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Kidney cancer incidence and mortality among American Indians and Alaska natives in the United States, 1990û2009

Author

Listed:
  • Li, J.
  • Weir, H.K.
  • Jim, M.A.
  • King, S.M.
  • Wilson, R.
  • Master, V.A.

Abstract

Objectives. We describe rates and trends in kidney cancer incidence and mortality and identify disparities between American Indian/Alaska Native (AI/AN) and White populations. Methods. To improve identification of AI/AN race, incidence and mortality data were linked with Indian Health Service (IHS) patient records. Analysis focused on residents of IHS Contract Health Service Delivery Area counties; Hispanics were excluded. We calculated age-adjusted kidney cancer incidence (2001û2009) and death rates (1990û2009) by sex, age, and IHS region. Results. AI/AN persons have a 1.6 times higher kidney cancer incidence and a 1.9 times higher kidney cancer death rate than Whites. Despite a significant decline in kidney cancer death rates for Whites (annual percentage change [APC] = û0.3; 95% confidence interval [CI] = û0.5, 0.0), death rates for AI/AN persons remained stable (APC = 0.4; 95% CI = û0.7, 1.5). Kidney cancer incidence rates rose more rapidly for AI/AN persons (APC = 3.5; 95% CI = 1.2, 5.8) than for Whites (APC = 2.1; 95% CI = 1.4, 2.8). Conclusions. AI/AN individuals have greater risk of developing and dying of kidney cancers. Incidence rates have increased faster in AI/AN populations than in Whites. Death rates have decreased slightly in Whites but remained stable in AI/AN populations. Racial disparities in kidney cancer are widening.

Suggested Citation

  • Li, J. & Weir, H.K. & Jim, M.A. & King, S.M. & Wilson, R. & Master, V.A., 2014. "Kidney cancer incidence and mortality among American Indians and Alaska natives in the United States, 1990û2009," American Journal of Public Health, American Public Health Association, vol. 104(S3), pages 396-403.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301616_5
    DOI: 10.2105/AJPH.2013.301616
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    Cited by:

    1. Alejandro Cruz & Faith Dickerson & Kathryn R. Pulling & Kyle Garcia & Francine C. Gachupin & Chiu-Hsieh Hsu & Juan Chipollini & Benjamin R. Lee & Ken Batai, 2022. "Impacts of Neighborhood Characteristics and Surgical Treatment Disparities on Overall Mortality in Stage I Renal Cell Carcinoma Patients," IJERPH, MDPI, vol. 19(4), pages 1-11, February.
    2. Francine C. Gachupin & Benjamin R. Lee & Juan Chipollini & Kathryn R. Pulling & Alejandro Cruz & Ava C. Wong & Celina I. Valencia & Chiu-Hsieh Hsu & Ken Batai, 2022. "Renal Cell Carcinoma Surgical Treatment Disparities in American Indian/Alaska Natives and Hispanic Americans in Arizona," IJERPH, MDPI, vol. 19(3), pages 1-10, January.

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