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2138

CANCER

November 15, 2007 / Volume 110 / Number 10

TABLE 8 Incidence Rates and Rate Ratios of the Top 15 Cancers for American Indian/Alaska Native Females Compared With Non-Hispanic White Females by Indian Health Service Region, Contract Health Service Delivery Area Counties in Selected Areas in the United States, 1999–2004

U.S. (CHSDA counties)

Northern plains

Alaska

AI/AN

AI/AN:NHW

AI/AN

AI/AN:NHW

AI/AN

AI/AN:NHW

Non-Hodgkin lymphoma

6

12.8

Ovaryb

7

11.7

Pancreas

8

9.4

Cervix uteri

9

9.4

Thyroid

10

8.4

Leukemia

11

7.8

Stomach

12

7.6

Liver and IBD

13

5.9

Myeloma

14

5.8

Oral cavity and pharynx

15

4.9

Urinary bladder

16

4.4

Melanoma of the skin

17

3.9

Gallbladder

18

3.8

Breast

1

84.7

Lung and bronchus

2

48.0

Colon and rectum

3

41.6

Corpus and uterus, NOS

4

18.2

Kidney and renal pelvis

5

13.9

Cancer site or typea

Rank Ratec

All sitesb

334.8

NHW ratec

RR

425.8 134.8 59.2 43.8 23.4 8.7 16.4 14.4 9.5 7.5 12.0 9.7 3.7 2.5 3.8 6.4 10.4 18.5 1.1

0.79 0.63 0.81 0.95 0.78 1.59 0.78 0.81 1.00 1.25 0.70 0.80 2.05 2.39 1.53 0.77 0.42 0.21 3.36

d

0.77–0.80

d

0.60–0.65

d

0.77–0.86

0.90–1.01

d

0.71–0.84

d

1.44–1.75

d

0.70–0.87

d

0.73–0.90

0.88–1.13

d

1.11–1.39

d

0.63–0.79

d

0.70–0.91

d

1.77–2.35

d

2.02–2.80

d

1.30–1.79

d

0.65–0.91

d

0.35–0.50

d

0.18–0.25

d

2.72–4.11

95% CI

468.1

413.3

1.13

d

1

112.2

130.5

0.86

d

2

97.4

52.0

1.87

d

3

60.4

45.3

1.33

d

4

21.3

26.7

0.80

5

18.8

9.3

2.03d

6

16.2

16.7

0.97

7

12.6

14.0

0.90

11

9.9

9.0

1.09

9

11.3

7.5

1.50d

10

10.2

11.9

0.86

8

11.5

10.1

1.14

14

7.4

3.5

2.12

d

13

7.7

2.3

3.39

d

15

5.6

4.0

1.41

12

9.6

6.1

1.56d

Rank Ratec

NHW ratec

RR

10.5

13.7

1.4

95% CI

    • 1.07

      –1.20

    • 0.77

      –0.96

    • 1.64

      –2.12

    • 1.13

      –1.57

    • 0.60

      –1.03

    • 1.51

      –2.67

    • 0.69

      –1.31

    • 0.63

      –1.25

    • 0.70

      –1.61

    • 1.07

      –2.06

    • 0.60

      –1.19

    • 0.75

      –1.66

    • 1.28

      –3.28

    • 1.97

      –5.35

    • 0.80

      –2.28

    • 1.03

      –2.26

511.0

415.3

1

139.5

135.6

3

78.9

59.9

2

106.2

40.6

5

14.0

22.9

8

12.0

8.6

10

9.9

17.8

12

7.6

13.5

9

11.9

10.7

11

9.2

6.0

6

12.6

12.3

14

5.7

10.9

4

17.7

3.0

2.7

13

7.5

4.0

7

12.3

5.8

8.6

12.7

Rank Ratec

NHW ratec

RR

95% CI

1.23d 1.03 1.32 2.62 0.61 1.39 0.55 0.56 1.12 1.52 1.03 0.52 5.90 1.88 2.12d

d d d

d d

d d

1.15–1.32 0.91–1.17 1.08–1.59 2.18–3.14 0.41–0.90 0.85–2.21 0.33–0.88 0.31–0.95 0.67–1.78 0.88–2.51 0.69–1.50 0.27–0.92 3.41–10.38 0.95–3.55 1.23–3.55

Southern plains

Pacific coast

East

Cancer site or typea

AI/AN Rank Ratec

NHW ratec

AI/AN:NHW

RR

95% CI

AI/AN Rank Ratec

NHW ratec

AI/AN:NHW

RR

95% CI

AI/AN Rank Ratec

NHW ratec

AI/AN:NHW

RR

95% CI

Non-Hodgkin lymphoma

5

Ovaryb

7

Pancreas

9

Cervix uteri

8

Thyroid

11

Leukemia

10

Stomach

13

Liver and IBD

17

Myeloma

15

Oral cavity and pharynx

16

Urinary bladder

14

Melanoma of the skin

12

Gallbladder

20

Breast

1

Lung and bronchus

2

Colon and rectum

3

Corpus and uterus, NOS

4

Kidney and renal pelvis

6

All sitesb

439.2 115.2 68.8 54.4 22.5 17.9 18.4 14.4 9.9 14.1 9.3 9.7 7.4 5.3 6.8 5.9 7.3 7.7 2.6

403.7 130.0 62.9 43.4 19.4 9.1 15.6 14.0 8.7 9.2 8.1 9.7 3.4 2.8 3.7 6.0 8.5 12.5 1.0

1.09

d

1.05–1.13

0.89

d

0.83–0.95

1.09

1.00–1.20

1.25d

1.13–1.39

1.16

0.98–1.35

1.96d

1.62–2.36

1.17

0.97–1.40

1.03

0.84–1.25

1.13

0.87–1.44

1.53d

1.25–1.86

1.14

0.89–1.44

1.00

0.78–1.26

2.18

d

1.60–2.90

1.88

d

1.30–2.64

1.86

d

1.36–2.50

0.98

0.70–1.32

0.85

0.63–1.13

0.62

d

0.47–0.80

2.65

d

1.53–4.31

292.7

1

74.5

2

47.0

3

34.8

4

16.8

7

10.4

5

12.4

8

9.9

6

10.8

10

6.9

11

6.3

9

7.5

13

4.4

12

5.9

15

4.1

17

3.9

14

4.3

16

4.0

437.5 142.5 60.9 42.0 23.7 8.3 16.7 14.9 9.7 7.0 11.0 9.7 3.5 2.6 3.8 6.7 10.1 22.5 1.1

0.67 0.52 0.77 0.83 0.71 1.26 0.74 0.66 1.12 0.98 0.57d 0.77 1.25 2.29d 1.09 0.59 0.42 0.18

d d d d d

d d

d d d

0.64–0.70 0.48–0.57 0.68–0.87 0.72–0.95 0.59–0.85 0.98–1.59 0.58–0.93 0.51–0.84 0.85–1.43 0.74–1.27 0.43–0.75 0.57–1.02 0.81–1.83 1.58–3.18 0.70–1.60 0.39–0.84 0.27–0.62 0.12–0.25

258.3

1

69.1

2

45.2

3

34.6

4

13.1

5

11.5

6

8.2

7

7.9

0.59 0.52 0.74 0.74 0.54 1.25 1.07 0.60d

d d d d d

0.54–0.65 0.43–0.62 0.57–0.93 0.56–0.96 0.33–0.81 0.77–1.91 0.62–1.71 0.34–0.98

435.1 132.8 61.3 46.9 24.4 9.2 16.8 14.6 10.0 7.7 13.1 9.8 4.4 2.4 4.0 6.5 11.3 17.8 1.1

Southwest

Cancer site or typea

AI/AN Rank Ratec

NHW ratec

AI/AN:NHW

RR

95% CI

0.54

d

0.40

d

0.18

d

0.44

d

0.85

d

1.54

d

0.60

d

Breast

1

50.4

127.2

Lung and bronchus

6

10.3

56.9

Colon and rectum

2

17.6

40.3

Corpus and uterus, NOS

3

16.8

19.7

Kidney and renal pelvis

5

12.6

8.2

Non-Hodgkin lymphoma

7

9.0

14.9

(continued)

All sitesb

219.3

404.3

    • 0.52

      –0.57

    • 0.36

      –0.43

    • 0.14

      –0.22

    • 0.37

      –0.51

    • 0.73

      –0.99

    • 1.26

      –1.85

    • 0.47

      –0.75

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