Racial Misclassification of American Indians and Alaska Natives by Indian Health Service Contract Health Service Delivery Area

Bibliographic Data

ID11030206
AuthorsMelissa A Jim (0000-0002-1862-0959, Melissa A. Jim is with the Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Albuquerque, NM. Elizabeth Arias is with the Division of Vital Statistics, National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, MD. Dean S. Seneca is with the Division of Public Health Capacity Development, Office for State, Tribal, Local and Territorial Support, Centers for Disease...), Elizabeth Arias (0000-0001-8371-4102, Melissa A. Jim is with the Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Albuquerque, NM. Elizabeth Arias is with the Division of Vital Statistics, National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, MD. Dean S. Seneca is with the Division of Public Health Capacity Development, Office for State, Tribal, Local and Territorial Support, Centers for Disease...), Dean S Seneca (Melissa A. Jim is with the Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Albuquerque, NM. Elizabeth Arias is with the Division of Vital Statistics, National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, MD. Dean S. Seneca is with the Division of Public Health Capacity Development, Office for State, Tribal, Local and Territorial Support, Centers for Disease...), Megan Hoopes (0000-0001-7941-254X, National Center for Health Statistics), Megan J Hoopes (Melissa A. Jim is with the Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Albuquerque, NM. Elizabeth Arias is with the Division of Vital Statistics, National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, MD. Dean S. Seneca is with the Division of Public Health Capacity Development, Office for State, Tribal, Local and Territorial Support, Centers for Disease...), Cheyenne C Jim (Melissa A. Jim is with the Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Albuquerque, NM. Elizabeth Arias is with the Division of Vital Statistics, National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, MD. Dean S. Seneca is with the Division of Public Health Capacity Development, Office for State, Tribal, Local and Territorial Support, Centers for Disease...), Cheyenne Jim (National Center for Health Statistics), Norman J Johnson (Melissa A. Jim is with the Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Albuquerque, NM. Elizabeth Arias is with the Division of Vital Statistics, National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, MD. Dean S. Seneca is with the Division of Public Health Capacity Development, Office for State, Tribal, Local and Territorial Support, Centers for Disease...), Charles L Wiggins (0000-0002-0661-8261, Melissa A. Jim is with the Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Albuquerque, NM. Elizabeth Arias is with the Division of Vital Statistics, National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, MD. Dean S. Seneca is with the Division of Public Health Capacity Development, Office for State, Tribal, Local and Territorial Support, Centers for Disease...)
Year2014
Volume104
IssueS3
PagesS295-S302
Publication date2014-06-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2014.301933
PMID24754617
PMCIDPMC4035863
OpenAlexW2117914990
LanguageEN
Citations received55
References cited25

Objectives. We evaluated the racial misclassification of American Indians and Alaska Natives (AI/ANs) in cancer incidence and all-cause mortality data by Indian Health Service (IHS) Contract Health Service Delivery Area (CHSDA). Methods. We evaluated data from 3 sources: IHS-National Vital Statistics System (NVSS), IHS-National Program of Cancer Registries (NPCR)/Surveillance, Epidemiology and End Results (SEER) program, and National Longitudinal Mortality Study (NLMS). We calculated, within each data source, the sensitivity and classification ratios by sex, IHS region, and urban–rural classification by CHSDA county. Results. Sensitivity was significantly greater in CHSDA counties (IHS-NVSS: 83.6%; IHS-NPCR/SEER: 77.6%; NLMS: 68.8%) than non-CHSDA counties (IHS-NVSS: 54.8%; IHS-NPCR/SEER: 39.0%; NLMS: 28.3%). Classification ratios indicated less misclassification in CHSDA counties (IHS-NVSS: 1.20%; IHS-NPCR/SEER: 1.29%; NLMS: 1.18%) than non-CHSDA counties (IHS-NVSS: 1.82%; IHS-NPCR/SEER: 2.56%; NLMS: 1.81%). Race misclassification was less in rural counties and in regions with the greatest concentrations of AI/AN persons (Alaska, Southwest, and Northern Plains). Conclusions. Limiting presentation and analysis to CHSDA counties helped mitigate the effects of race misclassification of AI/AN persons, although a portion of the population was excluded

Environmental health · Ethnic group · Geography · Pathology · Population · Demography · Epidemiology · Global Cancer Incidence and Screening · Medicine · Migration, Health and Trauma · Racial and Ethnic Identity Research · Gerontology