Lanier A P
Alaska Area Native Health Service Office, Anchorage 99501.
Alaska Med. 1993 Oct-Dec;35(4):245-7.
In contrast to many other Native American groups in the United States, cancer incidence data are available for the Alaska Native population from 1969 to present. These data support the fact that cancer patterns in this population differ from all other U.S. populations and are most similar to Eskimos (Inuit) of other circumpolar countries. The unique cancer patterns and the distribution of the population far from sophisticated medical centers strongly impact the cost/benefit ratios of recommended cancer screening procedures. Cost/benefits of cancer screening and data showing that more than one-third of cancer cases and cancer deaths are tobacco related, necessitate that cancer control efforts in this population should focus on eradication of tobacco.
与美国许多其他美洲原住民群体不同，自1969年至今，阿拉斯加原住民人口有癌症发病率数据。这些数据证实了这样一个事实：该人群的癌症模式与所有其他美国人群不同，与其他环北极国家的爱斯基摩人（因纽特人）最为相似。独特的癌症模式以及该人群远离先进医疗中心的分布情况，极大地影响了推荐的癌症筛查程序的成本效益比。癌症筛查的成本效益以及超过三分之一的癌症病例和癌症死亡与烟草有关的数据表明，该人群的癌症控制工作应集中于根除烟草。
