| Title | Disparities in cancer mortality and incidence among American Indians and Alaska Natives in the United States |
| Publication Type | Journal Article |
| Year of Publication | 2014 |
| Authors | White, MC, Espey, DK, Swan, J, Wiggins, CL, Eheman, C, Kaur, JS |
| Journal | Am J Public HealthAm J Public Health |
| Volume | 104 Suppl 3 |
| Pagination | S377-87 |
| Date Published | Jun |
| ISBN Number | 1541-0048 (Electronic)<br/>0090-0036 (Linking) |
| Accession Number | 24754660 |
| Keywords | Adult, Aged, Aged, 80 and Over, Alaska/epidemiology/ethnology, Cause of Death, Death Certificates, European Continental Ancestry Group/statistics & numerical data, Female, Humans, Incidence, Indians, North American/ statistics & numerical data, Inuits/ statistics & numerical data, Male, Middle Aged, Neoplasms/ epidemiology/ethnology/mortality, Population Surveillance, Registries, United States/epidemiology |
| Abstract | OBJECTIVES: We used improved data on American Indian and Alaska Native (AI/AN) ancestry to provide an updated and comprehensive description of cancer mortality and incidence among AI/AN populations from 1990 to 2009. METHODS: We linked the National Death Index and central cancer registry records independently to the Indian Health Service (IHS) patient registration database to improve identification of AI/AN persons in cancer mortality and incidence data, respectively. Analyses were restricted to non-Hispanic persons residing in Contract Health Service Delivery Area counties in 6 geographic regions of the United States. We compared age-adjusted mortality and incidence rates for AI/AN populations with White populations using rate ratios and mortality-to-incidence ratios. Trends were described using joinpoint analysis. RESULTS: Cancer mortality and incidence rates for AI/AN persons compared with Whites varied by region and type of cancer. Trends in death rates showed that greater progress in cancer control was achieved for White populations compared with AI/AN populations over the last 2 decades. CONCLUSIONS: Spatial variations in mortality and incidence by type of cancer demonstrated both persistent and emerging challenges for cancer control in AI/AN populations. |
Ethno Med: