Cancer and American Indians/Alaska Natives

Cancer

Chronic Liver Disease

Infant Health & Mortality

Mental and Behavioral Health

Obesity

Organ and Tissue Donation

Stroke

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

From 2012-2016, American Indian/Alaska Native men were almost twice as likely to have liver & IBD cancer as compared to non-Hispanic white men.
American Indian/Alaska Native men are 40 percent more likely to have stomach cancer than non-Hispanic white men and are over twice as likely to die from the same disease.
American Indian/Alaska Native women are 2.3 times more likely to have, and twice as likely to die from, liver & IBD cancer, as compared to non-Hispanic white women.
American Indian/Alaska Native women are 20 percent more likely to have kidney/renal pelvis cancer than non-Hispanic white women.
American Indians/Alaska Natives are less likely to undergo diagnostic cancer screenings than non-Hispanic whites.

Diagnosis

Age-adjusted percentages of cancer among adults aged 18 and over, 2018
Cancer	American Indian/Alaska Native	Non-Hispanic White	American Indian/Alaska Native/Non-Hispanic White Ratio
All Sites	7.1	9.9	0.7
Breast (women)	1.0	3.3	0.3
Cervical (women)	--	1.1	--
Prostate (men)	--	2.1	--

Source: CDC, 2020. Summary Health Statistics: National Health Interview Survey: 2018. Table A-3a.
http://www.cdc.gov/nchs/nhis/shs/tables.htm

Top Cancer Sites for American Indian/Alaska Natives (2012-2016)

Cancer Incidence Rates per 100,000 – Men
Cancer	American Indian/Alaska Native Men	Non-Hispanic White Men	American Indian/Alaska Native /Non-Hispanic White Ratio
All Sites	315.3	505.5	0.5
Colon & Rectum	41.2	44.1	0.9
Esophagus	5.9	8.3	0.7
Kidney	21.2	23.1	0.9
Liver & IBD	19.3	10.8	1.8
Lung	43.3	67.5	0.6
Oral Cavity & Pharynx	11.8	19.3	0.6
Pancreas	11.4	15.1	0.8
Prostate	55.4	104.5	0.5
Stomach	11.5	8.2	1.4

Source: NCI 2020. Seer Cancer Statistics Review, 1975-2016. Tables 2.15 through 24.15
https://seer.cancer.gov/csr/1975_2016/sections.html

Top Cancer Sites for American Indian/Alaska Natives (2012-2016)

Cancer Incidence Rates per 100,000 – Women
Cancer	American Indian/Alaska Native Women	Non-Hispanic White Women	American Indian/Alaska Native /Non-Hispanic White Ratio
All Sites	306.0	448.0	0.7
Breast	79.5	136.6	0.6
Cervical	7.4	6.6	1.2
Colon & Rectum	37.9	34.3	1.1
Esophagus	1.7	1.9	0.9
Kidney	13.1	11.1	1.2
Liver & IBD	8.5	3.7	2.3
Lung	33.9	56.0	0.6
Oral Cavity & Pharynx	5.3	7.0	0.8
Pancreas	8.0	11.5	0.7
Stomach	6.4	3.8	1.7
Uterus	19.7	28.5	0.7

Source: NCI 2020. Seer Cancer Statistics Review, 1975-2016. Tables 2.15 through 24.15
https://seer.cancer.gov/csr/1975_2016/sections.html

5 Year Survival Rate:

Not available at this time.

Death Rate

Cancer Death Rates per 100,000 – Men (2012-2016)
Cancer	American Indian/Alaska Native Men	Non-Hispanic White Men	American Indian/Alaska Native/Non-Hispanic White Ratio
All Sites	176.3	197.3	0.9
Colon & Rectum	19.1	16.6	1.2
Kidney	8.1	5.7	1.4
Liver & IBD	14.4	8.3	1.7
Lung	42.0	54.1	0.8
Prostate	19.2	18.1	1.1
Stomach	6.9	3.3	2.1

Source: NCI 2020. Seer Cancer Statistics Review, 1975-2016. Table 1.20
https://seer.cancer.gov/csr/1975_2016/sections.html

Cancer Death Rates per 100,000 – Women (2012-2016)
Cancer	American Indian/Alaska Native Women	Non-Hispanic White Women	American Indian/Alaska Native/Non-Hispanic White Ratio
All Sites	124.9	141.9	0.9
Breast	14.3	20.6	0.7
Cervical	2.8	2.1	1.3
Colon & Rectum	13.0	11.9	1.2
Kidney	3.8	2.4	1.6
Liver & IBD	7.4	3.4	2.1
Lung	29.4	38.0	0.8
Stomach	3.6	1.7	2.0
Uterus	3.5	4.4	0.8

Source: NCI 2020. Seer Cancer Statistics Review, 1975-2016. Table 1.20
https://seer.cancer.gov/csr/1975_2016/sections.html

Screening

Breast Cancer

Percentage of women age 40 and over who had a mammogram within the past 2 years, 2015 (crude)
American Indian/Alaska Native Women	Non-Hispanic White Women	American Indian/Alaska Native /Non-Hispanic White Ratio
51.5	65.8	0.8

Source: CDC, 2019. Health United States, 2018. Table 33.
https://www.cdc.gov/nchs/data/hus/hus18.pdf [PDF | 1.56MB]

Cervical Cancer

Percentage of women age 18 and over who had a Pap smear within the past 3 years, 2015 (crude)
American Indian/Alaska Native Women	Non-Hispanic White Women	American Indian/Alaska Native /Non-Hispanic White Ratio
60.9	68.4	0.9

Source: CDC, 2019. Health United States, 2018. Table 34.
https://www.cdc.gov/nchs/data/hus/hus18.pdf [PDF | 1.56MB]

Colon Cancer

Adults aged 50-75 who had any colorectal test or procedure, 2015
American Indian/Alaska Native	Non-Hispanic White	American Indian/Alaska Native /Non-Hispanic White Ratio
48.7	65.4	0.7

Source: National Healthcare Quality and Disparities Reports. Data Query: Table 7_5_1_3_1.1 [Accessed 2/11/2020]
http://nhqrnet.ahrq.gov/inhqrdr/data/query

Last Modified: 2/28/2020 2:48:00 PM

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