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Ovarian and uterine cancer incidence and mortality in American Indian and Alaska Native women, United States, 1999-2009

TitleOvarian and uterine cancer incidence and mortality in American Indian and Alaska Native women, United States, 1999-2009
Publication TypeJournal Article
Year of Publication2014
AuthorsSingh, SD, Ryerson, AB, Wu, M, Kaur, JS
JournalAm J Public HealthAm J Public Health
Volume104 Suppl 3
PaginationS423-31
Date PublishedJun
ISBN Number1541-0048 (Electronic)<br/>0090-0036 (Linking)
Accession Number24754663
KeywordsAdult, 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, Middle Aged, Ovarian Neoplasms/ epidemiology/ethnology/mortality, Population Surveillance, Registries, United States/epidemiology, Uterine Neoplasms/ epidemiology/ethnology/mortality
AbstractOBJECTIVES: We examined geographic differences and trends in incidence and mortality of ovarian and uterine cancer in American Indian/Alaska Native (AI/AN) women. METHODS: We linked mortality data (1990-2009) and incidence data (1999-2009) to Indian Health Service (IHS) records. Death (and incidence) rates for ovarian and uterine cancer were examined for AI/AN and White women; Hispanics were excluded. Analyses focused on Contract Health Service Delivery Area (CHSDA) counties. RESULTS: AI/AN and White women had similar ovarian and uterine cancer death rates. Ovarian and uterine cancer incidence and death rates were higher for AI/ANs residing in CHSDA counties than for all US counties. We also observed geographic differences, regardless of CHSDA residence, in ovarian and uterine cancer incidence and death rates in AI/AN women by IHS region; Pacific Coast and Southern Plains women had higher ovarian cancer death rates and Northern Plains women had higher uterine cancer death rates. CONCLUSIONS: Regional differences in the incidence and mortality of ovarian and uterine cancers among AI/AN women in the United States were significant. More research among correctly classified AI/AN women is needed to understand these differences.
Ethno Med: