Disparities in Cancer Incidence and Trends among American Indians and Alaska Natives in the United States, 2010-2015

Stephanie C Melkonian, Melissa A Jim, Donald Haverkamp, Charles L Wiggins, Jeffrey McCollum, Mary C White, Judith S Kaur, David K Espey, Stephanie C Melkonian, Melissa A Jim, Donald Haverkamp, Charles L Wiggins, Jeffrey McCollum, Mary C White, Judith S Kaur, David K Espey

Abstract

Background: Cancer incidence rates for American Indian and Alaska Native (AI/AN) populations vary by geographic region in the United States. The purpose of this study is to examine cancer incidence rates and trends in the AI/AN population compared with the non-Hispanic white population in the United States for the years 2010 to 2015.

Methods: Cases diagnosed during 2010 to 2015 were identified from population-based cancer registries and linked with the Indian Health Service (IHS) patient registration databases to describe cancer incidence rates in non-Hispanic AI/AN persons compared with non-Hispanic whites (whites) living in IHS purchased/referred care delivery area counties. Age-adjusted rates were calculated for the 15 most common cancer sites, expressed per 100,000 per year. Incidence rates are presented overall as well as by region. Trends were estimated using joinpoint regression analyses.

Results: Lung and colorectal cancer incidence rates were nearly 20% to 2.5 times higher in AI/AN males and nearly 20% to nearly 3 times higher in AI/AN females compared with whites in the Northern Plains, Southern Plains, Pacific Coast, and Alaska. Cancers of the liver, kidney, and stomach were significantly higher in the AI/AN compared with the white population in all regions. We observed more significant decreases in cancer incidence rates in the white population compared with the AI/AN population.

Conclusions: Findings demonstrate the importance of examining cancer disparities between AI/AN and white populations. Disparities have widened for lung, female breast, and liver cancers.

Impact: These findings highlight opportunities for targeted public health interventions to reduce AI/AN cancer incidence.

Conflict of interest statement

No conflicts of interest to disclose.

©2019 American Association for Cancer Research.

Figures

Figure 1:. Geographic Regions and Purchased/Referred Care…
Figure 1:. Geographic Regions and Purchased/Referred Care Delivery Areaa Counties by Region
contains an image of the 6 geographic regions utilized for this manuscript as well as the counties within those regions that are Purchased/Referred Care Delivery Area (PRCDA) counties.
Figure 2:. Total Percent Change in Cancer…
Figure 2:. Total Percent Change in Cancer Incidence Rates, AI/AN versus White, US PRCDA 1999–2015, by Cancer Site and Sex
contains an image of graphs representing the total percent change in cancer incidence rates between the years 1999–2015. Figure A shows total percent change for males. Figure B shows total percent change for females.

References

    1. Cronin KA, Lake AJ, Scott S, et al. (2018) Annual Report to the Nation on the Status of Cancer, part I: National cancer statistics. Cancer. 124: 2785–800.
    1. Wiggins CL, Espey DK, Wingo PA, et al. (2008) Cancer among American Indians and Alaska Natives in the United States, 1999–2004. Cancer. 113: 1142–52.
    1. White MC, Espey DK, Swan J, Wiggins CL, Eheman C, Kaur JS. (2014) Disparities in cancer mortality and incidence among American Indians and Alaska Natives in the United States. Am J Public Health. 104 Suppl 3: S377–87.
    1. Jim MA, Arias E, Seneca DS, et al. (2014) Racial misclassification of American Indians and Alaska Natives by Indian Health Service Contract Health Service Delivery Area. Am J Public Health. 104 Suppl 3: S295–302.
    1. Espey DK, Wiggins CL, Jim MA, Miller BA, Johnson CJ, Becker TM. (2008) Methods for improving cancer surveillance data in American Indian and Alaska Native populations. Cancer. 113: 1120–30.
    1. Hankey BF, Ries LA, Edwards BK. (1999) The surveillance, epidemiology, and end results program: a national resource. Cancer Epidemiol Biomarkers Prev. 8: 1117–21.
    1. Thoburn KK, German RR, Lewis M, Nichols PJ, Ahmed F, Jackson-Thompson J. (2007) Case completeness and data accuracy in the Centers for Disease Control and Prevention’s National Program of Cancer Registries. Cancer. 109: 1607–16.
    1. Lynch CF, Platz CE, Jones MP, Gazzaniga JM. (1991) Cancer registry problems in classifying invasive bladder cancer. J Natl Cancer Inst. 83: 429–33.
    1. Arias E, Schauman WS, Eschbach K, Sorlie PD, Backlund E. (2008) The validity of race and Hispanic origin reporting on death certificates in the United States. Vital Health Stat 2. 1–23.
    1. Henderson JA, Espey DK, Jim MA, German RR, Shaw KM, Hoffman RM. (2008) Prostate cancer incidence among American Indian and Alaska Native men, US, 1999–2004. Cancer. 113: 1203–12.
    1. Tiwari RC, Clegg LX, Zou Z. (2006) Efficient interval estimation for age-adjusted cancer rates. Stat Methods Med Res. 15: 547–69.
    1. Kim HJ, Fay MP, Feuer EJ, Midthune DN. (2000) Permutation tests for joinpoint regression with applications to cancer rates. Stat Med. 19: 335–51.
    1. Ahn J, Sinha R, Pei Z, et al. (2013) Human gut microbiome and risk for colorectal cancer. J Natl Cancer Inst. 105: 1907–11.
    1. Johnson JS, Nobmann ED, Asay E, Lanier AP. (2009) Dietary intake of Alaska Native people in two regions and implications for health: the Alaska Native Dietary and Subsistence Food Assessment Project. Int J Circumpolar Health. 68: 109–22.
    1. Perdue DG, Haverkamp D, Perkins C, Daley CM, Provost E. (2014) Geographic variation in colorectal cancer incidence and mortality, age of onset, and stage at diagnosis among American Indian and Alaska Native people, 1990–2009. Am J Public Health. 104 Suppl 3: S404–14.
    1. Centers for Disease Control and Prevention. Current Cigarette Smoking Among Adults—United States, 2016. Morbidity and Mortality Weekly Report 2018;67(2):53–9 [accessed 2018 Oct 30].
    1. White A, Richardson LC, Li C, Ekwueme DU, Kaur JS. (2014) Breast cancer mortality among American Indian and Alaska Native women, 1990–2009. Am J Public Health. 104 Suppl 3: S432–8.
    1. Hankey BF, Feuer EJ, Clegg LX, et al. (1999) Cancer surveillance series: interpreting trends in prostate cancer--part I: Evidence of the effects of screening in recent prostate cancer incidence, mortality, and survival rates. J Natl Cancer Inst. 91: 1017–24.
    1. Odani S, Armour BS, Graffunder CM, Garrett BE, Agaku IT. (2017) Prevalence and Disparities in Tobacco Product Use Among American Indians/Alaska Natives - United States, 2010–2015. MMWR Morb Mortal Wkly Rep. 66: 1374–8.
    1. Day LW, Espey DK, Madden E, Segal M, Terdiman JP. (2011) Screening prevalence and incidence of colorectal cancer among American Indian/Alaskan natives in the Indian Health Service. Dig Dis Sci. 56: 2104–13.
    1. Cobb N, Espey D, King J. (2014) Health behaviors and risk factors among American Indians and Alaska Natives, 2000–2010. Am J Public Health. 104 Suppl 3: S481–9.
    1. Melkonian SC, Jim MA, Reilley B, et al. (2018) Incidence of primary liver cancer in American Indians and Alaska Natives, US, 1999–2009. Cancer Causes Control. 29: 833–44.
    1. Li J, Weir HK, Jim MA, King SM, Wilson R, Master VA. (2014) Kidney cancer incidence and mortality among American Indians and Alaska Natives in the United States, 1990–2009. Am J Public Health. 104 Suppl 3: S396–403.
    1. McMahon BJ, Bulkow LR, Singleton RJ, et al. (2011) Elimination of hepatocellular carcinoma and acute hepatitis B in children 25 years after a hepatitis B newborn and catch-up immunization program. Hepatology. 54: 801–7.
    1. Wilson RT, Richardson LC, Kelly JJ, Kaur J, Jim MA, Lanier AP. (2008) Cancers of the urinary tract among American Indians and Alaska Natives in the United States, 1999–2004. Cancer. 113: 1213–24.
    1. Stolte M, Meining A. (1998) Helicobacter pylori and Gastric Cancer. Oncologist. 3: 124–8.
    1. Wroblewski LE, Peek RM Jr., Wilson KT. (2010) Helicobacter pylori and gastric cancer: factors that modulate disease risk. Clin Microbiol Rev. 23: 713–39.
    1. McMahon BJ, Bruce MG, Koch A, et al. (2016) The diagnosis and treatment of Helicobacter pylori infection in Arctic regions with a high prevalence of infection: Expert Commentary. Epidemiol Infect. 144: 225–33.
    1. Howard DH, Tangka FK, Royalty J, et al. (2015) Breast cancer screening of underserved women in the USA: results from the National Breast and Cervical Cancer Early Detection Program, 1998–2012. Cancer Causes Control. 26: 657–68.
    1. Redwood D, Provost E, Perdue D, Haverkamp D, Espey D. (2012) The last frontier: innovative efforts to reduce colorectal cancer disparities among the remote Alaska Native population. Gastrointest Endosc. 75: 474–80.
    1. Nadeau M, Walaszek A, Perdue DG, Rhodes KL, Haverkamp D, Forster J. (2016) Influences and Practices in Colorectal Cancer Screening Among Health Care Providers Serving Northern Plains American Indians, 2011–2012. Prev Chronic Dis. 13: E167.
    1. Tribal Colorectal Health Program. Albuquerque Area Southwest Tribal Epidemiology Center. .
    1. Mera J, Vellozzi C, Hariri S, et al. (2016) Identification and Clinical Management of Persons with Chronic Hepatitis C Virus Infection - Cherokee Nation, 2012–2015. MMWR Morb Mortal Wkly Rep. 65: 461–6.
    1. Pindyck T, Kalishman S, Flatow-Trujillo L, Thornton K. (2015) Treating hepatitis C in American Indians/Alaskan Natives: A survey of Project ECHO((R)) (Extension for Community Healthcare Outcomes) utilization by Indian Health Service providers. SAGE Open Med. 3: 2050312115612805.
    1. Arora S, Kalishman S, Thornton K, et al. (2016) Project ECHO (Project Extension for Community Healthcare Outcomes): A National and Global Model for Continuing Professional Development. J Contin Educ Health Prof. 36 Suppl 1: S48–9.

Source: PubMed

Sponsorer och medarbetare

Medicinska tillstånd

Läkemedelsinterventioner

3
Prenumerera