美国印第安人中的癌症——确定俄克拉荷马州的优先领域。
Cancer among American Indians - Identifying Priority Areas in Oklahoma.
作者信息
Martinez Sydney A, Janitz Amanda E, Erb-Alvarez Julie, Mowls Dana S, Campbell Janis E, Anderson Tom
出版信息
J Okla State Med Assoc. 2016 Jul-Aug;109(7-8):374-384.
Abstract
BACKGROUND
We describe and compare cancer incidence and mortality among American Indians (AI/ANs) and whites in nine Indian Health Service (IHS) Service Units in Oklahoma.
METHODS
Using data from the Oklahoma Central Cancer Registry and the web-based OK2SHARE database, we obtained age-adjusted cancer incidence rates from 1997 to 2012 and cancer mortality rates from 1999 to 2009 for AI/ANs and whites in Oklahoma. We examined differences in primary site, percentage of late stage diagnoses, and trends over time.
RESULTS
AI/ANs consistently had higher cancer incidence and mortality compared to whites in Oklahoma. The magnitude of disparity for cancer incidence and mortality varied by IHS Service Unit and by gender. The top three cancer sites were the same for all Service Units. The percentage of late stage diagnosis also varied by region.
CONCLUSIONS
We identify priority areas where cancer disparity challenges exist among AI/ANs in Oklahoma.
摘要
背景
我们描述并比较了俄克拉荷马州九个印第安卫生服务（IHS）服务单位中美国印第安人（AI/ANs）和白人的癌症发病率和死亡率。
方法
利用俄克拉荷马州中央癌症登记处和基于网络的OK2SHARE数据库的数据，我们获取了1997年至2012年俄克拉荷马州AI/ANs和白人的年龄调整癌症发病率以及1999年至2009年的癌症死亡率。我们研究了原发部位、晚期诊断百分比以及随时间变化趋势的差异。
结果
在俄克拉荷马州，AI/ANs的癌症发病率和死亡率始终高于白人。癌症发病率和死亡率的差异程度因IHS服务单位和性别而异。所有服务单位的前三大癌症部位相同。晚期诊断的百分比也因地区而异。
结论
我们确定了俄克拉荷马州AI/ANs中存在癌症差异挑战的优先领域。
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