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- Title
Disparities in Cancer Mortality and Incidence Among American Indians and Alaska Natives in the United States.
- Authors
White, Mary C.; Espey, David K.; Swan, Judith; Wiggins, Charles L.; Eheman, Christie; Kaur, Judith S.
- 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. Method. 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.
- Subjects
ALASKA; UNITED States; GOVERNMENT agencies; CENTERS for Disease Control &; Prevention (U.S.); ETHNIC groups; HEALTH services accessibility; HEALTH status indicators; INDIGENOUS peoples of the Americas; NOSOLOGY; PUBLIC health; RACE; SERIAL publications; STATISTICS; TUMORS; DATA analysis software; DISEASE complications
- Publication
American Journal of Public Health, 2014, Vol 104, Issue S3, pS377
- ISSN
0090-0036
- Publication type
Article
- DOI
10.2105/AJPH.2013.301673