title: Cancer incidence and staging among American Indians in Oklahoma.
abstract: BACKGROUND
  This study describes overall and site specific cancer incidence among AI/ANs compared to whites in Oklahoma and differences in cancer staging.
  
  
  METHODS
  Age-adjusted incidence rates obtained from the Oklahoma Central Cancer Registry are presented for all cancer sites combined and for the most common cancer sites among AI/ANs with comparisons to whites. Percentages of late stage cancers for breast, colorectal, and melanoma cancers are also presented.
  
  
  RESULTS
  AI/ANs had a significantly higher overall cancer incidence rate compared to whites (629.8/100,000 vs. 503.3/100,000), with a rate ratio of 1.25 (95% CI: 1.22, 1.28). There was a significant disparity in the percentage of late stage melanoma cancers between 2005 and 2009, with 14.0% late stage melanoma for whites and 20.0% for AI/ANs (p-value:0.03).
  
  
  CONCLUSIONS
  Overall, there were cancer disparities between AI/ANs and whites in Oklahoma. Incidence rates were higher among AI/ANs for all cancers and many site specific cancers.
authors.forename: Janis E
authors.initials: JE
authors.lastname: Campbell
authors.forename: Sydney A
authors.initials: SA
authors.lastname: Martinez
authors.forename: Amanda E
authors.initials: AE
authors.lastname: Janitz
authors.forename: Anne E
authors.initials: AE
authors.lastname: Pate
authors.forename: Julie
authors.initials: J
authors.lastname: Erb-Alvarez
authors.forename: David F
authors.initials: DF
authors.lastname: Wharton
authors.forename: David
authors.initials: D
authors.lastname: Gahn
authors.forename: Vicki L
authors.initials: VL
authors.lastname: Tall
authors.forename: Cuyler
authors.initials: C
authors.lastname: Snider
authors.forename: Tom
authors.initials: T
authors.lastname: Anderson
authors.forename: Michael
authors.initials: M
authors.lastname: Peercy
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D005260:Female; D054624:Health Status Disparities; D006801:Humans; D015994:Incidence; D007198:Indians, North American / Q000706:statistics & numerical data*; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D009369:Neoplasms / Q000208:ethnology* / Q000473:pathology*; D009825:Oklahoma / Q000453:epidemiology; D011159:Population Surveillance; D044465:White People / Q000706:statistics & numerical data*; D055815:Young Adult