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Cancer and American Indians/Alaska Natives

American Indian/Alaska Native men and women generally have lower cancer rates than the non-Hispanic white population. However, disparities still exist in certain types of cancer.

  • From 2008-2012, American Indian/Alaska Native men were twice as likely to have liver & IBD cancer as non-Hispanic White men.
  • American Indian/Alaska Native men are 1.5 times as likely to have stomach cancer as non-Hispanic White men, and are over twice as likely to die from the same disease.
  • American Indian/Alaska Native women are 3.2 times more likely to have, and almost twice as likely to die from, liver & IBD cancer, as compared to non-Hispanic White women.
  • American Indian/Alaska Native women are 30 percent more likely to have kidney/renal pelvis cancer as non-Hispanic White women.

 

At a glance - New Cases:

New Cancer Cases per 100,000 - Men (2011)

Cancer
American Indian Men
Non-Hispanic White Men
American Indian/Non-Hispanic White Ratio
All Sites
393.4
518.1
0.8
Colon and Rectum
63.3
43.4
1.5
Lung
52.3
63.5
0.8
Pancreas
17.4
14.4
1.2
Prostate
63.9
134.0
0.5
Stomach
20.0
8.4
2.4

 

New Cancer Cases per 100,000 – Women (2011)

Cancer
American Indian Women
Non-Hispanic White Women
American Indian/Non-Hispanic White Ratio
All Sites
359.1
433.5
0.8
Breast
104.0
137.0
0.8
Cervical
9.5
6.5
1.5
Colon and Rectum
45.7
34.2
1.3
Lung
41.5
50.2
0.8
Pancreas (2010)
12.9
11.0
1.2
Stomach (2010)
13.0
3.6
3.6

Source: CDC, 2015. Health United States, 2014. Table 40.
http://www.cdc.gov/nchs/data/hus/hus14.pdf [PDF | 14.65MB]

 

At a glance – Top Cancer Sites for American Indians (2008-2012):

Cancer Incidence Rates per 100,000 – Men

Cancer
American
Indian Men
Non-Hispanic White Men
American Indian/Non-Hispanic White Ratio
All Sites
340.8
540.0
0.6
Kidney & Renal Pelvis
24.8
22.1
1.1
Liver & IBD*
19.9
9.8
2.0
Stomach
12.3
8.3
1.5
Colon & Rectum
46.3
48.4
1.0
Esophagus
4.9
8.4
0.6
Lung & Bronchus
47.6
74.8
0.6
Oral Cavity & Pharynx
13.2
18.4
0.7
Pancreas
11.1
14.3
0.8
Prostate
67.1
133.4
0.5

 

At a glance – Top Cancer Sites for American Indians (2008-2012):

Cancer Incidence Rates per 100,000 – Women

Cancer
American
Indian Women
Non-Hispanic White Women
American Indian/Non-Hispanic White Ratio
All Sites
308.8
441.6
0.7
Kidney & Renal Pelvis
13.9
11.0
1.3
Liver & IBD*
8.4
3.2
2.6
Stomach
7.5
3.7
2.0
Breast
82.0
134.0
0.6
Cervical
7.5
7.1
1.1
Colon & Rectum
35.7
37.2
1.0
Esophagus
1.6
1.8
0.9
Lung & Bronchus
34.5
56.9
0.6
Oral Cavity & Pharynx
5.2
6.9
0.8
Pancreas
8.9
10.9
0.8

*IBD = Intrahepatic Bile Duct
Source: NCI 2015. Seer Cancer Statistics Review, 1975-2012.  Tables 2.15 through 24.15
http://seer.cancer.gov/csr/1975_2012/sections.html

 

At a glance – 5 Year Survival Rate:

Not available at this time.

 

At a glance – Death Rate:

Cancer Death Rates per 100,000 – Men (2008-2012)

Cancer
American
Indian Men
Non-Hispanic White Men
American Indian/Non-Hispanic White Ratio
All Sites
186.7
210.6
0.9
Kidney & Renal Pelvis
8.7
5.9
1.5
Liver & IBD*
13.9
7.6
1.8
Stomach
7.4
3.6
2.1
Colon and Rectum
18.8
18.2
1.0
Prostate
20.2
19.9
1.0

 

Cancer Death Rates per 100,000 - Women (2008-2012)

Cancer
American Indian Women
Non-Hispanic White Women
American Indian/Non-Hispanic White Ratio
All Sites
133.9
149.2
0.9
Cervical
3.5
2.0
1.8
Kidney & Renal Pelvis
4.7
2.6
1.8
Liver & IBD*
6.3
3.1
2.0
Stomach
3.6
1.8
2.0
Breast
15.0
21.9
0.7
Colon and Rectum
15.6
12.9
1.2

*IBD = Intrahepatic Bile Duct
Source: NCI 2015. Seer Cancer Statistics Review, 1975-2012. Table 1.21.
http://seer.cancer.gov/csr/1975_2012/sections.html

 

At a Glance – Screening:

Breast Cancer

Percent of women age 40 and over who had a mammogram within the past 2 years, 2013 (crude)

American Indian/Alaska Native Women
Non-Hispanic White Women
American Indian/Alaska Native/Non-Hispanic White Ratio
62.6
67.9
0.9

Source: CDC, 2015. Health United States, 2014. Table 76.
http://www.cdc.gov/nchs/data/hus/hus14.pdf [PDF | 14.65MB]

 

Cervical Cancer

Percent of women age 18 and over who had a Pap smear within the past 3 years, 2013 (crude)

American Indian/Alaska Native Women
Non-Hispanic White Women
American Indian/Alaska Native/Non-Hispanic White Ratio
70.1
68.4
1.0

Source: CDC, 2015. Health United States, 2014. Table 77.
http://www.cdc.gov/nchs/data/hus/hus14.pdf [PDF | 14.65MB]

 

Colon Cancer

Adults aged 50-75 who had any colorectal test or procedure, 2013

American Indian/Alaska Native
Non-Hispanic White
American Indian/Alaska Native/Non-Hispanic White Ratio
49.3
60.4
0.8

Source: CDC, 2015. Health United States, 2014. Table 78.
http://www.cdc.gov/nchs/data/hus/hus14.pdf [PDF | 14.65MB]

Last Modified: 3/22/2016 4:15:00 PM