ArticleGynecologic oncology2020
Gynecologic cancer incidence and mortality among American Indian/Alaska Native women in the Pacific Northwest, 1996-2016.
Article in Gynecologic oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
16 citing papers in PubMed, 26 citations in OpenAlex.
- Understanding HPV Vaccine Uptake Among American Indian and Alaska Native College Students: A Scoping Review.International journal of environmental research and public health · 2026Article
- Disparities in hysterectomy-corrected endometrial cancer incidence trends by histologic subtype among racial/ethnic groups in California, 2012-2019.Gynecologic oncology · 2025Article
- Trends in endometrial cancer incidence in the United States by race/ethnicity and age of onset from 2000 to 2019.American journal of epidemiology · 2025Article
- Gynecological Cancers Among American Indian and Alaska Native Women Living in the Upper Midwest, 1995-2019.Women's health reports (New Rochelle, N.Y.) · 2025Article
- Cervical Cancer 2010-2019: An Upper Midwest Catchment of 40,000 Square Miles.Journal of lower genital tract disease · 2025Article
- Persistent cervical cancer disparities among American Indian/Alaska Native women: a systematic scoping review exploring the state of the science in this population.Cancer causes & control : CCC · 2024Article
- Review
- Misracialization of Indigenous people in population health and mortality studies: a scoping review to establish promising practices.Epidemiologic reviews · 2023Article
- Medicaid expansions and differences in guideline-adherent cervical cancer screening between American Indian and White women.Cancer medicine · 2023Article
- Persistent disparities of cervical cancer among American Indians/Alaska natives: Are we maximizing prevention tools?Gynecologic oncology · 2023Article
- Disparities in pancreatic cancer care and research in Native Americans: Righting a history of wrongs.Cancer · 2022Article
- Racial-Ethnic and Socioeconomic Disparities in Guideline-Adherent Treatment for Endometrial Cancer.Obstetrics and gynecology · 2021Article
- Article
- Urban American Indian and Alaska Native Data Sovereignty: Ethical Issues.American Indian and Alaska native mental health research (Online) · 2021Article
- Ovarian Cancer and Pregnancy-A Current Problem in Perinatal Medicine: A Comprehensive Review.Cancers · 2020Review
- Equity and Inclusion in Assessing Hereditary Cancer Risk: Insights From Excluded Communities, Structured Interviews, and Population Genetics.Cancer control : journal of the Moffitt Cancer CenterReview
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesCompare the incidence and mortality of gynecologic cancers among American Indian/Alaska Native (AI/AN) women to the Non-Hispanic White (NHW) population in the Pacific Northwest.
methodsAge-adjusted cancer incidence (1996-2016) and mortality (2006-2016) rates were calculated from population-based state cancer registry and death certificate data obtained from Washington, Oregon, and Idaho, and corrected for AI/AN misclassification. Incidence and mortality rate ratios (RR) were calculated to compare AI/AN and NHW women with gynecologic cancers.
resultsAcross all gynecologic cancer sites, AI/AN women were diagnosed at a younger age compared to NHW women. AI/AN women had a higher incidence of cervical cancer compared to NHW women with a RR of 1.53 (95% CI: 1.34, 1.75). For all age groups, AI/AN women had a higher incidence of cervical cancer and the disparity was greatest in the 50-64 age group with a RR of 1.76 (95% CI: 1.36, 2.30). Cervical cancer mortality was greater among AI/AN women, with an all-ages RR of 1.79 (95% CI: 1.30, 2.46); the disparity was greatest in the 50-64 age group (RR: 2.88, 95% CI: 1.89, 4.38). For uterine cancer, AI/AN women had similar incidence rates as NHW women but higher mortality rates (RR: 1.35, 95% CI: 1.03-1.75). Incidence and mortality for ovarian cancer were similar between groups.
conclusionOur analysis of gynecologic cancers among AI/AN in the PNW found significant disparities relative to NHW women in cervical cancer incidence and mortality. These disparities persist despite advances in prevention strategies.
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