Cancer and American Indians/ Alaska Natives

American Indian/Alaska Native men and women generally have lower cancer rates than the non-Hispanic white population. However, disparities still exist in certain types of cancer.

  • From 2005-2009, American Indian/Alaska Native men were twice as likely to have liver & IBD cancer as non-Hispanic White men.
  • American Indian/Alaska Native men are 1.6 times as likely to have stomach cancer as non-Hispanic White men, and are over twice as likely to die from the same disease.
  • American Indian/Alaska Native women are 2.8 times more likely to have, and almost twice as likely to die from, liver & IBD cancer, as compared to non-Hispanic White women.
  • American Indian/Alaska Native women are 40% more likely to have kidney/renal pelvis cancer as non-Hispanic White women.

 

New Cancer Cases per 100,000 – Men (2008)

Cancer American
Indian Men
Non-Hispanic
White Men
American
Indian/Non-
Hispanic White
Ratio
All Sites 390.7 540.4 0.7
Prostate 71.4 147.6 0.5

 

New Cancer Cases per 100,000 – Women (2008)

Cancer American
Indian Women
Non-Hispanic
White Women
American
Indian/Non-
Hispanic White
Ratio
All Sites 350.1 437.2 0.8
Breast 88.9 134.8 0.7

Source:  CDC, 2012. Health United States, 2011. Table 47.
http://www.cdc.gov/nchs/data/hus/hus11.pdf [PDF | 9.8MB]

 

Cancer Incidence Rates per 100,000 – Men

Cancer American
Indian Men
Non-Hispanic White Men American Indian/Non-Hispanic White Ratio
All Sites 352.2 564.7 0.6
Kidney & Renal Pelvis 24.7 21.4 1.2
Liver & IBD* 18.3 8.8 2.1
Stomach 13.6 8.5 1.6
Colon & Rectum 45.2 54.2 0.8
Esophagus 5.8 8.5 0.7
Lung & Bronchus 51.9 81.4 0.6
Oral Cavity & Pharynx 10.1 17.8 0.6
Pancreas 11.5 14.0 0.8
Prostate 78.4 150.6 0.5

 

Cancer Incidence Rates per 100,000 – Women

Cancer American
Indian Women
Non-Hispanic White Women American Indian/Non-Hispanic White Ratio
All Sites 313.8 439.0 0.7
Kidney & Renal Pelvis 15.4 10.7 1.4
Liver & IBD* 8.1 2.9 2.8
Stomach 7.3 3.7 2.0
Breast 80.6 132.8 0.6
Cervical 8.1 7.1 1.1
Colon & Rectum 38.0 40.2 0.9
Esophagus 2.8 1.9 1.5
Lung & Bronchus 37.4 59.3 0.6
Oral Cavity & Pharynx 5.0 6.6 0.8
Pancreas 10.3 10.6 1.0

*IBD = Intrahepatic Bile Duct
Source:  NCI 2012.  Seer Cancer Statistics Review, 1975-2009.  Tables 2.15 through 24.15
http://seer.cancer.gov/csr/1975_2009_pops09/sections.html

 

Cancer Death Rates per 100,000 – Men (2005-2009)

Cancer American
Indian Men
Non-Hispanic White Men American Indian/Non-Hispanic White Ratio
All Sites 184.9 221.9 0.8
Kidney & Renal Pelvis 8.8 5.0 1.8
Liver & IBD* 11.9 7.0 1.7
Stomach 8.3 4.0 2.1

 

Cancer Death Rates per 100,000 – Women (2005-2009)

Cancer American
Indian Women
Non-Hispanic White Women American Indian/Non-Hispanic White Ratio
All Sites 135.9 154.7 0.9
Cervical 3.5 2.1 1.7
Kidney & Renal Pelvis 4.1 2.7 1.5
Liver & IBD* 5.9 2.9 2.0
Stomach 3.8 2.0 1.9
Breast 16.6 23.0 0.7

*IBD = Intrahepatic Bile Duct
Source:  NCI 2012.  Seer Cancer Statistics Review, 1975-2009.  Table 1.20.
http://seer.cancer.gov/csr/1975_2009_pops09/results_single/sect_01_table.20_2pgs.pdf [PDF | 24KB]

 

Screening:

Breast Cancer

Percent of women age 40 and over who had a mammogram within the past 2 years, 2010 (crude)

American Indian/Alaska Native Women Non-Hispanic White Women American Indian/Alaska Native/Non-Hispanic White Ratio
71.2 67.8 1.1

Source:  CDC, 2012. Health United States, 2011. Table 90.
http://www.cdc.gov/nchs/data/hus/hus11.pdf [PDF | 9.8MB]

 

Cervical Cancer

Percent of women age 18 and over who had a Pap smear within the past 3 years, 2010 (crude)

American Indian/Alaska Native Women Non-Hispanic White Women American Indian/Alaska Native/Non-Hispanic White Ratio
73.4 72.8 1.0

Source:  CDC, 2012. Health United States, 2011. Table 91.
http://www.cdc.gov/nchs/data/hus/hus11.pdf [PDF | 9.8MB]

 

Colon Cancer

Adults age 50 and over who reported they ever had a colonoscopy, sigmoidoscopy, or proctoscopy, United States, 2008

American Indian/Alaska Native Non-Hispanic White American Indian/Alaska Native/Non-Hispanic White Ratio
35.3 58.4 0.6

Source:  2011 National Healthcare Disparities Report. Table 1_3_2.2a & 1_3_2.2b.
http://www.ahrq.gov/qual/qrdr11/index.html

 

U.S. Department of Health and Human Services Office of Minority Health