The inclusion of tribes and American Indian and Alaska Native People in State comprehensive cancer control plans

Dornell Pete; Paige E Farris; Prajakta Adsul; Jennifer W Bea; Dylan Decker; Jalisa Ingram; Jason Semprini; Hailey Baker; Monica Yellowhair; Cecily Blackwater; Craig Dee; Katherine J Briant; Myra Parker; Whitney E Zahnd; Sarah H Nash

doi:10.1007/s10552-025-01981-w

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The inclusion of tribes and American Indian and Alaska Native People in State comprehensive cancer control plans

Journal article

Peer reviewed

The inclusion of tribes and American Indian and Alaska Native People in State comprehensive cancer control plans

Dornell Pete, Paige E Farris, Prajakta Adsul, Jennifer W Bea, Dylan Decker, Jalisa Ingram, Jason Semprini, Hailey Baker, Monica Yellowhair, Cecily Blackwater, …

Cancer causes & control, Vol.36(8), pp.819-832

08/2025

DOI: 10.1007/s10552-025-01981-w

PMCID: PMC12700499

PMID: 40063180

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Abstract

State and District Comprehensive Cancer Control (CCC) plans often do not include priorities for all individuals within their state or district borders. In particular, American Indian and Alaska Native (AI/AN) people experience persistent cancer disparities, yet their inclusion in CCC plans has not been examined. Our study systematically reviewed state and district CCC plans for the inclusion of Tribal-specific cancer control strategies and priorities. A collaborative team of researchers from Tribal serving organizations, cancer centers, and academic institutions conducted a content analysis of state CCC plans to assess terms, concepts, context, and goals related to Tribal populations across twelve domains. Seventy-three percent (n = 37) of state CCC plans addressed at least one of twelve domain criteria, while 14 states (27%) did not mention Tribal data or priorities. Specifically, the terms "Indigenous or Native" (n = 29) or "American Indian, Indian Country, Reservations, or Indian Health Service" (n = 27) were referenced most often. Three states met the highest domain criteria (New Mexico, California, Montana). Six states with federally recognized tribes within their borders did not meet any domains (Alabama, Florida, Massachusetts, Missouri, Texas, Virginia). By highlighting state and Tribal CCC plans' best practices and incorporating Tribal priorities within state and district CCC plans and programs, we underscore the importance of addressing cancer in Tribal populations across the U.S. and offer examples of inclusive CCC plan development and implementation.

Health Equity

Tribal

Content Analysis

Indigenous

Cancer Control

Native American

Details

Title: Subtitle: The inclusion of tribes and American Indian and Alaska Native People in State comprehensive cancer control plans
Creators: Dornell Pete - Fred Hutch Cancer Center
Paige E Farris - OHSU Knight Cancer Institute
Prajakta Adsul - New Mexico Cancer Center
Jennifer W Bea - University of Arizona
Dylan Decker - University of Arizona
Jalisa Ingram - Alaska Native Tribal Health Consortium
Jason Semprini - University of Iowa
Hailey Baker - University of Minnesota Medical Center
Monica Yellowhair - University of Arizona
Cecily Blackwater - American Cancer Society
Craig Dee - Fred Hutch Cancer Center
Katherine J Briant - Fred Hutch Cancer Center
Myra Parker - Fred Hutch Cancer Center
Whitney E Zahnd - University of Iowa
Sarah H Nash - University of Iowa
Resource Type: Journal article
Publication Details: Cancer causes & control, Vol.36(8), pp.819-832
DOI: 10.1007/s10552-025-01981-w
PMID: 40063180
PMCID: PMC12700499
NLM abbreviation: Cancer Causes Control
ISSN: 0957-5243
eISSN: 1573-7225
Publisher: SPRINGER
Grant note: 5P30CA069533 / NIH HHS 3P30CA086862 / National Institutes of Health,United States P30CA015704 / NIH HHS K00CA253685 / NCI NIH HHS
Language: English
Electronic publication date: 03/10/2025
Date published: 08/2025
Academic Unit: Health Management and Policy; Epidemiology; Center for Social Science Innovation; Community and Behavioral Health
Record Identifier: 9984799678402771

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