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Prostate Cancer incidence and death 2X more often among black men (vitamin D not mentioned) - July 2015

Lifetime risk of being diagnosed with, or dying from, prostate cancer by major ethnic group in England 2008–2010

BMC Medicine 2015, 13:171 doi:10.1186/s12916-015-0405-5
Therese Lloyd1, Luke Hounsome2, Anita Mehay1, Sarah Mee1, Julia Verne2 and Alison Cooper1 evidence at prostatecanceruk.org
1 Evidence Team, Prostate Cancer UK, 4th Floor Counting House, 53 Tooley Street, London, UK
2 Knowledge and Intelligence Team (South West), Public Health England, 2 Rivergate, Temple Quay, Bristol, UK

Background
In the UK, a man’s lifetime risk of being diagnosed with prostate cancer is 1 in 8. We calculated both the lifetime risk of being diagnosed with and dying from prostate cancer by major ethnic group.

Methods
Public Health England provided prostate cancer incidence and mortality data for England (2008–2010) by major ethnic group. Ethnicity and mortality data were incomplete, requiring various assumptions and adjustments before lifetime risk was calculated using DevCan (percent, range).

Results
The lifetime risk of being diagnosed with prostate cancer is approximately 1 in 8 (13.3 %, 13.2–15.0 %) for White men, 1 in 4 (29.3 %, 23.5–37.2 %) for Black men, and 1 in 13 (7.9 %, 6.3–10.5 %) for Asian men, whereas that of dying from prostate cancer is approximately 1 in 24 (4.2 %, 4.2–4.7 %) for White men, 1 in 12 (8.7 %, 7.6–10.6 %) for Black men, and 1 in 44 (2.3 %, 1.9–3.0 %) for Asian men.

Conclusions
In England, Black men are at twice the risk of being diagnosed with, and dying from, prostate cancer compared to White men. This is an important message to communicate to Black men. White, Black, and Asian men with a prostate cancer diagnosis are all as likely to die from the disease, independent of their ethnicity. Nonetheless, proportionally more Black men are dying from prostate cancer in England.


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