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 2005-2009, 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 1.6 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 2.8 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 40% 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 (2008)**
Cancer	American Indian Men	Non-Hispanic White Men	American Indian/Non- Hispanic White Ratio
All Sites	390.7	540.4	0.7
Prostate	71.4	147.6	0.5

**New Cancer Cases per 100,000 – Women (2008)**
Cancer	American Indian Women	Non-Hispanic White Women	American Indian/Non- Hispanic White Ratio
All Sites	350.1	437.2	0.8
Breast	88.9	134.8	0.7

Source: CDC, 2012. Health United States, 2011. Table 47.
http://www.cdc.gov/nchs/data/hus/hus11.pdf [PDF | 9.8MB]

At a glance – Top Cancer Sites for American Indians (2005-2009):

**Cancer Incidence Rates per 100,000 – Men**
Cancer	American Indian Men	Non-Hispanic White Men	American Indian/Non-Hispanic White Ratio
All Sites	352.2	564.7	0.6
Kidney & Renal Pelvis	24.7	21.4	1.2
Liver & IBD*	18.3	8.8	2.1
Stomach	13.6	8.5	1.6
Colon & Rectum	45.2	54.2	0.8
Esophagus	5.8	8.5	0.7
Lung & Bronchus	51.9	81.4	0.6
Oral Cavity & Pharynx	10.1	17.8	0.6
Pancreas	11.5	14.0	0.8
Prostate	78.4	150.6	0.5

At a glance – Top Cancer Sites for American Indians (2005-2009):

**Cancer Incidence Rates per 100,000 – Women**
Cancer	American Indian Women	Non-Hispanic White Women	American Indian/Non-Hispanic White Ratio
All Sites	313.8	439.0	0.7
Kidney & Renal Pelvis	15.4	10.7	1.4
Liver & IBD*	8.1	2.9	2.8
Stomach	7.3	3.7	2.0
Breast	80.6	132.8	0.6
Cervical	8.1	7.1	1.1
Colon & Rectum	38.0	40.2	0.9
Esophagus	2.8	1.9	1.5
Lung & Bronchus	37.4	59.3	0.6
Oral Cavity & Pharynx	5.0	6.6	0.8
Pancreas	10.3	10.6	1.0

*IBD = Intrahepatic Bile Duct
Source: NCI 2012. Seer Cancer Statistics Review, 1975-2009. Tables 2.15 through 24.15
http://seer.cancer.gov/csr/1975_2009_pops09/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 (2005-2009)**
Cancer	American Indian Men	Non-Hispanic White Men	American Indian/Non-Hispanic White Ratio
All Sites	184.9	221.9	0.8
Kidney & Renal Pelvis	8.8	5.0	1.8
Liver & IBD*	11.9	7.0	1.7
Stomach	8.3	4.0	2.1

**Cancer Death Rates per 100,000 - Women (2005-2009)**
Cancer	American Indian Women	Non-Hispanic White Women	American Indian/Non-Hispanic White Ratio
All Sites	135.9	154.7	0.9
Cervical	3.5	2.1	1.7
Kidney & Renal Pelvis	4.1	2.7	1.5
Liver & IBD*	5.9	2.9	2.0
Stomach	3.8	2.0	1.9
Breast	16.6	23.0	0.7

*IBD = Intrahepatic Bile Duct
Source: NCI 2012. Seer Cancer Statistics Review, 1975-2009. Table 1.20.
http://seer.cancer.gov/csr/1975_2009_pops09/results_single/sect_01_table.20_2pgs.pdf [PDF | 24KB]

At a Glance – Screening:

Breast Cancer

**Percent of women age 40 and over who had a mammogram within the past 2 years, 2010 (crude)**
American Indian/Alaska Native Women	Non-Hispanic White Women	American Indian/Alaska Native/Non-Hispanic White Ratio
71.2	67.8	1.1

Source: CDC, 2012. Health United States, 2011. Table 90.
http://www.cdc.gov/nchs/data/hus/hus11.pdf [PDF | 9.8MB]

Cervical Cancer

**Percent of women age 18 and over who had a Pap smear within the past 3 years, 2010 (crude)**
American Indian/Alaska Native Women	Non-Hispanic White Women	American Indian/Alaska Native/Non-Hispanic White Ratio
73.4	72.8	1.0

Source: CDC, 2012. Health United States, 2011. Table 91.
http://www.cdc.gov/nchs/data/hus/hus11.pdf [PDF | 9.8MB]

Colon Cancer

**Adults age 50 and over who reported they ever had a colonoscopy, sigmoidoscopy, or proctoscopy, United States, 2008**
American Indian/Alaska Native	Non-Hispanic White	American Indian/Alaska Native/Non-Hispanic White Ratio
35.3	58.4	0.6

Source: 2011 National Healthcare Disparities Report. Table 1_3_2.2a & 1_3_2.2b.
http://www.ahrq.gov/qual/qrdr11/index.html

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Content Last Modified: 6/13/2012 11:22:00 AM

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