2014
DOI: 10.2105/ajph.2013.301654
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Geographic Variation in Colorectal Cancer Incidence and Mortality, Age of Onset, and Stage at Diagnosis Among American Indian and Alaska Native People, 1990–2009

Abstract: Compared with Whites, AI/AN individuals in many regions had a higher burden of CRC and stable or increasing CRC mortality. An understanding of the factors driving these regional disparities could offer critical insights for prevention and control programs.

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Cited by 112 publications
(101 citation statements)
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“…For example, aggregated data in AI/AN depict lower prostate and breast cancer incidence and mortality and little difference in cervical and colon cancer incidence and mortality when compared to Non-Hispanic Whites (NHW) (18). However, disaggregated data by geographic location shows substantial and/or statistically significant cancer disparities between AI/AN and NHW living in the same region, particularly for breast, cervix, colon and prostate cancers (3, 1923). In the 48 contiguous states, Northern and Southern Plains AIs have significantly elevated cancer incidence and/or mortality rates.…”
Section: Discussionmentioning
confidence: 98%
“…For example, aggregated data in AI/AN depict lower prostate and breast cancer incidence and mortality and little difference in cervical and colon cancer incidence and mortality when compared to Non-Hispanic Whites (NHW) (18). However, disaggregated data by geographic location shows substantial and/or statistically significant cancer disparities between AI/AN and NHW living in the same region, particularly for breast, cervix, colon and prostate cancers (3, 1923). In the 48 contiguous states, Northern and Southern Plains AIs have significantly elevated cancer incidence and/or mortality rates.…”
Section: Discussionmentioning
confidence: 98%
“…This is a challenging task since a whole range of factors are involved in cancer case identification, progression and reporting (Cheunget al, 2013;Barayan et al, 2014;Kharazmi et al, 2014;Perdue et al, 2014). Pin-pointing this complexity requires systematic thinking of the major indicators inferred from PAECCR.…”
Section: Discussionmentioning
confidence: 99%
“…This trend has also been observed in other jurisdictions; American Indians and Alaska Natives who live in the Unites States have a higher burden of CRC and stable or increasing CRC mortality (18). Population-based, organized screening using an FOBT is an important strategy that can help reduce the incidence and mortality of CRC.…”
Section: Discussionmentioning
confidence: 63%