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Prostate cancer deaths and incident cases among American Indian/Alaska Native men, 1999-2009
Journal article   Open access   Peer reviewed

Prostate cancer deaths and incident cases among American Indian/Alaska Native men, 1999-2009

Richard M Hoffman, Jun Li, Jeffrey A Henderson, Umed A Ajani and Charles Wiggins
American journal of public health (1971), Vol.104 Suppl 3(S3), pp.S439-S445
06/2014
DOI: 10.2105/AJPH.2013.301690
PMCID: PMC4035887
PMID: 24754659
url
https://doi.org/10.2105/AJPH.2013.301690View
Published (Version of record) Open Access

Abstract

We linked databases to improve identification of American Indians/Alaska Natives (AI/ANs) in determining prostate cancer death and incidence rates. We linked prostate cancer mortality and incidence data with Indian Health Service (IHS) patient records; analyses focused on residents of IHS Contract Health Service Delivery Area (CHSDA) counties. We calculated age-adjusted incidence and death rates for AI/AN and White men for 1999 to 2009; men of Hispanic origin were excluded. Prostate cancer death rates were higher for AI/AN men than for White men. Death rates declined for White men (-3.0% per year) but not for AI/AN men. AI/AN men had lower prostate cancer incidence rates than White men. Incidence rates declined among Whites (-2.2% per year) and AI/ANs (-1.9% per year). AI/AN men had higher prostate cancer death rates and lower prostate cancer incidence rates than White men. Disparities in accessing health care could contribute to mortality differences, and incidence differences could be related to lower prostate-specific antigen testing rates among AI/AN men.
United States - epidemiology Alaska - ethnology Humans Middle Aged European Continental Ancestry Group - statistics & numerical data Male Prostatic Neoplasms - ethnology Death Certificates Cause of Death Prostatic Neoplasms - mortality Incidence Prostatic Neoplasms - epidemiology Indians, North American - statistics & numerical data Alaska - epidemiology Inuits - statistics & numerical data Aged, 80 and over Adult Registries Aged Population Surveillance

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