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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 2009-2013, American Indian/Alaska Native men were almost 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 2.5 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 20 percent more likely to have kidney/renal pelvis cancer as non-Hispanic White women.

New Cases:

**New Cancer Cases per 100,000 - Men (2012)**
Cancer	American Indian Men	Non-Hispanic White Men	American Indian/Non-Hispanic White Ratio
All Sites	344.7	489.9	0.7
Colon and Rectum	57.8	42.2	1.4
Lung	44.1	61.4	0.7
Pancreas (2011)	17.6	14.3	1.2
Prostate	59.5	106.7	0.6
Stomach	16.6	7.8	2.1

**New Cancer Cases per 100,000 – Women (2012)**
Cancer	American Indian Women	Non-Hispanic White Women	American Indian/Non-Hispanic White Ratio
All Sites	367.9	433.2	0.8
Breast	96.9	136.5	0.7
Cervical (2011)	9.5	6.5	1.5
Colon and Rectum	45.1	33.5	1.3
Lung	34.4	49.7	0.7
Pancreas	11.3	11.0	1.0
Stomach	12.2	3.9	3.1

Source: CDC, 2016. Health United States, 2015. Table 36.
http://www.cdc.gov/nchs/data/hus/hus15.pdf [PDF | 13.02MB]

Top Cancer Sites for American Indians (2009-2013):

**Cancer Incidence Rates per 100,000 – Men**
Cancer	American Indian Men	Non-Hispanic White Men	American Indian/Non-Hispanic White Ratio
All Sites	338.5	529.2	0.6
Colon & Rectum	46.2	46.7	1.0
Esophagus	5.0	8.3	0.6
Kidney & Renal Pelvis	25.1	22.2	1.1
Liver & IBD*	18.5	10.1	1.8
Lung & Bronchus	48.6	72.7	0.7
Oral Cavity & Pharynx	13.2	18.8	0.7
Pancreas	10.9	14.4	0.8
Prostate	63.9	125.1	0.5
Stomach	13.5	8.3	1.5

Top Cancer Sites for American Indians (2009-2013):

**Cancer Incidence Rates per 100,000 – Women**
Cancer	American Indian Women	Non-Hispanic White Women	American Indian/Non-Hispanic White Ratio
All Sites	310.7	440.8	0.7
Breast	81.2	134.3	0.6
Cervical	7.7	7.0	1.1
Colon & Rectum	36.8	36.2	1.0
Esophagus	1.4	1.8	0.8
Kidney & Renal Pelvis	13.3	10.9	1.2
Liver & IBD*	8.1	3.3	2.5
Lung & Bronchus	32.0	56.2	0.6
Oral Cavity & Pharynx	5.7	6.9	0.8
Pancreas	8.6	10.9	0.8
Stomach	8.0	3.7	2.2

*IBD = Intrahepatic Bile Duct
Source: NCI 2016. Seer Cancer Statistics Review, 1975-2013. Tables 2.15 through 24.15
http://seer.cancer.gov/csr/1975_2013/sections.html

5 Year Survival Rate:

Not available at this time.

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	183.0	207.2	0.9
Kidney & Renal Pelvis	9.0	5.9	1.5
Liver & IBD*	14.3	7.8	1.8
Stomach	7.4	3.5	2.1
Colon and Rectum	18.9	17.7	1.1
Prostate	19.1	19.2	1.0

**Cancer Death Rates per 100,000 - Women (2009-2013)**
Cancer	American Indian Women	Non-Hispanic White Women	American Indian/Non-Hispanic White Ratio
All Sites	132.3	147.3	0.9
Cervical	3.2	2.0	1.6
Kidney & Renal Pelvis	4.5	2.5	1.8
Liver & IBD*	6.8	3.2	2.1
Stomach	3.8	1.8	2.1
Breast	14.7	21.5	0.7
Colon and Rectum	15.1	12.5	1.2

IBD = Intrahepatic Bile Duct
Source: NCI 2016. Seer Cancer Statistics Review, 1975-2013. Table 1.21.
http://seer.cancer.gov/csr/1975_2013/sections.html

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	67.6	0.9

Source: CDC, 2016. Health United States, 2015. Table 70.
http://www.cdc.gov/nchs/data/hus/hus15.pdf [PDF | 13.02MB]

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, 2016. Health United States, 2015. Table 71.
http://www.cdc.gov/nchs/data/hus/hus15.pdf [PDF | 13.02MB]

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, 2016. Health United States, 2015. Table 72.
http://www.cdc.gov/nchs/data/hus/hus15.pdf [PDF | 13.02MB]

Last Modified: 11/3/2016 10:05:00 AM

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