Indian and Alaska Native populations, and 12 percent of the African-American population. More than half of the African-American population in SEER program coverage areas resides in either Los Angeles or Detroit, more than two-thirds of the SEER program Chinese-American population resides in either Los Angeles or San Francisco-Oakland, and 60 percent of the SEER program Hispanic population resides in Los Angeles.

The SEER program recently expanded its coverage explicitly to improve the coverage of minority populations (see Chapter 2). NCI allocated approximately $2.3 million in FY 1996 to expand the SEER program database to increase the coverage of the Hispanic population and $250,000 to increase the coverage of the Native American population.

To enhance SEER program data with regard to American Indian and Alaska Native populations, NCI is supporting and planning several Category I initiatives. The New Mexico SEER program registry receives NCI support to collect and report on data for American Indians in Arizona. NCI is also planning an operational system for the establishment of a cancer registry among the Cherokee population in Oklahoma. In addition, NCI has worked in collaboration with the Indian Health Service to support the Alaska Native Tumor Registry for cancer surveillance among Alaska Natives and previously supported a project to describe cancer incidence, mortality, and patterns of care, risk factors, and cultural obstacles to early detection and treatment of cancer among American Indians and Alaska Natives.

Among the products of the SEER program relevant to the study of ethnic minority and medically underserved populations is the program monograph entitled Racial/Ethnic Patterns of Cancer in the United States 1988–1992 (Miller et al., 1996). This publication provides incidence and mortality data for 13 U.S. "racial" and ethnic groups (mortality data are compiled from National Center for Health Statistics [NCHS] data).

A summary of other cancer surveillance activities based on information provided to the study committee by request is provided below (National Cancer Institute, 1998b).

Data Resources

To address questions regarding the effects of cancer, the use of cancer-related services, costs of the disease, and patterns of care among special populations, NCI has supported a number of special initiatives, some in collaboration with other organizations and federal agencies.

Staff of the Division of Cancer Epidemiology and Genetics (DCEG) and the DCCPS recently published an atlas of cancer mortality maps for U.S. non-white populations, a Category I and II project that illuminates rates of mortality from cancer at a range of anatomic sites by geographic



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