Tel: (877) 342-6412 Fax: (877) 342-6412 Email: info@fia-ohio.org Website: http://www.fia-ohio.org/ Japan-America Society of Central Ohio Ohio State University 306 Oxley Hall 1712 Neil Avenue Columbus, OH 43210 Tel: (614) 292-4002 Fax: (614) 292-7589 Email: http://jasco.osu.edu/ Japanese Citizen League Cleveland, OH 44113 Tel: (216) 556-2277 Korean American Association of Greater Cleveland 1541 East 38th St., Cleveland, OH 44114 Tel: (216) 689-2999 Email: info@clevelandkoreanassociation.org Website: http://www.clevelandkoreanassociation.org Korean Church of Columbus 2825 Snouffer Rd. Columbus, OH 43235 Tel: (614) 764-8960 Fax: (614) 2454 Website: http://mykoreanchurch.org/index.shtml Korean-Madisonville United Methodist Church 6130 Madison Road Cincinnati, Ohio 45227 Tel: (513) 271-1434 Website: http://kmumc.org/ Ohio Sa Rang Korean Church 7399 North High Street Columbus, OH 43220 Tel: (614) 888-2438 Philippine American Society of Ohio 1975 West Ridgewood Drive Cleveland, OH 44134-4822 Tel: (440) - 2 6 Salaam Cleveland 13963 Pearlview Drive Strongsville, OH 44136 Email: info@salaamcleveland.com Website: http://salaamcleveland.com/ Gujarathi Mandal Tel: (740) 881-0294 Email: urvish_shelat@yahoo.com Website: http://www.gujaratimandal.org/ Taiwanese Christian Church 1071 Michigan Avenue Columbus, OH 43201-3332 Tel: (6 4) 2 -44 Guru Gobind Sikh Society of Ohio 38 Tarbell Avenue Cleveland, OH 44146-3615 Tel: (440) 232- 02 Telugu Association of Central Ohio 3811 Pine Bank Dr Powell, OH 43065 Tel: (614) 316-1954 Website: http://www.tacosite.com Asian & Pacific Islander American Health Forum 450 Sutter Street, Suite 600, San Francisco, CA 94108  415-954-9988  www.apiahf.org Last Updated April 2010 Vindhya Cultural Association Mrs. Latha Venkataraman Tel: (614) 793-1580 Email: latha_vraman@yahoo.com Website: http://www.vindhya.org/ 6 American Cancer Society Ohio Division, Ohio Department of Health, The Ohio State University. Ohio Cancer Facts & Figures 2009. Columbus, Ohio: American Cancer Society; 2009. Cancer Support Groups Breast Cancer Network of Strength, Cleveland P.O. Box 177 Chagrin Falls, OH 44022 Tel: (877) 963-7233 Email: Cleveland@networkofstrength.org Website: http://www.networkofstrength.org/cleveland/ Stewart’s Caring Place 2955 W. Market Street, Suite R Akron, OH 44333 Tel: (330) 836-1772 Website: http://www.stewartscaringplace.org The Wellness Community of Greater Columbus 10330 Sawmill Parkway, Suite 600 Powell, Ohio 43065 Tel: (614) 791-9510 Fax (614) 791-9610 Website: http://www.wellnesscolumbus.org References All data taken from the 2006 American Community Survey unless stated otherwise. For more information go to www.census.gov. 1 Miller BA, Chu KC, Hankey BF, and Ries LAG (2007). Cancer incidence and mortality patterns among specific Asian and Pacific Islander populations in the U.S. Cancer Causes and Control, 91: 227256. Available at: http://www.springerlink.com/content/6q1p26p41720241k/ 2 The Office of Minority Health. Cancer and Asians/Pacific Islanders. Available at: http://www.omhrc.gov/templates/content.aspx?lvl=2&lvlID=53&ID=305 5 3 U.S. Cancer Statistics Working Group. United States Cancer Statistics: 1999–2006 Incidence and Mortality Web-based Report. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute; 2010. Available at: www.cdc.gov/uscs 4 U.S. Census Bureau. Current Population Survey, Annual Social and Economic Supplement, 2005-2007 Table Creator. U.S. Census Bureau, Housing and Household Economic Statistics Division; 2008. Available at: http://www.census.gov/hhes/www/cpstc/cps_table_creator.html 5 DeNavas-Walt, Carmen, Bernadette D. Proctor, and Jessica C. Smith, U.S. Census Bureau, Current Population Reports, P60-235, Income, Poverty, and Health Insurance Coverage in the United States: 2007, U.S. Government Printing Office, Washington, DC, 2008. Available at: http://www.census.gov/hhes/www/hlthins/hlthin07.html Asian & Pacific Islander American Health Forum 450 Sutter Street, Suite 600, San Francisco, CA 94108  415-954-9988  www.apiahf.org Last Updated April 2010