Cervical cancer incidence and mortality among American Indian and Alaska native women, 1999û2009

Meg Watson, Vicki Benard, Cheryll Thomas, Annie Brayboy, Roberta Paisano, Thomas Becker

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Objectives. We analyzed cervical cancer incidence and mortality data in American Indian and Alaska Native (AI/AN) women compared with women of other races. Methods. We improved identification of AI/AN race, cervical cancer incidence, and mortality data using Indian Health Service (IHS) patient records; our analyses focused on residents of IHS Contract Health Service Delivery Area (CHSDA) counties. Age-adjusted incidence and death rates were calculated for AI/AN and White women from 1999 to 2009. Results. AI/AN women in CHSDA counties had a death rate from cervical cancer of 4.2, which was nearly twice the rate in White women (2.0; rate ratio [RR] = 2.11). AI/AN women also had higher incidence rates of cervical cancer compared with White women (11.0 vs 7.1; RR = 1.55) and were more often diagnosed with later-stage disease (RR = 1.84 for regional stage and RR = 1.74 for distant stage). Death rates decreased for AI/AN women from 1990 to 1993 (û25.8%/year) and remained stable thereafter. Conclusions. Although rates decreased over time, AI/AN women had disproportionately higher cervical cancer incidence and mortality. The persistently higher rates among AI/AN women compared with White women require continued improvements in identifying and treating cervical cancer and precancerous lesions.

Original languageEnglish (US)
JournalAmerican Journal of Public Health
Volume104
Issue numberSUPPL. 3
DOIs
StatePublished - 2014

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North American Indians
Uterine Cervical Neoplasms
Mortality
Incidence
United States Indian Health Service
Contract Services
Catchment Area (Health)
Alaska Natives

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Cervical cancer incidence and mortality among American Indian and Alaska native women, 1999û2009. / Watson, Meg; Benard, Vicki; Thomas, Cheryll; Brayboy, Annie; Paisano, Roberta; Becker, Thomas.

In: American Journal of Public Health, Vol. 104, No. SUPPL. 3, 2014.

Research output: Contribution to journalArticle

Watson, Meg ; Benard, Vicki ; Thomas, Cheryll ; Brayboy, Annie ; Paisano, Roberta ; Becker, Thomas. / Cervical cancer incidence and mortality among American Indian and Alaska native women, 1999û2009. In: American Journal of Public Health. 2014 ; Vol. 104, No. SUPPL. 3.
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AU - Becker, Thomas

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