Pacific Institute for Research and Evaluation.
Clin J Oncol Nurs. 2020 Feb 1;24(1):107-110. doi: 10.1188/20.CJON.107-110.
American Indians and Alaska Natives (AIANs) have been documented as a population with high rates of cancer mortality in comparison to other racial and ethnic groups in the United States. During a time when other populations in the United States are experiencing improvements in cancer outcomes, cancer disparities in AIANs persist. The disparities in cancer outcomes in this diverse population can be attributed to a complex constellation of factors, which include access-to-care, economic, medical, and individual barriers, and mistrust and disenfranchisement.
美国印第安人和阿拉斯加原住民（AIANs）的癌症死亡率一直高于美国其他种族和族裔群体。在美国其他人群的癌症预后有所改善的同时，AIANs 的癌症差异仍然存在。造成这一多样化人群中癌症预后差异的原因是多方面的，包括获得医疗服务的机会、经济、医疗和个人障碍，以及不信任和被剥夺权利等因素。
