title: Cancer incidence and mortality among the Métis population of Alberta, Canada.
abstract: BACKGROUND
  Cancer has been identified as a major cause of morbidity and mortality in Canada over the last decade. However, there is a paucity of information about cancer patterns in Aboriginal people, particularly for Métis. This study aims to explore cancer incidence and mortality burden among Métis and to compare disease estimates with non-Métis population.
  
  
  METHODS
  This population-based descriptive epidemiological study used cancer incidence and mortality data from 2007 to 2012 obtained from Alberta Health Care Insurance Plan (AHCIP) - Central Stakeholder Registry - and Alberta Cancer Registry (ACR). To identify cancer cases in Métis, the ACR was linked with the Métis Nation of Alberta (MNA) Identification Registry. In Métis and non-Métis people, age-standardized cancer incidence and mortality rates were estimated and subsequently compared between both groups.
  
  
  RESULTS
  A higher incidence of bronchus/lung cancer was found among Métis men compared with their non-Métis counterparts (RR=1.69, CI 1.28-2.09; p=0.01). No other statistically significant differences in cancer incidence or mortality were found between Métis and non-Métis people living in Alberta over the course of the 6 years studied.
  
  
  CONCLUSIONS
  Overall incidence and mortality associated with cancer were not higher among Métis people compared with non-Métis people. However, special efforts should be considered to decrease the higher incidence of bronchus/lung cancer in Métis men. Further development and maintenance of new and existing institutional collaborations are necessary to continue cancer research and health status surveillance in Métis population.
authors.affiliation: Injury Prevention Centre, School of Public Health, University of Alberta, Edmonton, AB, Canada; diana.sanchez@ualberta.ca.
authors.forename: Diana C
authors.initials: DC
authors.lastname: Sanchez-Ramirez
authors.affiliation: Surveillance and Assessment Branch, Alberta Health, Edmonton, AB, Canada.
authors.forename: Amy
authors.initials: A
authors.lastname: Colquhoun
authors.affiliation: Métis Nation of Alberta, Edmonton, AB, Canada.
authors.forename: Sara
authors.initials: S
authors.lastname: Parker
authors.affiliation: Department of Community Health, College of Medicine, Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
authors.forename: Jason
authors.initials: J
authors.lastname: Randall
authors.affiliation: Surveillance and Assessment Branch, Alberta Health, Edmonton, AB, Canada.|Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada.
authors.forename: Lawrence W
authors.initials: LW
authors.lastname: Svenson
authors.affiliation: Injury Prevention Centre, School of Public Health, University of Alberta, Edmonton, AB, Canada.
authors.forename: Don
authors.initials: D
authors.lastname: Voaklander
mesh_terms: D017677:Age Distribution; D000416:Alberta / Q000453:epidemiology; D016001:Confidence Intervals; D016208:Databases, Factual; D005260:Female; D006801:Humans; D015994:Incidence; D007198:Indians, North American / Q000706:statistics & numerical data*; D008297:Male; D009369:Neoplasms / Q000175:diagnosis* / Q000453:epidemiology* / Q000208:ethnology; D012042:Registries; D012189:Retrospective Studies; D017678:Sex Distribution; D016019:Survival Analysis
keywords: Aboriginals; Canada; Métis; cancer; incidence; mortality
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