Stomach cancer mortality in the north central states: High risk is not limited to the foreign‐born

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Abstract
The proportion of residents born in northern Europe best explains the pattern of stomach cancer mortality in Minnesota, Wisconsin, and upper Michigan counties. The settling patterns of Finns, and to a lesser extent of Poles, Norwegians, Danes and Swedes, are strongly associated with county stomach cancer rates. Socio‐economic status and water supply are less significant. Even after socioeconomic status and water supply are factored out, estimated stomach cancer mortality for these populations is still disproportionately high. Other researchers have identified diet as a major risk factor in stomach cancer and as the prime cause of the ethnicity‐stomach cancer association. We suggest that natives shared the stomach cancer risk, perhaps by adopting the “high risk”; diet of the foreign‐born.

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