Incidence Rate
The incidence rate for lung and bronchus cancer among Asian/Pacific Islanders (from 2016 to 2020) was 42.2 per 100,000 men and 27.1 per 100,000 women. The Incidence rate for Asian/Pacific Islanders was the second lowest of all races/ethnicities (except Hispanic/Latino). See the National Cancer Institute’s SEER Stat Fact Sheet for more information.
Mortality Rates
Mortality rates among Asian/Pacific Islanders were 25.6 per 100,000 men and 15.4 per 100,000 women. Mortality rates for Asian/Pacific Islanders was the second lowest of all races/ethnicities (except Hispanic/Latino). See the National Cancer Institute’s SEER Stat Fact Sheet for more information.
Regional Variation
Lung cancer rates vary widely. The highest rates are in Chinese living in Hong Kong (Wang 2009) and Singapore, followed by mainland China, and then the US. Some of the difference in rates probably reflects the rate of smoking in the various areas. However, in many of these areas, women have a low prevalence of smoking. Wang (2009) conducted a population-based case-control study of 212 Hong Kong women diagnosed with primary lung cancer. All cases and controls were life time non-smokers. Results support the etiological link of lung cancer with preexisting lung disease, in particular, asthma, and family cancer history (any cancer).
Dyspnea
“Patients in this study found no Chinese words to adequately define and describe dyspnea and relied on sensations they experienced during the dyspnea episode.”
Lai et al. (2007) describe the experience of dyspnea and helpful interventions in Chinese patients with advanced lung cancer admitted in the palliative care unit in one region in Hong Kong. Eleven participants agreed to be interviewed in this qualitative study, with age ranging from 51 to 80 years. They have been diagnosed with lung cancer from 1 to 12 months, and all required oxygen therapy for dyspnea.
Patients in this study found no Chinese words to adequately define and describe dyspnea and relied on sensations they experienced during the dyspnea episode. The impact of dyspnea was multidimensional, and patients used various strategies to manage dyspnea, including avoiding triggers and utilizing traditional Chinese medicine.
Overall, health care professionals were perceived to play a very inadequate role in assisting patients with dyspnea, and participants suggested that they should take a more active role in educating and supporting patients with dyspnea.
