Gastroenterol Res

Gastroenterology Research, ISSN 1918-2805 print, 1918-2813 online, Open Access

Article copyright, the authors; Journal compilation copyright, Gastroenterol Res and Elmer Press Inc

Journal website http://www.gastrores.org

Original Article

Volume 2, Number 5, October 2009, pages 268-276

Marked Variations in Colon Cancer Epidemiology: Sex-specific and Race/Ethnicity-specific Disparities

Figure 1. Colon cancer distribution by anatomical site and year, 1973-2004. Males, stratified by race/ethnicity.

Figure 2. Colon cancer distribution by anatomical site and year, 1973-2004. Females, stratified by race/ethnicity.

**Table 1.** Overall colon cancer distribution by site of cancer and stage of cancer at diagnosis, stratified by race/ethnicity, 1973-2004.
	Distribution by Site
The percentages are calculated horizontally across each row and represent the proportion of cancers within each race/ethnic group.
Non-hispanic white	136139	32.8%	29509	7.1%	249045	60.1%
Black	15459	35.3%	3228	7.4%	25150	57.4%
Asians	7099	23.2%	1802	5.9%	21692	70.9%
Hispanic	7653	29.9%	1384	5.4%	16541	64.7%
The percentages are calculated horizontally across each row and represent the proportion of cancers within each race/ethnic group.
Non-hispanic white	166064	41.4%	155428	38.7%	79993	19.9%
Black	15966	37.8%	15546	36.8%	10732	25.4%
Asians	12315	41.4%	11947	40.1%	5509	18.5%
Hispanic	9811	39.3%	9774	39.2%	5358	21.5%

Table 1. Overall colon cancer distribution by site of cancer and stage of cancer at diagnosis, stratified by race/ethnicity, 1973-2004.

Distribution by Site

Proximal

Percent (%)

Transverse

Percent (%)

Distal

Percent (%)

The percentages are calculated horizontally across each row and represent the proportion of cancers within each race/ethnic group.

Non-hispanic white

136139

32.8%

29509

7.1%

249045

60.1%

Black

15459

35.3%

3228

7.4%

25150

57.4%

Asians

7099

23.2%

1802

5.9%

21692

70.9%

Hispanic

7653

29.9%

1384

5.4%

16541

64.7%

Distribution by Stage

Localized

Percent (%)

Regional

Percent (%)

Advanced

Percent (%)

The percentages are calculated horizontally across each row and represent the proportion of cancers within each race/ethnic group.

Non-hispanic white

166064

41.4%

155428

38.7%

79993

19.9%

Black

15966

37.8%

15546

36.8%

10732

25.4%

Asians

12315

41.4%

11947

40.1%

5509

18.5%

Hispanic

9811

39.3%

9774

39.2%

5358

21.5%

**Table 2.** Average colon cancer incidence rates among males and females per 100,000 population/year, stratified by anatomic site, 1992-2004.
	1992-94		1995-97		1998-2000		2001-04
Annual incidence rates are age-standardized to U.S. population of 2000 and are stratified by sex, year, anatomic site, and race/ethnicity. Proximal refers to cancers involving cecum, appendix, ascending colon, and hepatic flexure. Distal refers to cancers involving splenic flexure, descending colon, sigmoid colon, rectosigmoid junction, and rectum. “Total cancers” include proximal, transverse, and distal sites of the colon.
Males
Total Cancers
Non Hispanic white	68.7 (20211)	(67.7-69.6)	65.9 (2098)	(65.0-66.8)	65.4 (20747)	(64.5-66.3)	58.6 (26075)	(57.9-59.3)
Black	75.9 (2232)	(72.6-79.3)	73.2 (2312)	(70.0-76.4)	75.1 (2509)	(72.0-78.2)	72.8 (3589)	(70.3-75.3)
Asians	59.3 (1959)	(56.6-62.1)	58.6 (2252)	(56.2-61.2)	56.4 (2493)	(54.2-58.7)	53.0 (3688)	(51.3-54.8)
Hispanic	48.7 (1456)	(45.8-51.3)	50.0 (1710)	(47.4-52.6)	51.0 (1972)	(48.5-53.5)	46.3 (2976)	(44.5-48.1)

Proximal Cancers
Non Hispanic white	20.1 (5872)	(19.6-20.7)	20.4 (6080)	(19.8-20.9)	20.3 (6312)	(19.8-20.8)	19.0 (8295)	(18.6-19.4)
Black	25.1 (722)	(23.2-27.1)	23.7 (734)	(21.9-25.6)	26.8 (856)	(24.9-28.7)	25.2 (1206)	(23.6-26.8)
Asians	12.2 (389)	(10.9-13.5)	12.4 (467)	(11.3-13.6)	12.3 (521)	(11.2-13.4)	11.7 (767)	(10.9-12.6)
Hispanic	13.8 (381)	(12.3-15.4)	13.9 (460)	(12.5-15.3)	14.4 (514)	(13.1-15.9)	13.0 (791)	(12.1-14.0)

Distal Cancers
Non Hispanic white	41.7 (12495)	(41.0-42.5)	39.1 (12111)	(38.4-39.8)	38.7 (12446)	(38.0-39.3)	33.8 (15262)	(33.3-34.4)
Black	41.8 (1264)	(39.4-44.3)	41.2 (1337)	(38.9-43.6)	39.1 (1368)	(37.0-41.4)	39.1 (1984)	(37.3-40.9)
Asians	42.5 (1422)	(40.3-44.9)	41.5 (1615)	(39.5-43.6)	40.2 (1801)	(38.3-42.1)	36.7 (2608)	(35.3-38.2)
Hispanic	30.8 (961)	(28.7-33.0)	31.9 (1118)	(29.8-34.0)	32.0 (1280)	(30.1-33.9)	29.1 (1927)	(27.8-30.6)

Females
Total Cancers
Non Hispanic white	48.0 (19970)	(47.3-48.7)	47.4 (20167)	(46.7-48.1)	48.0 (20810)	(47.4-48.7)	43.9 (25899)	(43.4-44.5)
Black	57.2 (2460)	(55.0-59.6)	55.9 (2553)	(53.8-58.2)	57.7 (2833)	(55.6-59.8)	54.2 (3879)	(52.5-56.0)
Asians	40.9 (1626)	(38.9-43.0)	38.1 (1801)	(36.3-39.9)	39.2 (2193)	(37.5-40.9)	37.8 (3378)	(36.5-39.1)
Hispanic	33.7 (1358)	(31.9-35.6)	32.4 (1464)	(30.7-34.1)	34.0 (1739)	(32.4-35.7)	31.2 (2582)	(30.0-32.5)

Proximal Cancers
Non Hispanic white	17.0 (7201)	(16.6-17.4)	17.0 (7429)	(16.6-17.4)	18.1 (8019)	(17.7-18.5)	17.0 (10267)	(16.7-17.4)
Black	21.1 (900)	(19.7-22.5)	21.7 (986)	(20.4-23.2)	22.3 (1077)	(21.0-23.7)	21.9 (1544)	(20.5-23.1)
Asians	11.2 (424)	(10.2-12.4)	9.6 (440)	(8.7-10.5)	11.1 (605)	(10.2-12.0)	11.4 (999)	(10.7-12.2)
Hispanic	10.9 (423)	(9.9-12.0)	11.0 (474)	(10.0-12.1)	11.9 (586)	(10.9-12.9)	11.5 (906)	(10.7-12.3)

Distal Cancers
Non Hispanic white	25.6 (10439)	(25.1-26.1)	24.8 (10301)	(24.3-25.3)	24.7 (10413)	(24.3-25.2)	22.0 (12599)	(21.6-22.4)
Black	29.5 (1279)	(27.9-31.2)	27.7 (1271)	(26.2-29.3)	28.3 (1416)	(26.9-29.9)	25.8 (1878)	(24.6-27.0)
Asians	25.9 (1063)	(24.3-27.3)	24.6 (1189)	(23.2-26.1)	24.1 (1375)	(22.8-25.4)	23.3 (2110)	(22.3-24.3)
Hispanic	19.7 (814)	(18.3-21.1.)	17.8 (842)	(16.6-19.1)	18.7 (990)	(17.6-20.0)	16.6 (1432)	(15.8-17.5)

Table 2. Average colon cancer incidence rates among males and females per 100,000 population/year, stratified by anatomic site, 1992-2004.

1992-94

1995-97

1998-2000

2001-04

Rate (count)

95% CI

Rate (count)

95% CI

Rate (count)

95% CI

Rate (count)

95% CI

Annual incidence rates are age-standardized to U.S. population of 2000 and are stratified by sex, year, anatomic site, and race/ethnicity. Proximal refers to cancers involving cecum, appendix, ascending colon, and hepatic flexure. Distal refers to cancers involving splenic flexure, descending colon, sigmoid colon, rectosigmoid junction, and rectum. “Total cancers” include proximal, transverse, and distal sites of the colon.

Males

Total Cancers

Non Hispanic white

68.7 (20211)

(67.7-69.6)

65.9 (2098)

(65.0-66.8)

65.4 (20747)

(64.5-66.3)

58.6 (26075)

(57.9-59.3)

Black

75.9 (2232)

(72.6-79.3)

73.2 (2312)

(70.0-76.4)

75.1 (2509)

(72.0-78.2)

72.8 (3589)

(70.3-75.3)

Asians

59.3 (1959)

(56.6-62.1)

58.6 (2252)

(56.2-61.2)

56.4 (2493)

(54.2-58.7)

53.0 (3688)

(51.3-54.8)

Hispanic

48.7 (1456)

(45.8-51.3)

50.0 (1710)

(47.4-52.6)

51.0 (1972)

(48.5-53.5)

46.3 (2976)

(44.5-48.1)

Proximal Cancers

Non Hispanic white

20.1 (5872)

(19.6-20.7)

20.4 (6080)

(19.8-20.9)

20.3 (6312)

(19.8-20.8)

19.0 (8295)

(18.6-19.4)

Black

25.1 (722)

(23.2-27.1)

23.7 (734)

(21.9-25.6)

26.8 (856)

(24.9-28.7)

25.2 (1206)

(23.6-26.8)

Asians

12.2 (389)

(10.9-13.5)

12.4 (467)

(11.3-13.6)

12.3 (521)

(11.2-13.4)

11.7 (767)

(10.9-12.6)

Hispanic

13.8 (381)

(12.3-15.4)

13.9 (460)

(12.5-15.3)

14.4 (514)

(13.1-15.9)

13.0 (791)

(12.1-14.0)

Distal Cancers

Non Hispanic white

41.7 (12495)

(41.0-42.5)

39.1 (12111)

(38.4-39.8)

38.7 (12446)

(38.0-39.3)

33.8 (15262)

(33.3-34.4)

Black

41.8 (1264)

(39.4-44.3)

41.2 (1337)

(38.9-43.6)

39.1 (1368)

(37.0-41.4)

39.1 (1984)

(37.3-40.9)

Asians

42.5 (1422)

(40.3-44.9)

41.5 (1615)

(39.5-43.6)

40.2 (1801)

(38.3-42.1)

36.7 (2608)

(35.3-38.2)

Hispanic

30.8 (961)

(28.7-33.0)

31.9 (1118)

(29.8-34.0)

32.0 (1280)

(30.1-33.9)

29.1 (1927)

(27.8-30.6)

Females

Total Cancers

Non Hispanic white

48.0 (19970)

(47.3-48.7)

47.4 (20167)

(46.7-48.1)

48.0 (20810)

(47.4-48.7)

43.9 (25899)

(43.4-44.5)

Black

57.2 (2460)

(55.0-59.6)

55.9 (2553)

(53.8-58.2)

57.7 (2833)

(55.6-59.8)

54.2 (3879)

(52.5-56.0)

Asians

40.9 (1626)

(38.9-43.0)

38.1 (1801)

(36.3-39.9)

39.2 (2193)

(37.5-40.9)

37.8 (3378)

(36.5-39.1)

Hispanic

33.7 (1358)

(31.9-35.6)

32.4 (1464)

(30.7-34.1)

34.0 (1739)

(32.4-35.7)

31.2 (2582)

(30.0-32.5)

Proximal Cancers

Non Hispanic white

17.0 (7201)

(16.6-17.4)

17.0 (7429)

(16.6-17.4)

18.1 (8019)

(17.7-18.5)

17.0 (10267)

(16.7-17.4)

Black

21.1 (900)

(19.7-22.5)

21.7 (986)

(20.4-23.2)

22.3 (1077)

(21.0-23.7)

21.9 (1544)

(20.5-23.1)

Asians

11.2 (424)

(10.2-12.4)

9.6 (440)

(8.7-10.5)

11.1 (605)

(10.2-12.0)

11.4 (999)

(10.7-12.2)

Hispanic

10.9 (423)

(9.9-12.0)

11.0 (474)

(10.0-12.1)

11.9 (586)

(10.9-12.9)

11.5 (906)

(10.7-12.3)

Distal Cancers

Non Hispanic white

25.6 (10439)

(25.1-26.1)

24.8 (10301)

(24.3-25.3)

24.7 (10413)

(24.3-25.2)

22.0 (12599)

(21.6-22.4)

Black

29.5 (1279)

(27.9-31.2)

27.7 (1271)

(26.2-29.3)

28.3 (1416)

(26.9-29.9)

25.8 (1878)

(24.6-27.0)

Asians

25.9 (1063)

(24.3-27.3)

24.6 (1189)

(23.2-26.1)

24.1 (1375)

(22.8-25.4)

23.3 (2110)

(22.3-24.3)

Hispanic

19.7 (814)

(18.3-21.1.)

17.8 (842)

(16.6-19.1)

18.7 (990)

(17.6-20.0)

16.6 (1432)

(15.8-17.5)

**Table 3.** Average colon cancer incidence rates among males and females per 100,000 population/year, stratified by cancer stage, 1992-2004.
	1992-94		1995-97		1998-2000		2001-04
Annual incidence rates are age-standardized to U.S. population of 2000 and are stratified by sex, year, cancer stage, and race/ethnicity. Localized stages refer to cancers confined to the colon without transmural invasion to or beyond the serosa. Regional stages involve spread to regional lymph nodes or direct extension to adjacent tissue. Advanced cancers include metastatic disease and cancers with distant lymph node involvement.
Males
Localized Cancers
Non-hispanic white	27.1 (7992)	(26.5-27.7)	25.8 (7888)	(25.2-26.4)	26.9 (8585)	(26.4-27.5)	25.1 (11184)	(24.7-25.6)
Black	26.8 (776)	(24.9-28.9)	26.4 (843)	(24.5-28.3)	26.8 (890)	(25.0-28.7)	26.3 (1292)	(24.8-27.9)
Asians	23.9 (787)	(22.2-25.7)	23.9 (922)	(22.3-25.5)	22.9 (1018)	(21.5-24.4)	22.0 (1526)	(20.9-23.1)
Hispanic	16.9 (516)	(15.3-18.5)	19.5 (659)	(17.9-21.2)	18.8 (725)	(17.3-20.4)	17.6 (1116)	(16.5-18.7)

Regional Cancers
Non-hispanic white	24.3 (7229)	(23.8-24.9)	23.5 (7198)	(22.9-24.0)	23.6 (7512)	(23.1-24.2)	20.5 (9114)	(20.0-20.9)
Black	25.1 (770)	(23.3-27.1)	23.4 (747)	(21.7-25.3)	25.2 (855)	(23.5-27.1)	24.0 (1202)	(22.6-25.5)
Asians	21.7 (728)	(20.1-23.4)	21.6 (833)	(20.1-23.1)	21.5 (956)	(20.1-22.9)	18.8 (1315)	(17.8-19.8)
Hispanic	18.5 (546)	(16.8-20.2)	17.7 (614)	(16.2-19.3)	18.2 (730)	(16.8-19.7)	17.1 (1105)	(16.0-18.2)

Advanced Cancers
Non-hispanic white	12.7 (3786)	(12.3-13.1)	12.3 (3814)	(11.9-12.7)	11.4 (3657)	(11.0-11.8)	10.4 (4685)	(10.1-10.7)
Black	16.7 (506)	(15.2-18.3)	16.6 (528)	(15.1-18.1)	17.5 (594)	(16.1-19.1)	17.1 (873)	(15.9-18.3)
Asians	10.1 (344)	(9.0-11.3)	9.7 (377)	(8.7-10.7)	9.2 (415)	(8.4-10.2)	10.0 (706)	(9.3-10.8)
Hispanic	10.1 (306)	(8.9-11.4)	9.6 (349)	(8.5-10.8)	10.1 (398)	(9.0-11.2)	8.7 (598)	(7.9-9.5)

Females
Localized Cancers
Non-hispanic white	17.9 (7440)	(17.5-18.3)	17.9 (7576)	(17.5-18.5)	19.2 (8269)	(18.8-19.6)	18.3 (10700)	(17.9-18.6)
Black	19.8 (849)	(18.5-21.2)	20.0 (908)	(18.7-21.4)	20.9 (633)	(19.6-22.2)	19.2 (1366)	(18.1-20.2)
Asians	14.7 (601)	(13.5-16.0)	15.5 (734)	(14.3-16.6)	14.9 (839)	(13.9-15.9)	14.8 (1328)	(14.0-15.6)
Hispanic	11.2 (455)	(10.2-12.3)	11.3 (503)	(10.3-12.4)	12.4 (1024)	(11.4-13.4)	12.1 (993)	(11.3-12.8)

Regional Cancers
Non-hispanic white	18.1 (7495)	(17.7-18.6)	17.7 (7524)	(17.3-18.2)	18.1 (7780)	(17.6-18.5)	15.6 (9180)	(15.3-16.0)
Black	19.5 (842)	(18.2-20.9)	19.4 (892)	(18.8-20.7)	19.3 (948)	(18.1-20.6)	18.9 (1347)	(17.9-19.9)
Asians	16.5 (654)	(15.2-17.8)	14.1 (672)	(13.1-15.3)	15.8 (884)	(14.7-16.8)	15.0 (1343)	(14.2-15.8)
Hispanic	13.4 (546)	(12.3-14.6)	12.3 (563)	(11.2-13.3)	12.9 (663)	(11.9-13.9)	10.8 (900)	(10.1-11.5)

Advanced Cancers
Non-hispanic white	8.9 (3646)	(8.6-9.1)	8.8 (3672)	(8.5-9.0)	8.1 (3448)	(7.8-8.4)	7.8 (4538)	(7.6-8.0)
Black	12.5 (552)	(11.4-13.6)	11.9 (549)	(10.9-12.9)	12.8 (639)	(11.8-13.8)	12.4 (903)	(11.6-13.3)
Asians	6.3 (257)	(5.5-7.1)	5.9 (292)	(5.3-6.7)	6.6 (376)	(6.0-7.3)	6.5 (588)	(6.0-7.1)
Hispanic	6.7 (272)	(5.9-7.6)	6.8 (318)	(6.1-7.7)	6.7 (353)	(6.0-7.4)	6.2 (524)	(5.6-6.7)

Table 3. Average colon cancer incidence rates among males and females per 100,000 population/year, stratified by cancer stage, 1992-2004.

1992-94

1995-97

1998-2000

2001-04

Rate (count)

95% CI

Rate (count)

95% CI

Rate (count)

95% CI

Rate (count)

95% CI

Annual incidence rates are age-standardized to U.S. population of 2000 and are stratified by sex, year, cancer stage, and race/ethnicity. Localized stages refer to cancers confined to the colon without transmural invasion to or beyond the serosa. Regional stages involve spread to regional lymph nodes or direct extension to adjacent tissue. Advanced cancers include metastatic disease and cancers with distant lymph node involvement.

Males

Localized Cancers

Non-hispanic white

27.1 (7992)

(26.5-27.7)

25.8 (7888)

(25.2-26.4)

26.9 (8585)

(26.4-27.5)

25.1 (11184)

(24.7-25.6)

Black

26.8 (776)

(24.9-28.9)

26.4 (843)

(24.5-28.3)

26.8 (890)

(25.0-28.7)

26.3 (1292)

(24.8-27.9)

Asians

23.9 (787)

(22.2-25.7)

23.9 (922)

(22.3-25.5)

22.9 (1018)

(21.5-24.4)

22.0 (1526)

(20.9-23.1)

Hispanic

16.9 (516)

(15.3-18.5)

19.5 (659)

(17.9-21.2)

18.8 (725)

(17.3-20.4)

17.6 (1116)

(16.5-18.7)

Regional Cancers

Non-hispanic white

24.3 (7229)

(23.8-24.9)

23.5 (7198)

(22.9-24.0)

23.6 (7512)

(23.1-24.2)

20.5 (9114)

(20.0-20.9)

Black

25.1 (770)

(23.3-27.1)

23.4 (747)

(21.7-25.3)

25.2 (855)

(23.5-27.1)

24.0 (1202)

(22.6-25.5)

Asians

21.7 (728)

(20.1-23.4)

21.6 (833)

(20.1-23.1)

21.5 (956)

(20.1-22.9)

18.8 (1315)

(17.8-19.8)

Hispanic

18.5 (546)

(16.8-20.2)

17.7 (614)

(16.2-19.3)

18.2 (730)

(16.8-19.7)

17.1 (1105)

(16.0-18.2)

Advanced Cancers

Non-hispanic white

12.7 (3786)

(12.3-13.1)

12.3 (3814)

(11.9-12.7)

11.4 (3657)

(11.0-11.8)

10.4 (4685)

(10.1-10.7)

Black

16.7 (506)

(15.2-18.3)

16.6 (528)

(15.1-18.1)

17.5 (594)

(16.1-19.1)

17.1 (873)

(15.9-18.3)

Asians

10.1 (344)

(9.0-11.3)

9.7 (377)

(8.7-10.7)

9.2 (415)

(8.4-10.2)

10.0 (706)

(9.3-10.8)

Hispanic

10.1 (306)

(8.9-11.4)

9.6 (349)

(8.5-10.8)

10.1 (398)

(9.0-11.2)

8.7 (598)

(7.9-9.5)

Females

Localized Cancers

Non-hispanic white

17.9 (7440)

(17.5-18.3)

17.9 (7576)

(17.5-18.5)

19.2 (8269)

(18.8-19.6)

18.3 (10700)

(17.9-18.6)

Black

19.8 (849)

(18.5-21.2)

20.0 (908)

(18.7-21.4)

20.9 (633)

(19.6-22.2)

19.2 (1366)

(18.1-20.2)

Asians

14.7 (601)

(13.5-16.0)

15.5 (734)

(14.3-16.6)

14.9 (839)

(13.9-15.9)

14.8 (1328)

(14.0-15.6)

Hispanic

11.2 (455)

(10.2-12.3)

11.3 (503)

(10.3-12.4)

12.4 (1024)

(11.4-13.4)

12.1 (993)

(11.3-12.8)

Regional Cancers

Non-hispanic white

18.1 (7495)

(17.7-18.6)

17.7 (7524)

(17.3-18.2)

18.1 (7780)

(17.6-18.5)

15.6 (9180)

(15.3-16.0)

Black

19.5 (842)

(18.2-20.9)

19.4 (892)

(18.8-20.7)

19.3 (948)

(18.1-20.6)

18.9 (1347)

(17.9-19.9)

Asians

16.5 (654)

(15.2-17.8)

14.1 (672)

(13.1-15.3)

15.8 (884)

(14.7-16.8)

15.0 (1343)

(14.2-15.8)

Hispanic

13.4 (546)

(12.3-14.6)

12.3 (563)

(11.2-13.3)

12.9 (663)

(11.9-13.9)

10.8 (900)

(10.1-11.5)

Advanced Cancers

Non-hispanic white

8.9 (3646)

(8.6-9.1)

8.8 (3672)

(8.5-9.0)

8.1 (3448)

(7.8-8.4)

7.8 (4538)

(7.6-8.0)

Black

12.5 (552)

(11.4-13.6)

11.9 (549)

(10.9-12.9)

12.8 (639)

(11.8-13.8)

12.4 (903)

(11.6-13.3)

Asians

6.3 (257)

(5.5-7.1)

5.9 (292)

(5.3-6.7)

6.6 (376)

(6.0-7.3)

6.5 (588)

(6.0-7.1)

Hispanic

6.7 (272)

(5.9-7.6)

6.8 (318)

(6.1-7.7)

6.7 (353)

(6.0-7.4)

6.2 (524)

(5.6-6.7)

**Table 4.** Average colon cancer incidence rates among males and females per 100,000 population/year, stratified by cancer stage and anatomic site, 1992-2004.
	Localized cancers			Advanced cancers
Annual incidence rates are age-standardized to U.S. population of 2000 and are stratified by sex, cancer stage, anatomic site, and race/ethnicity. Percentages are calculated horizontally across each row and represent the proportion of cancers within each race/ethnic group. The proportion of regional staged cancers are not presented in this table.
Males
Proximal cancers
Non-Hispanic white	7.4 (9763)	(7.2-7.5)	38.1%	3.9 (5274)	(3.8-4.0)	20.6%
Black	8.6 (1167)	(8.1-9.1)	34.5%	6.0 (871)	(3.6-6.5)	25.7%
Asians	4.4 (773)	(4.1-4.7)	37.1%	2.5 (443)	(2.2-2.7)	21.5%
Hispanic	4.6 (717)	(4.3-4.9	34.7%	2.7 (448)	(2.5-3.0)	21.7%

Distal cancers
Non-Hispanic white	17.0 (23515)	(16.8-17.2)	47.1%	6.2 (8610)	(6.0-6.3)	17.2%
Black	15.9 (2365)	(15.2-16.6)	42.6%	8.5 (1290)	(8.0-9.0)	23.2%
Asians	17.2 (3236)	(16.6-17.8)	45.3%	6.2 (1196)	(5.8-6.6)	16.8%
Hispanic	12.5 (2137)	(11.9-13.1)	42.5%	5.6 (1020)	(5.3-6.0)	20.3%

Females
Proximal cancers
Non-Hispanic white	6.3 (12128)	(6.2-6.4)	38.2%	3.3 (6119)	(3.2-3.4)	19.3%
Black	7.3 (1492)	(6.9-7.7)	34.8%	5.2 (1107)	(4.9-5.6)	25.8%
Asians	3.7 (835)	(3.5-4.0)	35.1%	2.0 (469)	(1.8-2.2)	19.7%
Hispanic	3.9 (810)	(3.6-4.2)	35.1%	2.4 (522)	(2.2-2.6)	22.6%

Distal cancers
Non-Hispanic white	10.7 (19281)	(10.5-10.8)	46.5%	3.9 (6953)	(3.8-4.0)	16.8%
Black	11.0 (2336)	(10.6-11.5)	43.0%	5.4 (1152)	(5.1-5.7)	21.2%
Asians	10.2 (2430)	(9.8-10.6)	29.6%	3.7 (889)	(3.5-3.9)	16.2%
Hispanic	7.2 (1623)	(6.8-7.5)	42.0%	3.1 (735)	(2.9-3.4)	19.0%

Table 4. Average colon cancer incidence rates among males and females per 100,000 population/year, stratified by cancer stage and anatomic site, 1992-2004.

Localized cancers

Advanced cancers

Rate (count)

95% CI

% of all cancers

Rate (count)

95% CI

% of all cancers

Annual incidence rates are age-standardized to U.S. population of 2000 and are stratified by sex, cancer stage, anatomic site, and race/ethnicity. Percentages are calculated horizontally across each row and represent the proportion of cancers within each race/ethnic group. The proportion of regional staged cancers are not presented in this table.

Males

Proximal cancers

Non-Hispanic white

7.4 (9763)

(7.2-7.5)

38.1%

3.9 (5274)

(3.8-4.0)

20.6%

Black

8.6 (1167)

(8.1-9.1)

34.5%

6.0 (871)

(3.6-6.5)

25.7%

Asians

4.4 (773)

(4.1-4.7)

37.1%

2.5 (443)

(2.2-2.7)

21.5%

Hispanic

4.6 (717)

(4.3-4.9

34.7%

2.7 (448)

(2.5-3.0)

21.7%

Distal cancers

Non-Hispanic white

17.0 (23515)

(16.8-17.2)

47.1%

6.2 (8610)

(6.0-6.3)

17.2%

Black

15.9 (2365)

(15.2-16.6)

42.6%

8.5 (1290)

(8.0-9.0)

23.2%

Asians

17.2 (3236)

(16.6-17.8)

45.3%

6.2 (1196)

(5.8-6.6)

16.8%

Hispanic

12.5 (2137)

(11.9-13.1)

42.5%

5.6 (1020)

(5.3-6.0)

20.3%

Females

Proximal cancers

Non-Hispanic white

6.3 (12128)

(6.2-6.4)

38.2%

3.3 (6119)

(3.2-3.4)

19.3%

Black

7.3 (1492)

(6.9-7.7)

34.8%

5.2 (1107)

(4.9-5.6)

25.8%

Asians

3.7 (835)

(3.5-4.0)

35.1%

2.0 (469)

(1.8-2.2)

19.7%

Hispanic

3.9 (810)

(3.6-4.2)

35.1%

2.4 (522)

(2.2-2.6)

22.6%

Distal cancers

Non-Hispanic white

10.7 (19281)

(10.5-10.8)

46.5%

3.9 (6953)

(3.8-4.0)

16.8%

Black

11.0 (2336)

(10.6-11.5)

43.0%

5.4 (1152)

(5.1-5.7)

21.2%

Asians

10.2 (2430)

(9.8-10.6)

29.6%

3.7 (889)

(3.5-3.9)

16.2%

Hispanic

7.2 (1623)

(6.8-7.5)

42.0%

3.1 (735)

(2.9-3.4)

19.0%