title: Ovarian and uterine cancer incidence and mortality in American Indian and Alaska Native women, United States, 1999-2009.
abstract: OBJECTIVE
  We examined geographic differences and trends in incidence and mortality of ovarian and uterine cancer in American Indian/Alaska Native (AI/AN) women.
  
  
  METHODS
  We linked mortality data (1990-2009) and incidence data (1999-2009) to Indian Health Service (IHS) records. Death (and incidence) rates for ovarian and uterine cancer were examined for AI/AN and White women; Hispanics were excluded. Analyses focused on Contract Health Service Delivery Area (CHSDA) counties.
  
  
  RESULTS
  AI/AN and White women had similar ovarian and uterine cancer death rates. Ovarian and uterine cancer incidence and death rates were higher for AI/ANs residing in CHSDA counties than for all US counties. We also observed geographic differences, regardless of CHSDA residence, in ovarian and uterine cancer incidence and death rates in AI/AN women by IHS region; Pacific Coast and Southern Plains women had higher ovarian cancer death rates and Northern Plains women had higher uterine cancer death rates.
  
  
  CONCLUSIONS
  Regional differences in the incidence and mortality of ovarian and uterine cancers among AI/AN women in the United States were significant. More research among correctly classified AI/AN women is needed to understand these differences.
authors.affiliation: Simple D. Singh, A. Blythe Ryerson, and Manxia Wu are with the Cancer Surveillance Branch, Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA. Judith S. Kaur is with the Department of Oncology, Mayo Clinic, Rochester, MN.
authors.forename: Simple D
authors.initials: SD
authors.lastname: Singh
authors.forename: A Blythe
authors.initials: AB
authors.lastname: Ryerson
authors.forename: Manxia
authors.initials: M
authors.lastname: Wu
authors.forename: Judith S
authors.initials: JS
authors.lastname: Kaur
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000413:Alaska / Q000453:epidemiology / Q000208:ethnology; D002423:Cause of Death; D003644:Death Certificates; D005260:Female; D006801:Humans; D015994:Incidence; D007198:Indians, North American / Q000706:statistics & numerical data*; D004930:Inuit / Q000706:statistics & numerical data*; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000453:epidemiology* / Q000208:ethnology / Q000401:mortality; D011159:Population Surveillance; D012042:Registries; D014481:United States / Q000453:epidemiology; D014594:Uterine Neoplasms / Q000453:epidemiology* / Q000208:ethnology / Q000401:mortality; D044465:White People / Q000706:statistics & numerical data
references.citation: Am J Public Health. 2002 Sep;92(9):1469-71
references.pmid: 12197975
references.citation: J Natl Cancer Inst. 1992 Jun 17;84(12):957-62
references.pmid: 1629916
references.citation: Am J Public Health. 2014 Jun;104 Suppl 3:S481-9
references.pmid: 24754662
references.citation: Cancer. 2005 Mar 1;103(5):1045-53
references.pmid: 15685622
references.citation: Nutr Cancer. 2012;64(5):643-51
references.pmid: 22519904
references.citation: Am J Public Health. 2014 Jun;104 Suppl 3:S377-87
references.pmid: 24754660
references.citation: Ethn Dis. 1999 Autumn;9(3):403-9
references.pmid: 10600063
references.citation: Cancer. 2008 Sep 1;113(5 Suppl):1142-52
references.pmid: 18720375
references.citation: Cancer. 2012 May 1;118(9):2338-66
references.pmid: 22460733
references.citation: Cancer Detect Prev. 2008;32(3):190-9
references.pmid: 18790577
references.citation: Am J Public Health. 1983 May;73(5):515-20
references.pmid: 6837814
references.citation: Natl Vital Stat Rep. 2001 May 18;49(2):1-32
references.pmid: 11381674
references.citation: Cancer. 2003 May 15;97(10 Suppl):2686-93
references.pmid: 12733133
references.citation: J Natl Cancer Inst. 1992 Oct 7;84(19):1500-5
references.pmid: 1433334
references.citation: Cancer Causes Control. 2011 Dec;22(12):1681-9
references.pmid: 21984306
references.citation: Am J Public Health. 2014 Jun;104 Suppl 3:S286-94
references.pmid: 24754557
references.citation: Public Health Rep. 2011 May-Jun;126(3):318-29
references.pmid: 21553659
references.citation: Cancer. 2007 Nov 15;110(10):2119-52
references.pmid: 17939129
references.citation: Alaska Med. 2007;49(2 Suppl):91-4
references.pmid: 17929614
references.citation: Public Health Rep. 2004 Jul-Aug;119(4):443-51
references.pmid: 15219802
references.citation: Int J Circumpolar Health. 2010 Feb;69(1):72-86
references.pmid: 20167158
references.citation: Genes Cancer. 2011 Apr;2(4):475-84
references.pmid: 21779515
references.citation: Cancer. 2014 May 1;120(9):1290-314
references.pmid: 24343171
references.citation: J Natl Cancer Inst. 2013 Feb 6;105(3):175-201
references.pmid: 23297039
references.citation: Stat Med. 2000 Feb 15;19(3):335-51
references.pmid: 10649300
references.citation: J Cancer Educ. 2012 Apr;27(1 Suppl):S73-9
references.pmid: 22281722
references.citation: J Chronic Dis. 1986;39(12):1051-65
references.pmid: 3539967
references.citation: Cancer. 2008 Sep 1;113(5 Suppl):1120-30
references.pmid: 18720372
references.citation: Cancer. 2008 Sep 1;113(5 Suppl):1117-9
references.pmid: 18720371
references.citation: Nat Rev Cancer. 2004 Aug;4(8):579-91
references.pmid: 15286738
references.citation: Cancer. 1989 Jul 1;64(1):191-5
references.pmid: 2731115
references.citation: N Engl J Med. 2006 Jan 19;354(3):261-9
references.pmid: 16421367
references.citation: Can Med Assoc J. 1985 Jun 1;132(11):1269-72
references.pmid: 3995446
references.citation: Am J Public Health. 1999 Nov;89(11):1673-7
references.pmid: 10553387
references.citation: MMWR Surveill Summ. 2003 Aug 1;52(7):1-13
references.pmid: 14532869
references.citation: Vital Health Stat 2. 2008 Oct;(148):1-23
references.pmid: 19024798
references.citation: J Clin Endocrinol Metab. 2013 Mar;98(3):E497-502
references.pmid: 23408570
references.citation: Cancer Causes Control. 2007 Mar;18(2):177-87
references.pmid: 17219013
references.citation: Cancer Epidemiol Biomarkers Prev. 2006 Aug;15(8):1515-9
references.pmid: 16896042
references.citation: J Ovarian Res. 2012 May 15;5(1):13
references.pmid: 22587442
references.citation: Ann Epidemiol. 2005 Jan;15(1):71-9
references.pmid: 15571996
references.citation: Cancer Causes Control. 2003 Apr;14(3):259-68
references.pmid: 12814205
references.citation: Fam Plann Perspect. 2001 Jan-Feb;33(1):35-41, 49
references.pmid: 11271545
references.citation: Stat Methods Med Res. 2006 Dec;15(6):547-69
references.pmid: 17260923
references.citation: Cancer Epidemiol Biomarkers Prev. 1996 Sep;5(9):749-51
references.pmid: 8877067