Previous studies have suggested that the risk of benign prostatic hype
rplasia (BPH) varies among racial and ethnic groups. However, these st
udies have tended to be anecdotal or based on crude proportions or rat
es. This study describes the age-standardized BPH hospitalization (198
5-1987) and mortality (1984-1988) rates (SMRs) for numerous immigrant
groups in Australia and Canada. The SMRs for some of the immigrants we
re compared with those in the origin countries. Both the BPH hospitali
zation and mortality rates varied markedly among immigrant groups. The
most consistent findings were the low rates of Italians and Asians. R
elative to the origin country SMRs, the SMRs for the majority of immig
rant groups shifted towards the destination native-born rate. This con
vergence probably resulted from more standard procedures of BPH ascert
ainment and cause of death recording within a country than between cou
ntries, and possibly, from convergence in risk factor levels. (C) 1996
Wiley-Liss, Inc.