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Prostate cancer deaths and incident cases among American Indian/Alaska Native men, 1999-2009

TitleProstate cancer deaths and incident cases among American Indian/Alaska Native men, 1999-2009
Publication TypeJournal Article
Year of Publication2014
AuthorsHoffman, RM, Li, J, Henderson, JA, Ajani, UA, Wiggins, C
JournalAm J Public HealthAm J Public Health
Volume104 Suppl 3
PaginationS439-45
Date PublishedJun
ISBN Number1541-0048 (Electronic)<br/>0090-0036 (Linking)
Accession Number24754659
KeywordsAdult, Aged, Aged, 80 and Over, Alaska/epidemiology/ethnology, Cause of Death, Death Certificates, European Continental Ancestry Group/statistics & numerical data, Humans, Incidence, Indians, North American/ statistics & numerical data, Inuits/ statistics & numerical data, Male, Middle Aged, Population Surveillance, Prostatic Neoplasms/ epidemiology/ethnology/mortality, Registries, United States/epidemiology
AbstractOBJECTIVES: We linked databases to improve identification of American Indians/Alaska Natives (AI/ANs) in determining prostate cancer death and incidence rates. METHODS: We linked prostate cancer mortality and incidence data with Indian Health Service (IHS) patient records; analyses focused on residents of IHS Contract Health Service Delivery Area (CHSDA) counties. We calculated age-adjusted incidence and death rates for AI/AN and White men for 1999 to 2009; men of Hispanic origin were excluded. RESULTS: Prostate cancer death rates were higher for AI/AN men than for White men. Death rates declined for White men (-3.0% per year) but not for AI/AN men. AI/AN men had lower prostate cancer incidence rates than White men. Incidence rates declined among Whites (-2.2% per year) and AI/ANs (-1.9% per year). CONCLUSIONS: AI/AN men had higher prostate cancer death rates and lower prostate cancer incidence rates than White men. Disparities in accessing health care could contribute to mortality differences, and incidence differences could be related to lower prostate-specific antigen testing rates among AI/AN men.
Ethno Med: