Breast cancer incidence among American Indian and Alaska Native women: US, 1999-2004

Comparison of breast and cervical cancer screening utilization among rural and urban Hispanic and American Indian women in the Southwestern United States

“…However, the incidence of breast cancer among NHW women declined by 3 % during that same time period [7]. National studies have estimated the 5-year survival rate for breast cancer was lower among AI women compared with NHW women and a higher proportion of AI women did not receive their first cancer-directed surgery within the first 6 months following diagnosis [8,9].…”

Cancer-Related Disparities and Opportunities for Intervention in Northern Plains American Indian Communities

“…Previous studies have found that Northern Plains AI/ ANs in an 11-state region had a higher proportion of late-stage diagnosis of breast, colorectal, cervical, and prostate cancer than their NHW counterparts. 4,5,7,8 However, the difference in the proportion of late-stage diagnosis of breast cancer among women aged 65 years in those same populations was much smaller, Employed included employed for wages and self-employed; not employed included those out of work for more than one year, those out of work for less than one year, homemakers, and those unable to work. Based on the Urban Influence Codes, http://www.ers.usda.gov/Data/UrbanInfluenceCodes: urban included large (metropolitan area with at least one million residents), small (metropolitan area with fewer than one million residents), micropolitan area adjacent to a large metropolitan area, noncore adjacent to a small metropolitan area, and micropolitan area adjacent to a small metropolitan area.…”

“…2 Northern Plains AI/ANs, when compared with their NHW counterparts in the region and in the U.S., have an elevated risk of developing and/or dying from lung, colorectal, breast, cervical, and prostate cancers. [2][3][4][5][6][7] Liver, kidney, stomach, cervical, and gallbladder cancers that are relatively rare among NHW people are more prevalent among AI/ ANs. [8][9][10] Further, AI/ANs in the Northern Plains and other regions are more likely to be diagnosed at a late stage for breast, cervical, colorectal, and prostate cancers than are NHW people.…”

“…[8][9][10] Further, AI/ANs in the Northern Plains and other regions are more likely to be diagnosed at a late stage for breast, cervical, colorectal, and prostate cancers than are NHW people. 4,5,7,8,11 About 80% of cancers are attributable to environmental and lifestyle factors. 12,13 Regional variations in cancer risk within the AI/AN population and variations between AI/AN and other population groups may be due in part to differences in behavioral risk factors such as tobacco and alcohol use, lack of physical activity, and obesity.…”

Strengthening breast and cervical cancer control through partnerships: American Indian and Alaska Native Women and the National Breast and Cervical Cancer Early Detection Program

“…However, screening mammography provided to women served by the IHS before the establishment of the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) of the Centers for Disease Control and Prevention (CDC) was very limited. 1,2 We describe the important contributions of NBCCEDP, in partnership with the IHS tribal programs and state programs. We review how these efforts improved access of breast and cervical cancer screening to AI/AN women and strengthened the tribal screening infrastructure.…”