At Significantly Higher Risk • Those aged between 50 and 59. • Twice as frequent in lower socio-economic groups in North America and Western Europe. • Workers in various industries—coal mining, nickel refining (in Eastern Europe), rubber and timber processing. • Workers exposed to asbestos fibers. • People with pernicious anemia are 5 to 10 percent more likely to develop gastric cancer. • People whose diet contains smoked, highly salted and barbecued foods. Japanese immigrants have a decreased incidence of this cancer when they adopt an American diet and lifestyle, a tenfold drop after two generations.