Skip header and navigation

1 records – page 1 of 1.

Cancer Stage in American Indians and Alaska Natives Enrolled in Medicaid.
Am J Prev Med. 2016 Sep; 51(3):368-72
Publication Type
Journal Article
Scott V Adams
Andrea N Burnett-Hartman
Andrew Karnopp
Aasthaa Bansal
Stacey A Cohen
Victoria Warren-Mears
Scott D Ramsey
Author Affiliation
Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington. Electronic address:
Am J Prev Med. 2016 Sep; 51(3):368-72
Publication Type
Journal Article
Alaska Natives - statistics & numerical data
California - epidemiology
Indians, North American - statistics & numerical data
Middle Aged
Neoplasm Staging
Neoplasms - epidemiology - ethnology
Oregon - epidemiology
Population Surveillance
United States
Washington - epidemiology
Nationally, a greater proportion of American Indians and Alaska Natives (AI/ANs) are diagnosed with advanced-stage cancers compared with non-Hispanic whites. The reasons for observed differences in stage at diagnosis between AI/ANs and non-Hispanic whites remain unclear.
Medicaid, Indian Health Service Care Systems, and state cancer registry data for California, Oregon, and Washington (2001-2008, analyzed in 2014-2015) were linked to identify AI/ANs and non-Hispanic whites diagnosed with invasive breast, cervical, colorectal, lung, or prostate cancer. Logistic regression was used to estimate ORs and 95% CIs for distant disease versus local or regional disease, in AI/ANs compared with non-Hispanic white case patients.
A similar proportion of AI/AN (31.2%) and non-Hispanic white (35.5%) patients were diagnosed with distant-stage cancer in this population (AOR=1.03, 95% CI=0.88, 1.20). No significant differences in stage at diagnosis were found for any individual cancer site. Among AI/ANs, Indian Health Service Care Systems eligibility was not associated with stage at diagnosis.
In contrast to the general population of the U.S., among Medicaid enrollees, AI/AN race is not associated with later stage at diagnosis. Cancer survival disparities associated with AI/AN race that have been observed in the broader population may be driven by factors associated with income and health insurance that are also associated with race, as income and insurance status are more homogenous within the Medicaid population than within the broader population.
Cites: Gynecol Oncol. 2015 Dec;139(3):500-5 PMID 26498912
Cites: Cancer Epidemiol Biomarkers Prev. 2014 Feb;23(2):362-4 PMID 24296857
Cites: Cancer. 2007 Nov 15;110(10):2119-52 PMID 17939129
Cites: Cancer. 2014 Oct 1;120(19):3016-24 PMID 25154930
Cites: Cancer. 2008 Sep 1;113(5 Suppl):1191-202 PMID 18720389
Cites: Am J Public Health. 2014 Jun;104 Suppl 3:S377-87 PMID 24754660
Cites: Am J Public Health. 2014 Jun;104 Suppl 3:S404-14 PMID 24754657
Cites: Am J Public Health. 2014 Jun;104 Suppl 3:S415-22 PMID 24754650
Cites: J Health Care Poor Underserved. 2015 Nov;26(4):1336-58 PMID 26548682
Cites: Cancer. 2008 Sep 1;113(5 Suppl):1203-12 PMID 18720376
Cites: Springerplus. 2014 Dec 03;3:710 PMID 25674451
Cites: Cancer. 2007 Jul 15;110(2):403-11 PMID 17562557
Cites: Am J Public Health. 2015 Mar;105(3):538-45 PMID 25602869
Cites: J Clin Oncol. 2015 Nov 1;33(31):3621-7 PMID 26371147
PubMed ID
27020318 View in PubMed
Less detail