International Journal of Cancer
Volume 25, Issue 4, 1980, Pages 431-437

Patterns of gastro‐intestinal cancer in european migrants to Australia: The role of dietary change (Article)

McMichael A.J.* , McCall M.G. , Hartshore J.M. , Woodings T.L.
  • a Division of Human Nutrition, Commonwealth Scientific and Industrial Research Organization, Kintore Avenue, Adelaide, South Australia, 5000, Australia
  • b Department of Medicine, University of W.A, Nedlands, Western Australia, 6009, Australia
  • c Division of Human Nutrition, Commonwealth Scientific and Industrial Research Organization, Kintore Avenue, Adelaide, South Australia, 5000, Australia
  • d Western Australian Regional Computing Centre, University of W.A, Nedlands, Western Australia, 6009, Australia

Abstract

Cancers of the stomach, pancreas, colon and rectum are increasingly regarded as being diet‐influenced. Migrants to Australia from England, Scotland, Ireland, Poland, Yugoslavia, Greece, and Italy have come from countries with varied dietary backgrounds and gastrointestinal cancer risks. Age‐standardized cancer death rates in migrants, by country of origin, sex, age, and duration of residence in Australia (≤16 years and >16 years), have been calculated for 1962–76, and compared with those of the Australian‐born population. All seven migrant source countries, in 1970, had higher rates of stomach cancer than Australia, and the corresponding migrants groups, which initially reflected those higher rates, experienced an approximately 25% risk reduction with increased duration of residence. For cancer of the pancreas, migrants initially had rates well above their “native” rates; with longer stay, the risks generally converged upon that of the Australian‐born population. The four “continental” (European) migrant groups, whose native risk of colon cancer is about half that of the Australian population, showed an increased risk with increasing duration of stay. The increase was greater in men than in women, perhaps reflecting their greater dietary acculturation. By contrast, Scottish migrants, with an initially high risk of colon cancer, experienced a subsequent reduction in risk. Rectal cancer continental migrants showed even larger increases than colon cancer, while in British migrants there was a marked decline towards the “Australian‐born” risk. These various changes in cancer risk are discussed with reference to inter‐country dietary differences. Copyright © 1980 Wiley‐Liss, Inc., A Wiley Company

Author Keywords

[No Keywords available]

Index Keywords

ecology Gastrointestinal Neoplasms Australia Europe risk human epidemiology pancreas Pancreatic Neoplasms Colonic Neoplasms diet Aged geographic distribution digestive system cancer Stomach Neoplasms rectum cancer large intestine Rectal Neoplasms digestive system Adolescent male female pancreas cancer nutrition carcinogenesis adult Food Habits heredity Sex Factors Emigration and Immigration colon cancer stomach cancer Middle Age etiology

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-0018844274&doi=10.1002%2fijc.2910250402&partnerID=40&md5=1e2719aa5544caf3a69963d1fc379e43

DOI: 10.1002/ijc.2910250402
ISSN: 00207136
Cited by: 173
Original Language: English