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Background: Prostate cancer mortality rates for African-Americans are much higher than Caucasians and a similar trend is observed for prostate cancer survival. Data on recently immigrated African-descent men are lacking., Methods: Using cancer registry data from Brooklyn, NY and two countries in the Caribbean (Guyana and Trinidad and Tobago), survival rates were estimated. We also examined whether Black race or Caribbean birthplace predict prostate cancer survival among males living in the United States (US)., Results: The Caribbean cases were diagnosed at a later age than those in the US (Guyana: 74.5 years, Trinidad and Tobago: 72.4 years, Brooklyn: 65.8 years). Patients in the Caribbean had a worse 5-year survival rate compared to those in the US (41.6% vs. 84.4%) but for immigrant Caribbean-born males living in the US the 5-year survival rate was not significantly different from African-Americans (78.1%, 95% CI: 70.9-83.7% vs. 81.4%, 95% CI: 69.5-89.1%, P = 0.792). The risk of death for Caribbean-born was more than three times higher than US-born men (HR: 3.43, 95% CI: 2.17-5.44, adjusted for ethnicity, stage, and mean age of diagnosis). A mean age of diagnosis >65 years old and stage IV disease, but not ethnicity, were found to be independently associated with the risk of death., Conclusion: The survival disadvantage for Caribbean-born patients may be partly due to later diagnosis. Interventions focused on screening, education about the disease and early detection could potentially reduce cancer mortality in this population.

Aim: The present study evaluates uterine cancer survival in a black cohort living in Brooklyn and determines whether foreign-born women have a health benefit over those born in the USA., Materials & Methods: De-identified cancer registry data were obtained for all black patients (n = 311) diagnosed with primary uterine cancer between 1993 and 2007. Survival rates were analyzed according to place of birth., Results: The 5-year survival rate was slightly higher for US-born black patients; the predictors of overall survival were different for foreign-born black women compared with US-born black women. Age was a predictor of death in US-born women and type of treatment was a predictor in foreign-born women., Conclusion: This study demonstrates that grouping together US-born and foreign-born black patients may mask important differences within the black population. The observed differences between US-born and foreign-born black patients may be associated with variations in environmental and other lifestyle exposures that contribute to more aggressive histologic types.