Research Article

Prostate Cancer Incidence Rates in Africa

Table 1

Age-adjusted prostate cancer incidence ratesa per 100,000 man-years, 95% confidence intervals (CIs), percent microscopically verified, and percent reported by death certificate only in Sub-Saharan Africa and the United States, 1973–2007.

Location and/or raceSourceTime periodNo. casesIncidence ratea95% CIbMicroscopically verified (%)Death certificate only (%)

East Africa
 Blantyre, MalawiCancer in Africa2000-20013010.76.9–14.547NK
 Eldoret, KenyaCancer in Africa1998–20005416.812.3–21.330NK
 Harare, Zimbabwe: AfricanCI5 VII1990–199211228.322.5–43.1649
CI5 VIII1993–199725130.726.5–34.95615
CI5 IX1998–200241838.134.1–42.16315
 Kyadondo, UgandaCI5 VII1991–19938627.721.6–33.867NK
CI5 VIII1993–199721537.131.7–42.5770
CI5 IX1998–200226237.632.8–42.458NK

Southern Africa
 NamibiaCancer in Africa1995–199835221.819.5–24.197NK
 South Africa: blacksCancer in Africa1989–1992343214.313.8–14.8100NK
 SwazilandCancer in Africa1996–199915321.518.1–24.924NK

West Africa
 Bamako, MaliCI5 VI1987–1989216.33.5–9.155
CI5 VII1988–1992335.23.4–7.0 216
CI5 VIII1994–1996297.64.8–10.4553
 Conakry, GuineaCancer in Africa1996–1999629.77.3–12.145NK
 Ibadan, NigeriaCancer in Africa1998–199911519.816.2–23.470NK
 Niamey, NigerCancer in Africa1993–19994110.87.5–14.134NK
 The GambiaCI5 VIII1997-1998204.72.5–6.920NK

North America
 United States
  BlacksNCI-SEER1973–197726668077.0–83.1931
NCI-SEER1978–1982378389.886.8–92.6951
NCI-SEER1983–19874754100.097.1–102.8961
NCI-SEER1988–19927511143.3140.1–146.6970
NCI-SEER1993–199710853195.9191.6–199.1961
NCI-SEER1998–200211940192.9186.6–193.7971
NCI-SEER2003–200712618172.8169.8–176.0981

  WhitesNCI-SEER1973–19772421247.947.3–48.5941
NCI-SEER1978–19823138954.854.1–55.3951
NCI-SEER1983–19873949263.562.8–64.0970
NCI-SEER1988–199268863104.3103.3–104.9961
NCI-SEER1993–199773687111.8110.5–112.2971
NCI-SEER1998–200280100116.9115.1–116.8971
NCI-SEER2003–200780022107.0106.2–107.8981

CI: confidence interval; NK: not known; CI5: Cancer Incidence in Five Continents; NCI-SEER: National Cancer Institute’s Surveillance, Epidemiology, and End Results Program: nine registries.
aAll rates are age adjusted to Segi’s world standard population [9]; African rates are shown only for populations at least 95% black or are specific for black Africans.
b95% CIs were obtained directly from CI5, were estimated for data from the Cancer in Africa publication by multiplying the standard error (incidence rate divided by the square root of the total number of cases) by 1.96, and adding to and subtracting from the incidence rate to obtain the upper and lower bounds, respectively, or were provided by SEER*Stat.