“…American Indian women have poorer breast cancer five-year survival than women of other races, after controlling for stage at diagnosis and initial treatment (Frost et al 1996). In addition, American Indians from New Mexico and Arizona are significantly less likely than nonHispanic Whites to receive appropriate cancer therapy after diagnosis of cancer of the breast, cervix and rectum, or melanoma (Gilliland et al 1998). Using breast cancer data from the Surveillance, Epidemiology, and End Results (SEER) Program of the National Cancer Institute, we examined differences in five-year survival of American Indian/Alaska Native women compared with non-Hispanic White women 40 years and older after diagnosis of first invasive breast cancer, 1973 -1996, in all 11 geographical sites of the SEER Program.…”