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

Dados Bibliográficos

ID11030206
AutoresMelissa 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...)
Ano2014
Volume104
FascículoS3
PáginasS295-S302
Data de publicação2014-06-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoAmerican Journal of Public Health (JOURNAL)
Identificadores do periódicoISSN: 0090-0036 • E-ISSN: 1541-0048
EditoraAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2014.301933
PMID24754617
PMCIDPMC4035863
OpenAlexW2117914990
IdiomaEN
Citações recebidas55
Referências citadas25

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