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    The distributions of age at diagnosis in the black cohort and white cohort are demonstrated in Figure 1. This shows that the black patients were significantly younger (P with a median age of 46 compared with 67 for the white patients. To address whether this difference in the age at presentation simply reflected differences in the age structure of the two ethnic populations locally, the patient cohorts were compared with the population census data of Hackney (Table 1).

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    For individual cancer sites, time trends were different for men and women. For men, lung and prostate cancer were seen to be increasing among South Asians and decreasing among the rest of the population. For lung cancer, this pattern changed with deprivation tertile among non South Asians, with those from the least deprived tertile having little change in incidence over time, while those from the most deprived tertile showed a decrease in incidence.

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