Disparities in incidence and trends of colorectal, lung, female breast, and cervical cancers among non-Hispanic American Indian and Alaska Native people, 1999–2018

Details

• Alternative Title:
  Cancer Causes Control
• Personal Author:
  Melkonian, Stephanie C. ; Chen, Laura ; Jim, Melissa A. ; Haverkamp, Donald ; King, Jessica B.
• Description:
  Purpose
  
  This study is the first to comprehensively describe incidence rates and trends of screening-amenable cancers (colorectal, lung, female breast, and cervical) among non-Hispanic AI/AN (NH-AI/AN) people.
  
  Methods
  
  Using the United States Cancer Statistics AI/AN Incidence Analytic Database, we, calculated incidence rates for colorectal, lung, female breast, and cervical cancers for NH-AI/AN and non-Hispanic White (NHW) people for the years 2014–2018 combined. We calculated age-adjusted incidence rates (per 100,000), total percent change in incidence rates between 1999 and 2018, and trends over this time-period using Joinpoint analysis. Screening prevalence by region was calculated using Behavioral Risk Factor Surveillance System data.
  
  Results
  
  Rates of screening-amenable cancers among NH-AI/AN people varied by geographic region and age at diagnosis. Over half of all lung and colorectal cancers in NH-AI/AN people were diagnosed at later stages. Rates of lung and colorectal cancers decreased significantly between 1999–2018 among NH-AI/AN men, but no significant changes were observed in rates of screening-amenable cancers among NH-AI/AN women.
  
  Conclusion
  
  This study highlights disparities in screening-amenable cancers between NH-AI/AN and NHW people. Culturally informed, community-based interventions that increase access to preventive health services could reduce cancer disparities among AI/AN people.
  
  
• Subjects:
  American Indian Or Alaska Native Colorectal Neoplasms Female Humans Incidence Lung Neoplasms Male United States Uterine Cervical Neoplasms
• Keywords:
  Alaska Native American Indian Cancer Incidence Health Disparity Screening Trends
• Source:
  Cancer Causes Control. 34(8):657-670
• Pubmed ID:
  37126144
• Pubmed Central ID:
  PMC10951714
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  34
• Issue:
  8
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:f4870d5db6254e214f0d6825517e9b6ff57fefcaad554ef1bad7ce9a7b25986893a58df65f93e849129c1ec8c5483926d05b57e957a1f2690f61da7c80d2da11
• Download URL:
  https://stacks.cdc.gov/view/cdc/153446/cdc_153446_DS1.pdf
• File Type:
  [PDF - 619.22 KB ]