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提高明尼苏达州美国印第安人的癌症发病率估计值。

Improving cancer incidence estimates for American Indians in Minnesota.

作者信息

Partin M R, Rith-Najarian S J, Slater J S, Korn J E, Cobb N, Soler J T

机构信息

Minnesota Department of Health, Minneapolis, USA.

出版信息

Am J Public Health. 1999 Nov;89(11):1673-7. doi: 10.2105/ajph.89.11.1673.

DOI:10.2105/ajph.89.11.1673
PMID:10553387
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1508987/
Abstract

OBJECTIVES

The purpose of this study was to estimate cancer incidence for American Indians in Minnesota.

METHODS

Indian Health Service enrollment data were linked to the Minnesota tumor registry to identify cancers among American Indians in Minnesota. Incidence rates for the 5 most common cancers in this population, estimated after the linkage, were compared with rates estimated before the linkage and with rates for the total population of Minnesota.

RESULTS

The linkage identified 302 cancer cases not previously identified as occurring among American Indians in Minnesota. Postlinkage estimates suggested that incidence rates for prostate and colorectal cancer are similar to those for the total population of Minnesota, but that rates of lung and cervical cancer are significantly higher. Breast cancer rates are slightly lower than those for the total population of Minnesota but more than twice as high as previous estimates for American Indians.

CONCLUSIONS

The postlinkage estimates suggest different priorities for cancer education, prevention, and control than might be assumed from either prelinkage estimates or previously published data, and underscore the importance of using accurate and specific data for setting these priorities.

摘要

目的

本研究的目的是估计明尼苏达州美国印第安人的癌症发病率。

方法

印第安卫生服务机构的登记数据与明尼苏达肿瘤登记处相链接,以确定明尼苏达州美国印第安人中的癌症病例。在链接之后估计了该人群中5种最常见癌症的发病率,并与链接之前估计的发病率以及明尼苏达州总人口的发病率进行了比较。

结果

链接识别出302例先前未被认定为在明尼苏达州美国印第安人中发生的癌症病例。链接后的估计表明,前列腺癌和结直肠癌的发病率与明尼苏达州总人口的发病率相似,但肺癌和宫颈癌的发病率显著更高。乳腺癌发病率略低于明尼苏达州总人口的发病率,但比之前对美国印第安人的估计高出两倍多。

结论

链接后的估计表明,癌症教育、预防和控制的优先事项与链接前的估计或先前公布的数据可能假设的情况不同,并强调了使用准确和具体数据来确定这些优先事项的重要性。

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本文引用的文献

1
Questionable data and preconceptions: reconsidering the value of mammography for American Indian Women.可疑数据与先入之见:重新审视乳腺钼靶检查对美国印第安女性的价值。
Am J Public Health. 1997 Jul;87(7):1100-2. doi: 10.2105/ajph.87.7.1100.
2
Improving American Indian Cancer Data in the Washington State Cancer Registry using linkages with the Indian Health Service and Tribal Records.通过与印第安卫生服务局和部落记录建立联系,改善华盛顿州癌症登记处的美国印第安人癌症数据。
Cancer. 1996 Oct 1;78(7 Suppl):1564-8.
3
Racial misclassification of American Indians: its effect on injury rates in Oregon, 1989 through 1990.美国印第安人的种族误分类:1989年至1990年其对俄勒冈州伤害率的影响。
Am J Public Health. 1993 May;83(5):681-4. doi: 10.2105/ajph.83.5.681.
4
Classification of American Indian race on birth and infant death certificates--California and Montana.加利福尼亚州和蒙大拿州出生及婴儿死亡证明上美国印第安人种族的分类
MMWR Morb Mortal Wkly Rep. 1993 Apr 2;42(12):220-3.
5
Cancer incidence among American Indians and Alaska Natives, 1980 through 1987.1980年至1987年美国印第安人和阿拉斯加原住民的癌症发病率。
Am J Public Health. 1993 Nov;83(11):1589-98. doi: 10.2105/ajph.83.11.1589.
6
The danger of applying uniform clinical policies across populations: the case of breast cancer in American Indians.对不同人群应用统一临床政策的风险:以美国印第安人的乳腺癌为例。
Am J Public Health. 1994 Oct;84(10):1631-6. doi: 10.2105/ajph.84.10.1631.
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Racial differences between linked birth and infant death records in Washington State.华盛顿州出生与婴儿死亡记录关联中的种族差异。
Am J Public Health. 1980 Sep;70(9):974-6. doi: 10.2105/ajph.70.9.974.
8
A meta-analysis of cancer incidence in United States and Canadian native populations.美国和加拿大原住民人群癌症发病率的荟萃分析。
Int J Epidemiol. 1991 Jun;20(2):323-7. doi: 10.1093/ije/20.2.323.
9
Inconsistencies in coding of race and ethnicity between birth and death in US infants. A new look at infant mortality, 1983 through 1985.美国婴儿出生与死亡时种族和族裔编码的不一致性。对1983年至1985年婴儿死亡率的新审视。
JAMA. 1992 Jan 8;267(2):259-63.
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Racial misclassification of Native Americans in a surveillance, epidemiology, and end results cancer registry.在一个癌症监测、流行病学和最终结果登记系统中对美国原住民的种族错误分类。
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