title: Native American race, use of the Indian Health Service, and breast and lung cancer survival in Florida, 1996-2007.
abstract: We evaluated associations of race, primary payer at diagnosis, and survival among patients diagnosed in Florida with lung cancer (n = 148,140) and breast cancer (n = 111,795), from 1996 through 2007. In multivariate models adjusted for comorbidities, tumor characteristics, and treatment factors, breast cancer survival was worse for Native American women than for white women (hazard ratio [HR], 1.52; 95% confidence interval [CI], 1.05-2.20) and for women using the Indian Health Service than for women using private insurance (HR, 1.71; 95% CI, 1.33-2.19). No survival association was found for Native American compared with white lung cancer patients or those using the Indian Health Service versus private insurance in fully adjusted models. Additional resources are needed to improve surveillance strategies and to reduce cancer burden in these populations.
authors.affiliation: Department of Public Health Sciences, University of Miami Miller School of Medicine, PO Box 016069 (R-699), Miami, FL 33101. E-mail: dlee@med.miami.edu.
authors.forename: David J
authors.initials: DJ
authors.lastname: Lee
authors.affiliation: Sylvester Comprehensive Cancer Center University of Miami Miller School of Medicine, Miami, Florida.
authors.forename: Stacey L
authors.initials: SL
authors.lastname: Tannenbaum
authors.affiliation: University of Miami Miller School of Medicine Department of Public Health Sciences and Sylvester Comprehensive Cancer Center, Miami, Florida.
authors.forename: Tulay
authors.initials: T
authors.lastname: Koru-Sengul
authors.affiliation: Sylvester Comprehensive Cancer Center University of Miami Miller School of Medicine, Miami, Florida.
authors.forename: Feng
authors.initials: F
authors.lastname: Miao
authors.affiliation: Sylvester Comprehensive Cancer Center University of Miami Miller School of Medicine, Miami, Florida.
authors.forename: Wei
authors.initials: W
authors.lastname: Zhao
authors.affiliation: University of Miami Miller School of Medicine Department of Public Health Sciences and Sylvester Comprehensive Cancer Center, Miami, Florida.
authors.forename: Margaret M
authors.initials: MM
authors.lastname: Byrne
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000453:epidemiology / Q000401:mortality*; D005260:Female; D006801:Humans; D007198:Indians, North American; D007348:Insurance, Health; D008175:Lung Neoplasms / Q000453:epidemiology / Q000401:mortality*; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D012307:Risk Factors; D014481:United States; D016549:United States Indian Health Service