EurekaMag.com logo
+ Site Statistics
References:
53,869,633
Abstracts:
29,686,251
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on LinkedInFollow on LinkedIn

+ Translate

Cancer incidence and survival among American Indians registered for Indian health service care in Montana, 1982-1987



Cancer incidence and survival among American Indians registered for Indian health service care in Montana, 1982-1987



Journal of the National Cancer Institute 84(19): 1500-1505



Background: Cancer incidence and cancer survival estimates in American Indians are quite limited. Purpose: Our purpose was to estimate cancer incidence and survival in American Indians who were registered for Indian Health Service (IHS) care in Montana. Methods: We linked databases from the IHS and the Montana Central Tumor Registry (MCTR) to ascertain cases for the time period from January 1, 1982, through December 31, 1987. To calculate survival rates, we used a relative survival method that incorporated age-specific risks for noncancer deaths among American Indians. Results: We identified 344 cases that were compatible with the National Cancer Institute (Surveillance, Epidemiology, and End Results Program) surveillance definition of cancer. Of these cases, 249 (72%) were listed in both the MCTR and the IHS databases; 56 (16%) and 39 (11%) were listed in only the MCTR or the IHS database, respectively. Compared with the overall cancer incidence in U.S. White men, the overall cancer incidence in Montana American Indian men was markedly lower, as was the incidence for colorectal and bladder cancers and for non-Hodgkin's lymphoma. The overall cancer incidence for Montana American Indian women differed less markedly, however, from the overall incidence in U.S. White women. Compared with the cancer incidence in U.S. White women, the incidence in Montana American Indian women was significantly higher for cervical cancer but was significantly lower for colorectal, breast, and uterine cancers. Survival rates from cancer were also examined for the first time in this population. For those sites examined, the survival rates were much lower in Montana American Indians than in U.S. Whites. Conclusions: We conclude that it is feasible to develop state-specific cancer incidence and survival estimates for American Indians in at least some states in different regions of the United States. Collaboration between the IHS and a state tumor registry is likely to improve the case ascertainment achieved by either agency alone.

(PDF emailed within 0-6 h: $19.90)

Accession: 008260289

Download citation: RISBibTeXText

PMID: 1433334

DOI: 10.1093/jnci/84.19.1500



Related references

Cancer stage at diagnosis, treatment, and survival among American Indians and non-American Indians in Montana. Cancer 89(1): 181-186, July 1, 2000

Pediatric emergency care capabilities of Indian Health Service emergency medical service agencies serving American Indians/Alaska Natives in rural and frontier areas. Rural and Remote Health 14(2): 2688-2688, 2015

Screening prevalence and incidence of colorectal cancer among American Indian/Alaskan natives in the Indian Health Service. Digestive Diseases and Sciences 56(7): 2104-2113, 2011

Racial misclassification of American Indians and Alaska Natives by Indian Health Service Contract Health Service Delivery Area. American Journal of Public Health 104 Suppl 3(): S295-S302, 2014

Health service access, use, and insurance coverage among American Indians/Alaska Natives and Whites: what role does the Indian Health Service play?. American Journal of Public Health 94(1): 53-59, 2004

The Indian Health Service in Oklahoma: dental service for American Indians. Journal - Oklahoma Dental Association 87(3): 24-28, 1997

Cancer incidence and survival of Saskatchewan northerners and registered Indians, 1967-1986. Arctic Medical Research Suppl: 447-451, 1991

Access to the Indian health service care system is not associated with early enrollment in medicaid for American Indian and Alaska Natives with cancer. Cancer Epidemiology, Biomarkers & Prevention 23(2): 362-364, 2014

Cancer incidence in Montana: rates for American Indians exceed those for whites. American Journal of Preventive Medicine 30(6): 493-497, 2006

Lung, breast and cervical cancer incidence and survival in Saskatchewan northerners and registered Indians (1967-86). Arctic Medical Research Suppl: 452-456, 1991

Epidemiology of lower-extremity amputations in the Indian Health Service, 1982-1987. Diabetes Care 16(1): 349-353, 1993

Mental health problems of American Indians seen in outpatient facilities of the Indian Health Service, 1975. Public Health Reports 95(4): 329-335, 1980

American Indian medicine and contemporary health problems. III. American Indians. New opportunity for health care. New York State Journal of Medicine 78(7): 1137-1141, 1978