Lifetime risk of cancer among Alaska Native people

  • Slides: 21
Download presentation
Lifetime risk of cancer among Alaska Native people Sarah Nash, Ph. D MPH Cancer

Lifetime risk of cancer among Alaska Native people Sarah Nash, Ph. D MPH Cancer Surveillance Director PI, Alaska Native Tumor Registry June 13 th, 2019 NAACCR/IARC Combined Meeting anthctoday. org/epicenter

The Alaska Native Tumor Registry anthctoday. org/epicenter

The Alaska Native Tumor Registry anthctoday. org/epicenter

Cancer among Alaska Native people: morbidity 24% 25% 2% 2% 4% 4% 12% 11%

Cancer among Alaska Native people: morbidity 24% 25% 2% 2% 4% 4% 12% 11% Unintentional Injury Heart disease Alcohol Abuse Pneumonia & Influenza 12% Suicide Chronic Liver disease Perinatal conditions Other causes Source: State of Alaska Bureau of Vital Statistics; Alaska Native anthctoday. org/epicenter Epi. Center Alaska Native Mortality Update 2009 -2013 Years of Potential Life Lost among Alaska Native people, 2009 -2013 Cancer Homicide Congenital Malformations

Cancer among Alaska Native people: mortality 21% 25% 2% 2% 2% 3% 4% 5%

Cancer among Alaska Native people: mortality 21% 25% 2% 2% 2% 3% 4% 5% 17% 6% Cancer Unintentional Injury COPD Chronic Liver disease Diabetes Other causes anthctoday. org/epicenter Source: State of Alaska Bureau of Vital Statistics; Alaska Native Epi. Center Alaska Native Mortality Update 2009 -2013 13% Between 20092013, cancer accounted for over 1/5 of all deaths among AN people Heart disease Suicide Cerebrovascular disease Pneumonia & Influenza Alcohol Abuse

Cancer incidence rates in Alaska, all sites, by race, 1996 -2012 Cancer incidence rate,

Cancer incidence rates in Alaska, all sites, by race, 1996 -2012 Cancer incidence rate, per 100, 000 population 600 500 400 300 200 100 0 Alaska Native anthctoday. org/epicenter Data source: Alaska Cancer Registry Black White Asian/Pacific Islander

Cancer mortality rate, per 100, 000 population Cancer mortality rates in Alaska, by race,

Cancer mortality rate, per 100, 000 population Cancer mortality rates in Alaska, by race, 1996 -2012 300 250 200 150 100 50 0 Alaska Native Data source: Alaska Cancer Registry anthctoday. org/epicenter Slide: Sarah Nash, Alaska Native Tumor Registry Black White Asian/Pacific Islander

A community request… anthctoday. org/epicenter

A community request… anthctoday. org/epicenter

Lifetime Risk Veritas Genetics Prostate Cancer UK Idaho Dept of Health and Welfare anthctoday.

Lifetime Risk Veritas Genetics Prostate Cancer UK Idaho Dept of Health and Welfare anthctoday. org/epicenter How likely am I to get cancer during my lifetime?

All sites cancer indicence, AIAN es t st w ut h So C fic

All sites cancer indicence, AIAN es t st w ut h So C fic Ea oa st ns ci Pa th er n Pl ai ka as Al So u ai er n or th N Al Pl eg i on s ns 500 450 400 350 300 250 200 150 100 50 0 lr Age-adjusted cancer incidence per 100, 000 persons Cancer risk is different between AN people and USW, other AIAN Wiggins et al 2008 Carmack et al 2015 anthctoday. org/epicenter

Methods Incidence: Alaska Native Tumor Registry Mortality: National Center for Health Statistics Population: SEER

Methods Incidence: Alaska Native Tumor Registry Mortality: National Center for Health Statistics Population: SEER Program Analyses conducted using Dev. Can Software (NCI Surveillance Research Program) Risk of developing or dying cancer for people born 20002016, by age 85 years All sites, breast, colorectal, lung, kidney cancers anthctoday. org/epicenter

Lifetime risk of developing cancer Cancer Site Lifetime Risk Lung and Bronchus 1 in

Lifetime risk of developing cancer Cancer Site Lifetime Risk Lung and Bronchus 1 in 12 8. 6% Colon and Rectum 1 in 14 7. 1% Prostate (male) 1 in 19 5. 2% 1 in 45 2. 2% 1 in 47 2. 1% Kidney and Renal Pelvis Stomach anthctoday. org/epicenter

Lifetime risk of dying from cancer Cancer Site Lifetime Risk Lung and Bronchus 1

Lifetime risk of dying from cancer Cancer Site Lifetime Risk Lung and Bronchus 1 in 14 6. 9% Colon and Rectum 1 in 32 3. 1% Prostate (male) 1 in 70 1. 4% Stomach 1 in 74 1. 3% Pancreas 1 in 87 1. 2% anthctoday. org/epicenter

Lifetime risk of developing cancer Cancer Site anthctoday. org/epicenter Lifetime Risk Breast 1 in

Lifetime risk of developing cancer Cancer Site anthctoday. org/epicenter Lifetime Risk Breast 1 in 8 12. 0% Colon and Rectum 1 in 12 8. 5% Lung and Bronchus Kidney and Renal Pelvis Corpus Uteri 1 in 13 7. 7% 1 in 64 1 in 68 1. 6% 1. 5%

Lifetime risk of dying from cancer Cancer Site anthctoday. org/epicenter Lifetime Risk Lung and

Lifetime risk of dying from cancer Cancer Site anthctoday. org/epicenter Lifetime Risk Lung and Bronchus 1 in 18 5. 5% Colon and Rectum 1 in 32 3. 1% Breast (female) 1 in 40 2. 5% Pancreas Stomach 1 in 88 1 in 102 1. 1% 1. 0%

How does this compare to USW? Higher Lung: 8. 6% (AN) > 6. 7%

How does this compare to USW? Higher Lung: 8. 6% (AN) > 6. 7% (USW) CRC: 7. 1% (AN) > 4. 3% (USW) Lower Prostate: 10. 8% (USW) > 5. 2% (AN) SEER Surveillance Research Program anthctoday. org/epicenter

How does this compare to USW? Higher CRC: 8. 5% (AN) > 4. 0%

How does this compare to USW? Higher CRC: 8. 5% (AN) > 4. 0% (USW) Similar Lung: 7. 7% (AN) ~ 6. 4% (USW) Breast: 12. 0% (AN) ~ 13. 1% (USW) SEER Surveillance Research Program anthctoday. org/epicenter

Taking the data back to the community anthctoday. org/epicenter

Taking the data back to the community anthctoday. org/epicenter

Taking the data back to the community anthctoday. org/epicenter

Taking the data back to the community anthctoday. org/epicenter

anthctoday. org/epicenter

anthctoday. org/epicenter

anthctoday. org/epicenter

anthctoday. org/epicenter

anthctoday. org/epicenter

anthctoday. org/epicenter

Android Native Android Native Android Native Android NativeAndroid Native Android Native Android Native Android Native
Congenital SucraseIsomaltase Deficiency CSID among Alaska Native PeopleCongenital SucraseIsomaltase Deficiency CSID among Alaska Native People
ESTIMATION OF LIFETIME CANCER RISK AMONG RESIDENTIAL ADULTSESTIMATION OF LIFETIME CANCER RISK AMONG RESIDENTIAL ADULTS
Cancer Among American Indians and Alaska Natives CancerCancer Among American Indians and Alaska Natives Cancer
ALASKA ALASKA Alaska is the largest state inALASKA ALASKA Alaska is the largest state in
The Alaska Community Health Aide Program Alaska NativeThe Alaska Community Health Aide Program Alaska Native
The History of the Alaska Native Brotherhood AlaskaThe History of the Alaska Native Brotherhood Alaska
Chapter 8 American Indian or Alaska Native NativeChapter 8 American Indian or Alaska Native Native
Title III Native American and Alaska Native ChildrenTitle III Native American and Alaska Native Children
PREAPPLICATION CONFERENCE AMERICAN INDIAN ALASKA NATIVE AND NATIVEPREAPPLICATION CONFERENCE AMERICAN INDIAN ALASKA NATIVE AND NATIVE
American Indian Alaska Native and Native Hawaiian HIVAIDSAmerican Indian Alaska Native and Native Hawaiian HIVAIDS
Motivations for sobriety among Alaska Native Elders AttainingMotivations for sobriety among Alaska Native Elders Attaining
Reduced Lung Cancer Mortality Risk Among Breast CancerReduced Lung Cancer Mortality Risk Among Breast Cancer
CANCER What is cancer CANCER Cancer is aCANCER What is cancer CANCER Cancer is a
Native American Studies Native American Studies Traditional NativeNative American Studies Native American Studies Traditional Native
Native Americans Native Americans 3 major Native AmericanNative Americans Native Americans 3 major Native American
Native User Interfaces Native API Access Native PerformanceNative User Interfaces Native API Access Native Performance
Native Americans Native American Holocaust Native American CivilizationNative Americans Native American Holocaust Native American Civilization
Native Americans Native Americans 3 major Native AmericanNative Americans Native Americans 3 major Native American
React Native React Native React Native QUDIAN COMReact Native React Native React Native QUDIAN COM