Abstract
Gynecologic cancers among American Indian and Alaska Native women living in the Upper Midwest
Gynecologic oncology, Vol.190(Supplement 1), pp.S114-S115
11/2024
DOI: 10.1016/j.ygyno.2024.07.167
Abstract
Objectives
This study aimed to build on existing analyses to examine gynecologic cancers (cervical, ovarian, uterine) among American Indian and Alaska Native (AI/AN) women living in the Upper Midwest (Iowa, Montana, Nebraska, North Dakota, South Dakota, and Wyoming).
Methods
We used data from the North American Association for Central Cancer Registries Cancer in North America database, which included data from 1995–2019. Descriptive statistics were calculated, including incidence and mortality rates and trends. We also examined time to treatment and explored predictors of time to treatment greater than 30 days using univariate logistic regression models. All analyses were restricted to individuals living in a purchased/referred care delivery area (PRCDA) at the time of diagnosis to limit the effect of racial misclassification.
Results
From 1995 to 2019, there were 647 gynecologic cancers diagnosed among AI/AN women living in PRCDA counties in the Upper Midwest (cervical, n = 194; ovarian, n = 142; uterine, n = 311). Incidence and mortality rates for ovarian and uterine cancers were similar between AI/AN and non-Hispanic White (NHW) women; however, the incidence of cervical cancer was 1.87 (1.60–2.17) times higher, and mortality 2.92 (2.29–3.68) times higher among AI/AN women compared to NHW women. Most AI/AN women-initiated treatment within 1 month (cervical = 67.2 %, ovarian = 80.6 %, uterine = 63.1 %), similar to the period observed among NHW women. Predictors of longer time to treatment included older age, later stage at diagnosis, and state of residence.
Conclusions
Differences exist in incidence, mortality, and time to treatment for gynecologic cancers, both between AI/AN and NHW women in the Upper Midwest, as well as AI/AN women living in different states.
Details
- Title: Subtitle
- Gynecologic cancers among American Indian and Alaska Native women living in the Upper Midwest
- Creators
- Keely UlmerBreanna GretemanKatharine LinderMegan McDonaldMichael GoodheartJesus Gonzalez BosquetSarah Nash
- Resource Type
- Abstract
- Publication Details
- Gynecologic oncology, Vol.190(Supplement 1), pp.S114-S115
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.ygyno.2024.07.167
- ISSN
- 0090-8258
- Language
- English
- Date published
- 11/2024
- Academic Unit
- Epidemiology; Obstetrics and Gynecology; Community and Behavioral Health; Center for Social Science Innovation
- Record Identifier
- 9984722564002771
Metrics
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