Post on 01-Jan-2016
Alaska Native Tumor RegistryAlaska Native Epidemiology Center
40-Year Trends in Cancer Incidence
among Alaska Native People
1969-2008
SEER Alaska Native Tumor Registry is funded by the National Cancer Institute Surveillance, Epidemiology, and End Results (SEER) Program
(RFP NO-1-PC-9500-20)
Alaska Native White Black American Indian Asian/Pacific Is-lander
US Race 492.63 472.76 484.74 385.4 301.2
50.0
150.0
250.0
350.0
450.0
550.0
Rat
es p
er 1
00,0
00 p
opu
lati
on
Source: Fast Stats. NAACCR .org , accessed 1 August, 2012. Rates for American Indian/Alaska Native are based on the Contract Health Service Delivery Area counties . Rates are adjusted to the US 2000 standard population.
Cancer Incidence: US Race/Ethnic Groups, 2005-2009
Alaska Native Tumor Registry
Cancer Incidence: Alaska Native and American Indian People, 2005-2009
Alaska Northern Plains
Southern Plains
Pacific Coast East Southwest
CHSDA 538.7 636.1 573.4 338 308.9 256.2
50
150
250
350
450
550
650
Age
-adj
uste
d ra
tes
per
100,
000
CHSDA: Indian Health Service Contract Health Service Delivery Area Counties (federally recognized tribal lands or adjacent to tribal lands). Source: Wiggins et al., 2008. Rates are adjusted to the US 2000 standard population. Alaska Native Tumor Registry
Alaska Native People
1. Colorectal*
2. Lung*
3. Breast
4. Prostate
5. Stomach*
U.S. Whites
1. Prostate*
2. Breast
3. Lung
4.Colon/Rectum
5. Melanoma*
Leading Cancers 2004-2008
Alaska Native Tumor Registry
* 95% Confidence interval indicates a statistically significant difference between AN and US rates.
Cancer Incidence Trends
Cancer Incidence: Alaska Native, US White Men
1969-1973
1974-1978
1979-1983
1984-1988
1989-1993
1994-1998
1999-2003
2004-2008
0
100
200
300
400
500
600
700
800
AK Native Men
US Men
Rat
e p
er 1
00,0
00
All Cancer Sites Combined
Alaska Native Tumor Registry Rates are age-adjusted to the US 2000 standard population.
1969-1973
1974-1978
1979-1983
1984-1988
1989-1993
1994-1998
1999-2003
2004-2008
0
100
200
300
400
500
600
700
800
AK Native Women
US Women
Age
-Ad
just
ed R
ates
per
100
,000
All Cancer Sites Combined
Rates are age-adjusted to the 2000 Census standard population.
Alaska Native Tumor Registry
Cancer Incidence: Alaska Native, US White Women
0
20
40
60
80
100
120
140
160
Alaska Na-tive
US White
Rat
es p
er 1
00,0
00
Five year average-annual rates age-adjusted to the US 2000 standard population. Sources: Alaska Native Tumor Registry, 2012 and SEER Stat: www.seer.cancer.gov.
Colorectal Cancer
Cancer Incidence
Alaska Native Tumor Registry
1969-1973
1974-1978
1979-1983
1984-1988
1989-1993
1994-1998
1999-2003
2004-2008
0
20
40
60
80
100
120
140
160
Alaska Na-tive
US White
Rat
es p
er 1
00,0
00
Five year average-annual rates age-adjusted to the US 2000 Standard population. Sources: Alaska Native Tumor Registry, 2012 and SEER Stat: www.seer.cancer.gov
Lung Cancer
Cancer Incidence
Alaska Native Tumor Registry
1969-1973
1974-1978
1979-1983
1984-1988
1989-1993
1994-1998
1999-2003
2004-2008
0
20
40
60
80
100
120
140
160
180
200
AK Native Women
US White Women
Rat
es p
er 1
00,0
00
Breast, Women
Five year average-annual rates age-adjusted to the US 2000 Standard population. Sources: Alaska Native Tumor Registry, 2012 and SEER Stat: www.SEER.cancer.gov.
Cancer Incidence
Alaska Native Tumor Registry
1969-1973
1974-1978
1979-1983
1984-1988
1989-1993
1994-19981999-2003
2004-2008
0
100
200
300
400
AK Native
US White R
ates
per
100
,000
Prostate
Five year average-annual rates age-adjusted to the US 2000 Standard population. Sources: Alaska Native Tu -mor Registry, 2012 and SEER Stat: www.seer.cancer.gov.
Cancer Incidence
Alaska Native Tumor Registry
1969-1973
1974-1978
1979-1983
1984-1988
1989-1993
1994-1998
1999-2003
2004-2008
0
10
20
30
40
50
60
70
Alaska Na-tive
US White R
ates
per
100
,000
Five year average-annual rates age-adjusted to the US 2000 Standard population. Sources: Alaska Native Tumor Registry, 2012 and SEER Stat: www.seer.cancer.gov.
Stomach
Cancer Incidence
Alaska Native Tumor Registry
Alaska Native Tumor Registry
Cancer incidence is decreasing among Alaska Native men but not among women
Alaska Native Tumor Registry
Lung cancer is not decreasing
Alaska Native Tumor Registry
Colorectal cancer is decreasing
All Cancer Mortality: Alaska Native and US White Populations, 1994-2008
1994-1998 1999-2003 2004-20080
50
100
150
200
250
300
Alaska Native
US WhiteAge
-ad
just
ed R
ates
per
100
,000
Alaska Native Tumor Registry
1994-1998 1999-2003 2004-20080
10
20
30
40
50
60
70
Alaska Native
US WhiteR
ates
per
100
,000
Colorectal Cancer Mortality: Alaska Native and US White Populations, 1994-2008
Alaska Native Tumor Registry
1994-1998 1999-2003 2004-20080
25
50
75
100
Alaska Native
US White
Age
-ad
just
ed R
ates
per
100
,000
Lung Cancer Mortality: Alaska Native and US White Populations, 1994-2008
Alaska Native Tumor Registry
1994-1998 1999-2003 2004-20080
10
20
30
40
50
Alaska Native
US White
Age
-ad
just
ed R
ates
per
100
,000
Breast Cancer Mortality: Alaska Native and US White Women, 1994-2008
Alaska Native Tumor Registry
Alaska Native Tumor Registry
Alaska Native Epidemiology CenterAlaska Native Tribal Health Consortium
http://anthctoday.org/epicenter/
1994-1998 1999-2003 2004-20080
10
20
30
40
50
Alaska Native
US White
Age
-ad
just
ed R
ates
per
100
,000
Stomach Cancer Mortality: Alaska Native and US White Populations, 1994-2008
Alaska Native Tumor Registry
1994-1998 1999-2003 2004-20080
10
20
30
40
50
Alaska Native
US White
Age
-ad
just
ed R
ates
per
100
,000
Prostate Cancer Mortality: Alaska Native and US White Men, 1994-2008
Alaska Native Tumor Registry