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Incidence of and Trends in the Leading Cancers With Elevated Incidence Among American Indian and Alaska Native Populations, 2012–2016

American journal of epidemiology, 2021-04, Vol.190 (4), p.528-538 [Peer Reviewed Journal]

Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health 2020. This work is written by (a) US Government employee(s) and is in the public domain in the US. 2021 ;Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health 2020. This work is written by (a) US Government employee(s) and is in the public domain in the US. ;ISSN: 0002-9262 ;EISSN: 1476-6256 ;DOI: 10.1093/aje/kwaa222 ;PMID: 33506248

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  • Title:
    Incidence of and Trends in the Leading Cancers With Elevated Incidence Among American Indian and Alaska Native Populations, 2012–2016
  • Author: Melkonian, Stephanie C ; Weir, Hannah K ; Jim, Melissa A ; Preikschat, Bailey ; Haverkamp, Donald ; White, Mary C
  • Subjects: Adult ; Aged ; Alaska Natives ; Breast cancer ; Cancer ; Female ; Hispanic people ; Humans ; Incidence ; Indians, North American ; Male ; Middle Aged ; Neoplasms - ethnology ; Population statistics ; Population studies ; Population Surveillance - methods ; Registries ; Retrospective Studies ; Trends ; United States - epidemiology
  • Is Part Of: American journal of epidemiology, 2021-04, Vol.190 (4), p.528-538
  • Description: Abstract Cancer incidence varies among American Indian and Alaska Native (AI/AN) populations, as well as between AI/AN and White populations. This study examined trends for cancers with elevated incidence among AI/AN compared with non-Hispanic White populations and estimated potentially avoidable incident cases among AI/AN populations. Incident cases diagnosed during 2012–2016 were identified from population-based cancer registries and linked with the Indian Health Service patient registration databases to improve racial classification of AI/AN populations. Age-adjusted rates (per 100,000) and trends were calculated for cancers with elevated incidence among AI/AN compared with non-Hispanic White populations (rate ratio of >1.0) according to region. Trends were estimated using joinpoint regression analyses. Expected cancers were estimated by applying age-specific cancer incidence rates among non-Hispanic White populations to population estimates for AI/AN populations. Excess cancer cases among AI/AN populations were defined as observed minus expected cases. Liver, stomach, kidney, lung, colorectal, and female breast cancers had higher incidence rates among AI/AN populations across most regions. Between 2012 and 2016, nearly 5,200 excess cancers were diagnosed among AI/AN populations, with the largest number of excess cancers (1,925) occurring in the Southern Plains region. Culturally informed efforts could reduce cancer disparities associated with these and other cancers among AI/AN populations.
  • Publisher: United States: Oxford University Press
  • Language: English
  • Identifier: ISSN: 0002-9262
    EISSN: 1476-6256
    DOI: 10.1093/aje/kwaa222
    PMID: 33506248
  • Source: GFMER Free Medical Journals
    MEDLINE
    Alma/SFX Local Collection

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