Prostate cancer deaths and incident cases among American Indian/Alaska Native men, 1999-2009

Am J Public Health. 2014 Jun;104 Suppl 3(Suppl 3):S439-45. doi: 10.2105/AJPH.2013.301690. Epub 2014 Apr 22.


Objectives: We linked databases to improve identification of American Indians/Alaska Natives (AI/ANs) in determining prostate cancer death and incidence rates.

Methods: We linked prostate cancer mortality and incidence data with Indian Health Service (IHS) patient records; analyses focused on residents of IHS Contract Health Service Delivery Area (CHSDA) counties. We calculated age-adjusted incidence and death rates for AI/AN and White men for 1999 to 2009; men of Hispanic origin were excluded.

Results: Prostate cancer death rates were higher for AI/AN men than for White men. Death rates declined for White men (-3.0% per year) but not for AI/AN men. AI/AN men had lower prostate cancer incidence rates than White men. Incidence rates declined among Whites (-2.2% per year) and AI/ANs (-1.9% per year).

Conclusions: AI/AN men had higher prostate cancer death rates and lower prostate cancer incidence rates than White men. Disparities in accessing health care could contribute to mortality differences, and incidence differences could be related to lower prostate-specific antigen testing rates among AI/AN men.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Alaska / epidemiology
  • Alaska / ethnology
  • Cause of Death
  • Death Certificates
  • Humans
  • Incidence
  • Indians, North American / statistics & numerical data*
  • Inuit / statistics & numerical data*
  • Male
  • Middle Aged
  • Population Surveillance
  • Prostatic Neoplasms / epidemiology*
  • Prostatic Neoplasms / ethnology
  • Prostatic Neoplasms / mortality
  • Registries
  • United States / epidemiology
  • White People / statistics & numerical data