November 2011

Document Type


Degree Name



Dept. of Public Health and Preventive Medicine


Oregon Health & Science University


Background – Colorectal cancer is the second leading cause of cancer-related deaths and the third most common cancer in both men and women within the U.S. American Indian and Alaska Native (AI/AN) population. The calculation of cancer incidence, mortality, and survival for an overall AI/AN population in the U.S. obscures the heterogeneity in cancer burden within the AI/AN population at local or regional levels. Studies at state and regional levels have documented variation in colorectal cancer mortality within the AI/AN population. AI/AN people have also been reported to be more likely to be diagnosed at later stages of colorectal cancer as well as having a greater risk of colorectal cancer mortality than non-Hispanic White people. Local level or regional data on cancer survival are more informative for state and tribal communities in the development of strategies for the control of cancer. Methods – Using data with improved AI/AN racial ascertainment from record linkages performed bet




School of Medicine



To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.