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本文引用的文献

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Health behaviors and risk factors among American Indians and Alaska Natives, 2000-2010.美国印第安人和阿拉斯加原住民的健康行为和风险因素，2000-2010 年。
Am J Public Health. 2014 Jun;104 Suppl 3(Suppl 3):S481-9. doi: 10.2105/AJPH.2014.301879. Epub 2014 Apr 22.
2
Racial misclassification of American Indians and Alaska Natives by Indian Health Service Contract Health Service Delivery Area.美国印第安人和阿拉斯加原住民在印第安卫生服务合同卫生服务提供区域的种族错分。
Am J Public Health. 2014 Jun;104 Suppl 3(Suppl 3):S295-302. doi: 10.2105/AJPH.2014.301933. Epub 2014 Apr 22.
3
Methods for improving the quality and completeness of mortality data for American Indians and Alaska Natives.提高美洲印第安人和阿拉斯加原住民死亡率数据质量和完整性的方法。
Am J Public Health. 2014 Jun;104 Suppl 3(Suppl 3):S286-94. doi: 10.2105/AJPH.2013.301716. Epub 2014 Apr 22.
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Annual Report to the Nation on the status of cancer, 1975-2010, featuring prevalence of comorbidity and impact on survival among persons with lung, colorectal, breast, or prostate cancer.《1975-2010 年全国癌症报告：肺癌、结直肠癌、乳腺癌和前列腺癌患者合并症的流行情况及其对生存的影响》
Cancer. 2014 May 1;120(9):1290-314. doi: 10.1002/cncr.28509. Epub 2013 Dec 16.
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Breast cancer mortality in participants of the Norwegian Breast Cancer Screening Program.挪威乳腺癌筛查计划参与者的乳腺癌死亡率。
Cancer. 2013 Sep 1;119(17):3106-12. doi: 10.1002/cncr.28174. Epub 2013 May 29.
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Annual Report to the Nation on the Status of Cancer, 1975-2009, featuring the burden and trends in human papillomavirus(HPV)-associated cancers and HPV vaccination coverage levels.《1975-2009 年全国癌症报告：人乳头瘤病毒（HPV）相关癌症的负担和趋势以及 HPV 疫苗接种覆盖率》
J Natl Cancer Inst. 2013 Feb 6;105(3):175-201. doi: 10.1093/jnci/djs491. Epub 2013 Jan 7.
7
Breast cancer and screening in American Indian and Alaska Native women.美国印第安人和阿拉斯加原住民女性的乳腺癌与筛查
J Cancer Educ. 2012 Apr;27(1 Suppl):S66-72. doi: 10.1007/s13187-012-0323-6.
8
The accuracy of cancer mortality statistics based on death certificates in the United States.基于死亡证明的美国癌症死亡率统计数据的准确性。
Cancer Epidemiol. 2011 Apr;35(2):126-31. doi: 10.1016/j.canep.2010.09.005. Epub 2010 Oct 16.
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The validity of the mortality to incidence ratio as a proxy for site-specific cancer survival.死亡率与发病率比值作为特定部位癌症生存率替代指标的有效性。
Eur J Public Health. 2011 Oct;21(5):573-7. doi: 10.1093/eurpub/ckq120. Epub 2010 Sep 2.
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Decline in US breast cancer rates after the Women's Health Initiative: socioeconomic and racial/ethnic differentials.美国妇女健康倡议后乳腺癌发病率下降：社会经济和种族/民族差异。
Am J Public Health. 2010 Apr 1;100 Suppl 1(Suppl 1):S132-9. doi: 10.2105/AJPH.2009.181628. Epub 2010 Feb 10.

美国印第安人和阿拉斯加原住民妇女的乳腺癌死亡率，1990-2009 年。

Breast cancer mortality among American Indian and Alaska Native women, 1990-2009.

机构信息

Arica White, Lisa C. Richardson, Chunyu Li, and Donatus U. Ekwueme are with the Division of Cancer Prevention and Control, National Center for Chronic Disease and Health Promotion, Centers for Disease Control and Prevention (CDC), Atlanta, GA. Judith S. Kaur is with the Mayo Clinic, Rochester, MN.

出版信息

Am J Public Health. 2014 Jun;104 Suppl 3(Suppl 3):S432-8. doi: 10.2105/AJPH.2013.301720. Epub 2014 Apr 22.

DOI:10.2105/AJPH.2013.301720
PMID:24754658
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4035864/
Abstract

OBJECTIVES

We compared breast cancer death rates and mortality trends among American Indian/Alaska Native (AI/AN) and White women using data for which racial misclassification was minimized.

METHODS

We used breast cancer deaths and cases linked to Indian Health Service (IHS) data to calculate age-adjusted rates and 95% confidence intervals (CIs) by IHS-designated regions from 1990 to 2009 for AI/AN and White women; Hispanics were excluded. Mortality-to-incidence ratios (MIR) were calculated for 1999 to 2009 as a proxy for prognosis after diagnosis.

RESULTS

Overall, the breast cancer death rate was lower in AI/AN women (21.6 per 100,000) than in White women (26.5). However, rates in AI/ANs were higher than rates in Whites for ages 40 to 49 years in the Alaska region, and ages 65 years and older in the Southern Plains region. White death rates significantly decreased (annual percent change [APC] = -2.1; 95% CI = -2.3, -2.0), but regional and overall AI/AN rates were unchanged (APC = 0.9; 95% CI = 0.1, 1.7). AI/AN women had higher MIRs than White women.

CONCLUSIONS

There has been no improvement in death rates among AI/AN women. Targeted screening and timely, high-quality treatment are needed to reduce mortality from breast cancer in AI/AN women.

摘要

目的

我们使用最小化种族分类错误的数据，比较了美国印第安人/阿拉斯加原住民（AI/AN）和白人女性的乳腺癌死亡率和死亡率趋势。

方法

我们使用乳腺癌死亡病例和与印第安卫生服务（IHS）数据相关的病例，按 IHS 指定的区域计算了 1990 年至 2009 年 AI/AN 和白人女性的年龄调整率和 95%置信区间（CI）；排除了西班牙裔。1999 年至 2009 年的死亡率与发病率比（MIR）被计算出来作为诊断后预后的替代指标。

结果

总体而言，AI/AN 女性的乳腺癌死亡率（21.6/100,000）低于白人女性（26.5/100,000）。然而，在阿拉斯加地区，AI/AN 的年龄在 40 岁至 49 岁之间，以及在南部平原地区的年龄在 65 岁及以上的女性中，死亡率高于白人。白人死亡率显著下降（年百分比变化[APC]=-2.1；95%置信区间[CI]=-2.3，-2.0），但区域和总体 AI/AN 死亡率保持不变（APC=0.9；95% CI=0.1，1.7）。AI/AN 女性的 MIR 高于白人女性。

结论

AI/AN 女性的死亡率没有改善。需要有针对性的筛查和及时、高质量的治疗，以降低 AI/AN 女性乳腺癌的死亡率。