TABLE 2-13 Five Most Frequently Diagnosed Cancers Among Alaska Native and American Indian (New Mexico) Women, 1988 to 1992, Age Adjusted to 1970 U.S. Standard Population*


Incidence per 100,000 Population



Colon and Rectum

Lung and Bronchus

Kidney and Renal Pelvis

Cervix Uteri

Alaska Native









Colon and Rectum


Corpus Uteri

American Indian (New Mexico)






* The rate is based on fewer than 25 cases and may be subject to greater variability than the other rates, which are based on larger numbers

SOURCE: SEER program (Miller et al., 1996).

cancers in Alaska Native men are lung, colon and rectum, prostrate, stomach, and kidney, whereas the leading sites for Southwestern American Indian men are prostrate, colon and rectum, kidney, lung, and liver. Colorectal cancers among Alaska Native men and kidney cancer among Southwestern American Indian men are higher than those for any other racial or ethnic group. The high incidence of liver cancer in Southwestern American Indian men may not be very accurate due to the reporting of fewer than 25 cases.

Among Alaska Native women, the leading cancer sites are breast, colon and rectum, lung, kidney, and cervix, while among Southwestern American Indian women the leading incidence sites are breast, ovary, colon and rectum, gallbladder, and corpus uteri (see Table 2-13). Alaska Native women have higher rates of colorectal cancer and lung cancer than any other ethnic group. Southwestern American Indian women, in contrast, have very high incidence rates of ovarian and gallbladder cancers.

Mortality data provided by SEER indicate a disparity in the two Native American groups studied (see Tables 2-14 and 2-15). Cancer mortality rates for Alaska Native women from 1988 to 1992 exceeds that for white non-Hispanic women (45.3 compared to 32.9). Mortality rates for Alaska Native women from colorectal cancer also exceeded white non-Hispanic women (24 compared to 15.6). Whereas Alaska Native men had higher

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