Introduction
Methods
Results
Conclusions
Introduction
Methods
Study Population and Setting
Our Patients. Boston Health Care for the Homeless Program. www.bhchp.org/ourpatients.htm. Published 2010. Accessed May 19, 2015.
Ascertainment of Cancer Cases
Ascertainment of Cancer Deaths
Statistical Analysis
CDC, National Center for Health Statistics. Underlying cause of death, 1999-2011. CDC Wonder, released 2014. http://wonder.cdc.gov/ucd-icd10.html. Accessed September 23, 2014.
Results
All (N=28,033) | Male (n=18,612) | Female (n=9,421) | |
---|---|---|---|
Age at cohort entry (years) | |||
Mean (SD) | 40.5 (12.4) | 42.7 (11.7) | 36.1 (12.6) |
18–24, n (%) | 3,491 (12.5) | 1,320 (7.1) | 2,171 (23.0) |
25–34, n (%) | 5,874 (21.0) | 3,320 (17.8) | 2,554 (27.1) |
35–44, n (%) | 7,930 (28.3) | 5,663 (30.4) | 2,267 (24.1) |
45–54, n (%) | 7,131 (25.4) | 5,483 (29.5) | 1,648 (17.5) |
55–64, n (%) | 2,796 (10.0) | 2,217 (11.9) | 579 (6.2) |
65–74, n (%) | 644 (2.3) | 500 (2.7) | 144 (1.5) |
75–84, n (%) | 149 (0.5) | 100 (0.5) | 49 (0.5) |
≥85, n (%) | 18 (0.1) | 9 (0.1) | 9 (0.1) |
Sex, n (%) | |||
Male | 18,612 (66.4) | 18,612 (100) | — |
Female | 9,421 (33.6) | — | 9,421 (100) |
Race/ethnicity, n (%) | |||
White, non-Hispanic | 11,912 (42.5) | 8,476 (45.5) | 3,436 (36.5) |
Black, non-Hispanic | 8,066 (28.8) | 5,262 (28.3) | 2,804 (29.8) |
Hispanic | 5,301 (18.9) | 3,239 (17.4) | 2,062 (21.9) |
Other/unknown | 2,754 (9.8) | 1,635 (8.8) | 1,119 (11.9) |
Cancer site | n |
---|---|
All sites | 369 |
Prostate | 60 |
Bronchus and lung | 37 |
Colon and rectum | 36 |
Breast | 33 |
Oral cavity and pharynx | 21 |
Non-Hodgkin lymphoma | 17 |
Urinary bladder | 17 |
Testis | 14 |
Kidney and renal pelvis | 12 |
Melanoma | 12 |
Cervix uteri | 11 |
Larynx | 10 |
Leukemia | 10 |
Thyroid | 10 |
Hodgkin lymphoma | 7 |
Liver and intrahepatic bile ducts | 7 |
Corpus uteri and uterus NOS | 5 |
Multiple myeloma | 5 |
Brain and other nervous system | 1–4 |
Esophagus | 1–4 |
Ovary | 1–4 |
Pancreas | 1–4 |
Stomach | 1–4 |
Other and unknown sites | 35 |
Cancer site/type | Male | Female | ||||||
---|---|---|---|---|---|---|---|---|
Incident cases | SIR (95% CI) | Deaths | SMR (95% CI) | Incident cases | SIR (95% CI) | Deaths | SMR (95% CI) | |
All sites | 361 | 1.13 (1.02, 1.25) | 168 | 1.88 (1.61, 2.19) | 98 | 0.93 (0.76, 1.14) | 38 | 1.61 (1.14, 2.20) |
Brain and other nervous systems | 5 | 0.94 (0.31, 2.20) | 1–4 | 0.60 (0.07, 2.15) | 0 | — | 0 | — |
Breast | 0 | — | 0 | — | 21 | 0.59 (0.37, 0.91) | 5 | 1.07 (0.35, 2.50) |
Bronchus and lung | 85 | 2.30 (1.84, 2.84) | 61 | 2.39 (1.83, 3.08) | 23 | 2.23 (1.41, 3.35) | 14 | 2.31 (1.26, 3.88) |
Cervix uteri | N/A | — | N/A | — | 10 | 4.42 (2.12, 8.12) | 1–4 | 6.01 (1.24, 17.6) |
Colon and rectum | 36 | 1.24 (0.87, 1.71) | 19 | 2.37 (1.43, 3.70) | 7 | 0.99 (0.40, 2.03) | 1–4 | 1.61 (0.33, 4.72) |
Corpus uteri and uterus NOS | N/A | — | N/A | — | 1–4 | 0.54 (0.15, 1.38) | 1–4 | 1.29 (0.03, 7.17) |
Esophagus | 10 | 1.51 (0.73, 2.78) | 8 | 1.82 (0.79, 3.59) | 0 | — | 0 | — |
Hodgkin lymphoma | 1–4 | 0.37 (0.01, 2.07) | 0 | — | 0 | — | 0 | — |
Kidney and renal pelvis | 10 | 0.69 (0.33, 1.26) | 0 | — | 1–4 | 0.43 (0.01, 2.40) | 1–4 | 2.90 (0.07, 16.2) |
Larynx | 8 | 2.07 (0.90, 4.09) | 1–4 | 3.13 (0.85, 8.00) | 0 | — | 0 | — |
Leukemia | 6 | 0.82 (0.30, 1.79) | 1–4 | 1.28 (0.35, 3.28) | 0 | — | 0 | — |
Liver and intrahepatic bile ducts | 34 | 4.31 (2.99, 6.02) | 22 | 4.35 (2.73, 6.59) | 1–4 | 3.58 (0.43, 12.9) | 0 | — |
Melanoma | 8 | 0.47 (0.20, 0.92) | 1–4 | 1.77 (0.48, 4.53) | 1–4 | 0.29 (0.03, 1.04) | 0 | — |
Multiple myeloma | 1–4 | 1.08 (0.29, 2.76) | 1–4 | 1.29 (0.16, 4.67) | 1–4 | 1.47 (0.04, 8.21) | 1–4 | 3.50 (0.09, 19.5) |
Non-Hodgkin lymphoma | 10 | 0.72 (0.35, 1.33) | 1–4 | 0.33 (0.01, 1.85) | 1–4 | 0.31 (0.01, 1.73) | 0 | — |
Oral cavity and pharynx | 25 | 2.03 (1.31, 3.00) | 9 | 2.37 (1.08, 4.49) | 5 | 3.34 (1.08, 7.79) | 1–4 | 2.81 (0.07, 15.7) |
Ovary | N/A | — | N/A | — | 1–4 | 0.63 (0.08, 2.29) | 1–4 | 1.57 (0.19, 5.66) |
Pancreas | 11 | 1.64 (0.82, 2.94) | 9 | 1.62 (0.74, 3.07) | 1–4 | 1.24 (0.15, 4.48) | 1–4 | 1.61 (0.20, 5.83) |
Prostate | 59 | 0.63 (0.48, 0.81) | 1–4 | 0.92 (0.25, 2.36) | N/A | — | N/A | — |
Stomach | 8 | 1.60 (0.69, 3.15) | 1–4 | 1.42 (0.39, 3.63) | 1–4 | 2.75 (0.33, 9.95) | 1–4 | 2.42 (0.06, 13.5) |
Testis | 0 | — | 0 | — | N/A | — | N/A | — |
Thyroid | 1–4 | 0.29 (0.03, 1.03) | 0 | — | 5 | 0.52 (0.17, 1.21) | 0 | — |
Urinary bladder | 17 | 0.93 (0.54, 1.49) | 1–4 | 1.29 (0.35, 3.30) | 1–4 | 0.53 (0.01, 2.97) | 1–4 | 3.11 (0.08, 17.3) |

Discussion
Limitations
Conclusions
Acknowledgments
Appendix. Supplementary data
Supplementary data
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