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Tytuł:
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Cervical Cancer Incidence and Mortality Among American Indian and Alaska Native Women, 1999-2009.
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Autorzy:
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Watson, Meg (AUTHOR)
Benard, Vicki (AUTHOR)
Thomas, Cheryll (AUTHOR)
Brayboy, Annie (AUTHOR)
Paisano, Roberta (AUTHOR)
Becker, Thomas (AUTHOR)
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Temat:
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CENSUS
CENTERS for Disease Control & Prevention (U.S.)
CONFIDENCE intervals
REPORTING of diseases
EPIDEMIOLOGICAL research
INDIGENOUS peoples
POPULATION research
RACE
CERVIX uteri tumors
DEATH certificates
MEDICAL care of indigenous peoples
RELATIVE medical risk
DISEASE prevalence
CASE-control method
DATA analysis software
EARLY detection of cancer
ODDS ratio
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Źródło:
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American Journal of Public Health. Jun2014 Supplement 3, Vol. 104 Issue S3, pS415-S422. 8p. 2 Charts, 1 Graph.
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Terminy geograficzne:
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UNITED States
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Objectives. We analyzed cervical cancer incidence and mortality data in American Indian and Alaska Native (AI/AN) women compared with women of other races. Methods. We improved identification of AI/AN race, cervical cancer incidence, and mortality data using Indian Health Service (IHS) patient records; our analyses focused on residents of IHS Contract Health Service Delivery Area (CHSDA) counties. Age-adjusted incidence and death rates were calculated for AI/AN and White women from 1999 to 2009. Results. AI/AN women in CHSDA counties had a death rate from cervical cancer of 4.2, which was nearly twice the rate in White women (2.0; rate ratio IRR]=2.11). AI/AN women also had higher incidence rates of cervical cancer compared with White women (11.0 vs 7.1; RR = 1.55) and were more often diagnosed with later-stage disease (RR = 1.84 for regional stage and RR = 1.74 for distant stage). Death rates decreased for AI/AN women from 1990 to 1993 (-25.8%/year) and remained stable thereafter. Conclusions. Although rates decreased overtime, AI/AN women had disproportionately higher cervical cancer incidence and mortality. The persistently higher rates among AI/AN women compared with White women require continued improvements in identifying and treating cervical cancer and precancerous lesions. [ABSTRACT FROM AUTHOR]
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