4.7 Article

Cancer disparities among non-Hispanic urban American Indian and Alaska Native populations in the United States, 1999-2017

期刊

CANCER
卷 128, 期 8, 页码 1626-1636

出版社

WILEY
DOI: 10.1002/cncr.34122

关键词

Alaska Native; American Indian; cancer incidence; health disparity; trends; urban

类别

资金

  1. Centers for Disease Control and Prevention

向作者/读者索取更多资源

This study provides an analysis of cancer incidence rates and trends among urban American Indian/Alaska Native populations compared to non-Hispanic White populations in the same urban areas. The study reveals disparities in cancer rates, with higher rates of colorectal, liver, and kidney cancers among urban American Indian/Alaska Native populations, and lower rates of breast, prostate, and lung cancers. The study also highlights an increasing trend in the incidence rates of certain cancers among urban American Indian/Alaska Native populations.
BACKGROUND: Disparities in cancer incidence have not been described for urban American Indian/Alaska Native (AI/AN) populations. The purpose of the present study was to examine incidence rates (2008-2017) and trends (1999-2017) for leading cancers in urban non-Hispanic AI/AN (NH AI/AN) compared to non-Hispanic White (NHW) populations living in the same urban areas. METHODS: Incident cases from population-based cancer registries were linked with the Indian Health Service patient registration database for improved racial classification of NH AI/AN populations. This study was limited to counties in Urban Indian Health Organization service areas. Analyses were conducted by geographic region. Age-adjusted rates (per 100,000) and trends ( joinpoint regression) were calculated for leading cancers. RESULTS: Rates of colorectal, liver, and kidney cancers were higher overall for urban NH AI/AN compared to urban NHW populations. By region, rates of these cancers were 10% to nearly 4 times higher in NH AI/AN compared to NHW populations. Rates for breast, prostate, and lung cancer were lower in urban NH AI/AN compared to urban NHW populations. Incidence rates for kidney, liver, pancreatic, and breast cancers increased from 2% to nearly 7% annually between 1999 to 2017 in urban NH AI/AN populations. CONCLUSIONS: This study presents cancer incidence rates and trends for the leading cancers among urban NH AI/AN compared to urban NHW populations for the first time, by region, in the United States. Elevated risk of certain cancers among urban NH AI/AN populations and widening cancer disparities highlight important health inequities and missed opportunities for cancer prevention in this population. (C) 2022 American Cancer Society.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.7
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

暂无数据
暂无数据