Cancer Disparities Among Alaska Native People, 1970–2011

Kelly, Janet J.; Lanier, Anne P.; Schade, Teresa; Brantley, Jennifer; Starkey, B. Michael

doi:10.5888/pcd11.130369

Cited by 25 publications

(19 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…15 ANs have the highest CRC incidence of all AN/AIs, 5,11 although one study suggests that incidence among ANs may now be declining. 16 Nevertheless, CRC is the most frequently diagnosed cancer and the second-leading cause of cancer-related death for ANs. 17 AN/AIs in the aggregate have lower screening than other racial and ethnic groups, 4,18,19 although national statistics may not be reliable for this population.…”

Section: Introductionmentioning

confidence: 99%

Text message reminders increased colorectal cancer screening in a randomized trial with Alaska Native and American Indian people

Muller

Robinson

Smith

et al. 2016

Cancer

View full text Add to dashboard Cite

Background Alaska Native and American Indian people (AN/AIs) have high incidence of colorectal cancer (CRC) and CRC-related mortality. Screening can prevent death from CRC, but screening rates are low in racially and ethnically diverse populations. We conducted a randomized controlled trial using text messaging to increase CRC screening among unscreened AN/AIs in a tribal healthcare system in Anchorage, Alaska. Methods The intervention entailed up to three text messages one month apart. We randomized 2,386 AN/AIs aged 40–75 years old who were eligible for CRC screening to the intervention or usual-care control conditions. Screening status was ascertained from electronic health records three and six months after the last message. We estimated hazard ratios (HR) to evaluate the intervention’s effectiveness, stratified by age and sex. Results The intervention increased CRC screening for people ages 50–75 (HR = 1.42, 95% CI = 0.97–2.09) and ages 40–49 (HR = 1.24, 95% CI = 0.95–1.62). Within both age groups the HRs were higher for women (HR = 1.69, 95% CI = 1.02–2.80; and HR = 1.37, 95% CI = 1.01–1.88) than for men (HR = 1.09, 95% CI = 0.59–1.99; and HR = 0.90, 95% CI = 0.54–1.53). Interaction analysis yielded p values of 0.55 and 0.09 for age and sex, respectively. Conclusions A simple text messaging intervention increased CRC screening in AN/AIs, a group with high CRC morbidity and mortality. Text messaging may be a cost-effective means of reducing CRC screening disparities in AN/AIs and other populations.

show abstract

Section: Introductionmentioning

confidence: 99%

Text message reminders increased colorectal cancer screening in a randomized trial with Alaska Native and American Indian people

Muller

Robinson

Smith

et al. 2016

Cancer

View full text Add to dashboard Cite

show abstract

“…By the 1990s cancer had surpassed heart disease to become the leading cause of mortality among Alaska Native people and remains so today (Kelly, Schade, Starkey, Ashokkumar, & Lanier, 2012). The four most frequently diagnosed cancers among Alaska Native people are colorectal, lung, breast, and prostate (Kelly et al, 2012). Engaging in cancer risk reduction behaviors (American Institute for Cancer Research, 2015) and having recommended screening exams (U.S.…”

Section: Introductionmentioning

confidence: 99%

Promoting Culturally Respectful Cancer Education Through Digital Storytelling

Cueva

Kuhnley

Lanier

et al. 2016

IJIH

View full text Add to dashboard Cite

Cancer is the leading cause of mortality among Alaska Native people. Over half of Alaska Native people live in rural communities where specially trained community members called Community Health Aides/Practitioners (CHA/Ps) provide health care. In response to CHA/Ps’ expressed desire to learn more about cancer, four 5-day cancer education and digital storytelling courses were provided in 2014. Throughout each course, participants explored cancer information, reflected on their personal experiences, and envisioned how they might apply their knowledge within their communities. Each course participant also created a personal and authentic digital story, a methodology increasingly embraced by Indigenous communities as a way to combine storytelling traditions with modern technology to promote both individual and community health. Opportunities to learn of CHA/Ps’ experiences with cancer and digital storytelling included a 3-page end-of-course written evaluation, a weekly story-showing log kept for 4 weeks post-course, a group teleconference held 1–2 weeks post-course, and a survey administered 6 months post-course. Participants described digital storytelling as a culturally respectful way to support cancer awareness and education. Participants described the process of creating digital stories as supporting knowledge acquisition, encouraging personal reflection, and sparking a desire to engage in cancer risk reduction activities for themselves and with their families and patients. As a result of creating a personalized digital story, CHA/Ps reported feeling differently about cancer, noting an increase in cancer knowledge and comfort to talk about cancer with clients and family. Indigenous digital stories have potential for broad use as a culturally appropriate health messaging tool.

show abstract

“…Cancer continues to be the leading cause of death among the AN people, with the lung cancer mortality rate exceeding the United States’ (U.S.) white population by 40%. The incidences of cancers (e.g., lung, colon, esophagus) among AN women is increasing and exceeds white women in the U.S. by 20% (Kelly et al 2014). Over 90% of all lung cancers are attributed to tobacco use (U.S.…”

Section: Introductionmentioning

confidence: 99%

Perceived risks and reasons to smoke cigarettes during pregnancy among Alaska native women

et al. 2016

View full text Add to dashboard Cite

Objective The purpose of this study was to explore perceptions of the risks of smoking and reasons Alaska Native women give for smoking during pregnancy. Design A total of 118 women (54 smokers, 64 non-smokers) enrolled in a biomarker study completed a baseline interview asking about their concerns regarding tobacco use while pregnant and reasons why pregnant women might smoke during pregnancy. Responses were collapsed into six categories of perceived risks of smoking and eight categories of reasons to smoke during pregnancy. Results The majority of both pregnant non-smokers and smokers (72.6% and 60.4%) agreed that smoking during pregnancy could negatively impact the health of their baby. However, non-smokers were more likely than smokers (77.4% vs. 58.5%) to view smoking during pregnancy as a risk factor for the baby’s development (p=0.029). Both non-smokers and smokers identified addiction as a reason for smoking during pregnancy (82.8% and 63%); however, non-smokers were more likely than smokers to state this was a reason for use (p=0.015). Seventy-three percent of the entire sample reported a reason to smoke in pregnancy was to help manage negative affect. Conclusion Results from this work may be helpful in advancing research by identifying targets for intervention specific to AN women receiving prenatal care in Anchorage, Alaska.

show abstract

Cancer Disparities Among Alaska Native People, 1970–2011

Cited by 25 publications

References 21 publications

Text message reminders increased colorectal cancer screening in a randomized trial with Alaska Native and American Indian people

Text message reminders increased colorectal cancer screening in a randomized trial with Alaska Native and American Indian people

Promoting Culturally Respectful Cancer Education Through Digital Storytelling

Perceived risks and reasons to smoke cigarettes during pregnancy among Alaska native women

Contact Info

Product

Resources

About