Native Americans have been reported to have lower cancer incidence and mortality than other racial groups in the U.S., although some have questioned whether this was due to racial misclassification.
This study provides improved estimates of cancer mortality, determined from a sampling of people who live on Indian reservations.
The authors reviewed death certificates from U.S. counties that contain Indian lands, excluding certain areas with known problems of racial misclassification.
Age-adjusted mortality rates for specific types of cancer were calculated using U.S. Census population figures, and these rates were compared with rates for all races in the U.S. RESULTS.
This sample included 38% of the American Indian and Alaska Native populations.
The age-adjusted annual mortality rate for all cancers combined was 148.2 per 100,000 for both genders, 133.1 for females, and 167.2 for males.
The rates for males and for both genders combined, but not for females, were significantly lower than the U.S. rates for all races (P<0.05).
Females had significantly lower rates of death from carcinoma of the lung and breast and significantly higher rates of death from carcinoma of the cervix and gallbladder (P<0.05).
Males had significantly lower rates of death from carcinoma of the lung, colon, and prostate, and significantly higher rates of liver carcinoma. (...)
Mots-clés Pascal : Tumeur maligne, Mortalité, Epidémiologie, Amérindien, Ethnie, Etats Unis, Amérique du Nord, Amérique, Homme
Mots-clés Pascal anglais : Malignant tumor, Mortality, Epidemiology, Amerindian, Ethnic group, United States, North America, America, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0021258
Code Inist : 002B04B. Création : 31/05/1999.