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

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

American Journal of Public Health, 2014, vol. 104, issue S3, S396-S403

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.

Keywords: adult; aged; American Indian; article; Caucasian; cause of death; comparative study; death certificate; ethnology; female; health survey; human; incidence; Inuit; kidney tumor; male; middle aged; mortality; register; statistics; United States; very elderly, Adult; Aged; Aged, 80 and over; Alaska; Cause of Death; Death Certificates; European Continental Ancestry Group; Female; Humans; Incidence; Indians, North American; Inuits; Kidney Neoplasms; Male; Middle Aged; Population Surveillance; Registries; United States (search for similar items in EconPapers)
Date: 2014
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Citations: View citations in EconPapers (2)

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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2013.301616_5

DOI: 10.2105/AJPH.2013.301616

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