IDEAS home Printed from https://ideas.repec.org/a/aph/ajpbhl/10.2105-ajph.2013.301720_6.html
   My bibliography  Save this article

Breast cancer mortality among American Indian and Alaska native women, 1990û2009

Author

Listed:
  • White, A.
  • Richardson, L.C.
  • Li, C.
  • Ekwueme, D.U.
  • Kaur, J.S.

Abstract

Objectives. We compared breast cancer death rates and mortality trends among American Indian/Alaska Native (AI/AN) and White women using data for which racial misclassification was minimized. Methods. We used breast cancer deaths and cases linked to Indian Health Service (IHS) data to calculate age-adjusted rates and 95% confidence intervals (CIs) by IHS-designated regions from 1990 to 2009 for AI/AN and White women; Hispanics were excluded. Mortality-to-incidence ratios (MIR) were calculated for 1999 to 2009 as a proxy for prognosis after diagnosis. Results. Overall, the breast cancer death rate was lower in AI/AN women (21.6 per 100 000) than in White women (26.5). However, rates in AI/ANs were higher than rates in Whites for ages 40 to 49 years in the Alaska region, and ages 65 years and older in the Southern Plains region. White death rates significantly decreased (annual percent change [APC] = û2.1; 95% CI = û2.3, û2.0), but regional and overall AI/AN rates were unchanged (APC = 0.9; 95% CI = 0.1, 1.7). AI/AN women had higher MIRs than White women. Conclusions. There has been no improvement in death rates among AI/AN women. Targeted screening and timely, high-quality treatment are needed to reduce mortality from breast cancer in AI/AN women.

Suggested Citation

  • White, A. & Richardson, L.C. & Li, C. & Ekwueme, D.U. & Kaur, J.S., 2014. "Breast cancer mortality among American Indian and Alaska native women, 1990û2009," American Journal of Public Health, American Public Health Association, vol. 104(S3), pages 432-438.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301720_6
    DOI: 10.2105/AJPH.2013.301720
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.2105/AJPH.2013.301720
    Download Restriction: no
    File URL: https://libkey.io/10.2105/AJPH.2013.301720?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301720_6. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Christopher F Baum (email available below). General contact details of provider: https://www.apha.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.