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. 2016 Jul-Aug;109(7-8):374-384.

Cancer among American Indians - Identifying Priority Areas in Oklahoma

Sydney A Martinez, Amanda E Janitz, Julie Erb-Alvarez, Dana S Mowls, Janis E Campbell, Tom Anderson

Cancer among American Indians - Identifying Priority Areas in Oklahoma

Sydney A Martinez et al. J Okla State Med Assoc. 2016 Jul-Aug.

Abstract

Background: We describe and compare cancer incidence and mortality among American Indians (AI/ANs) and whites in nine Indian Health Service (IHS) Service Units in Oklahoma.

Methods: Using data from the Oklahoma Central Cancer Registry and the web-based OK2SHARE database, we obtained age-adjusted cancer incidence rates from 1997 to 2012 and cancer mortality rates from 1999 to 2009 for AI/ANs and whites in Oklahoma. We examined differences in primary site, percentage of late stage diagnoses, and trends over time.

Results: AI/ANs consistently had higher cancer incidence and mortality compared to whites in Oklahoma. The magnitude of disparity for cancer incidence and mortality varied by IHS Service Unit and by gender. The top three cancer sites were the same for all Service Units. The percentage of late stage diagnosis also varied by region.

Conclusions: We identify priority areas where cancer disparity challenges exist among AI/ANs in Oklahoma.

Keywords: Health Policy; Health Status Disparities; Indians; Neoplasms; North American; Registries.

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Conflict of interest statement

The authors have no financial disclosures.

Figures

Figure 1
Figure 1
Indian Health Service (IHS) Service Units in Oklahoma
Figure 2
Figure 2
Oklahoma trends in cancer incidence by race using joinpoint regression, 1997–2012
See this image and copyright information in PMC

References

    1. Chu KC, Miller BA, Springfield SA, Chu KC, Miller BA, Springfield SA. Measures of racial/ethnic health disparities in cancer mortality rates and the influence of socioeconomic status. Journal of the National Medical Association. 2007;99(10):1092–1100. - PMC - PubMed
    1. Li CI, Malone KE, Daling JR. Differences in breast cancer stage, treatment, and survival by race and ethnicity. Arch Intern Med. 2003;163(1):49–56. - PubMed
    1. Siegel R, Naishadham D, Jemal A. Cancer statistics, 2013. CA: A Cancer Journal for Clinicians. 2013;63(1):11–30. - PubMed
    1. Becker TM, Espey DK, Lawson HW, Saraiya M, Jim MA, Waxman AG. Regional differences in cervical cancer incidence among American Indians and Alaska Natives, 1999–2004. Cancer. 2008;113(S5):1234–1243. - PubMed
    1. Bliss A, Cobb N, Solomon T, et al. Lung cancer incidence among American Indians and Alaska Natives in the United States, 1999–2004. Cancer. 2008;113(S5):1168–1178. - PMC - PubMed

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