Cancer incidence and staging among American Indians in Oklahoma.

Autor:	Campbell JE, Martinez SA, Janitz AE, Pate AE, Erb-Alvarez J, Wharton DF, Gahn D, Tall VL, Snider C, Anderson T, Peercy M
Jazyk:	angličtina
Zdroj:	The Journal of the Oklahoma State Medical Association [J Okla State Med Assoc] 2014 Mar; Vol. 107 (3), pp. 99-107.
Abstrakt:	Background: This study describes overall and site specific cancer incidence among AI/ANs compared to whites in Oklahoma and differences in cancer staging. Methods: Age-adjusted incidence rates obtained from the Oklahoma Central Cancer Registry are presented for all cancer sites combined and for the most common cancer sites among AI/ANs with comparisons to whites. Percentages of late stage cancers for breast, colorectal, and melanoma cancers are also presented. Results: AI/ANs had a significantly higher overall cancer incidence rate compared to whites (629.8/100,000 vs. 503.3/100,000), with a rate ratio of 1.25 (95% CI: 1.22, 1.28). There was a significant disparity in the percentage of late stage melanoma cancers between 2005 and 2009, with 14.0% late stage melanoma for whites and 20.0% for AI/ANs (p-value:0.03). Conclusions: Overall, there were cancer disparities between AI/ANs and whites in Oklahoma. Incidence rates were higher among AI/ANs for all cancers and many site specific cancers.
Databáze:	MEDLINE
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