Cervical cancer incidence and mortality among American Indian and Alaska native women, 1999û2009

• Main Authors: Watson, M., Benard, V., Thomas, C., Brayboy, A., Paisano, R., Becker, T.
• Format: Article in Journal/Newspaper
• Language: unknown
• Subjects: Indian; inuit; inuits; Alaska
• Online Access: http://hdl.handle.net/10.2105/AJPH.2013.301681

Objectives. We analyzed cervical cancer incidence and mortality data in American Indian and Alaska Native (AI/AN) women compared with women of other races. Methods. We improved identification of AI/AN race, cervical cancer incidence, and mortality data using Indian Health Service (IHS) patient records; our analyses focused on residents of IHS Contract Health Service Delivery Area (CHSDA) counties. Age-adjusted incidence and death rates were calculated for AI/AN and White women from 1999 to 2009. Results. AI/AN women in CHSDA counties had a death rate from cervical cancer of 4.2, which was nearly twice the rate in White women (2.0; rate ratio [RR] = 2.11). AI/AN women also had higher incidence rates of cervical cancer compared with White women (11.0 vs 7.1; RR = 1.55) and were more often diagnosed with later-stage disease (RR = 1.84 for regional stage and RR = 1.74 for distant stage). Death rates decreased for AI/AN women from 1990 to 1993 (û25.8%/year) and remained stable thereafter. Conclusions. Although rates decreased over time, AI/AN women had disproportionately higher cervical cancer incidence and mortality. The persistently higher rates among AI/AN women compared with White women require continued improvements in identifying and treating cervical cancer and precancerous lesions. adult; aged; American Indian; article; Caucasian; cause of death; comparative study; death certificate; ethnology; female; health survey; human; incidence; Inuit; middle aged; mortality; register; statistics; United States; uterine cervix tumor; very elderly, Adult; Aged; Aged, 80 and over; Alaska; Cause of Death; Death Certificates; European Continental Ancestry Group; Female; Humans; Incidence; Indians, North American; Inuits; Middle Aged; Population Surveillance; Registries; United States; Uterine Cervical Neoplasms