Kidney Cancer Incidence and Mortality Disparities Involving American Indians/Alaska Natives: An Analysis of the Oklahoma Central Cancer Registry (OCCR)

Table 2

Age-adjusted incidence and mortality rate data, per 100,000, using IHS-linked race ((a) incidence rates and (b) mortality rates).

(a)

	AI/AN^a			White			Rate ratio
	Overall^d (95% CI)	Male^d (95% CI)	Female^d (95% CI)	Overall^d (95% CI)	Male^d (95% CI)	Female^d (95% CI)	Overall (95% CI)	Male (95% CI)	Female (95% CI)
OK^b	32.3 (31.1, 33.5)	41.0 (39.0, 43.0)	25.0 (23.5, 26.5)	15.8 (15.5, 16.1)	20.9 (20.4, 21.4)	11.5 (11.1, 11.9)	2.04 (1.96, 2.13)	2.17 (2.03, 2.33)	1.96 (1.86, 2.07)
U.S.^c,e	14.0 (13.7, 14.3)	18.1 (17.6, 18.6)	10.5 (10.2, 10.8)	15.7 (15.7, 15.7)	21.2 (21.1, 21.3)	11.0 (11.0, 11.0)	0.89 (0.87, 0.91)	0.95 (0.92, 0.99)	0.85 (0.83, 0.88)

AI/AN: American Indian/Alaskan Native. ^aAI/AN includes only AI/AN of non-Hispanic origins using IHS racial categories. ^bOklahoma incidence data derived from the Oklahoma State Department of Health (OSDH) web portal, OK2SHARE (https://www.health.state.ok.us/) from 1999 to 2018. ^cUnited States incidence data derived from the Center for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) database from 1999 to 2017. ^dIncidence rates are per 100,000 and are age-adjusted based on the 2000 U.S. standard population. ^eUnited States incidence rates excluding AI/ANs and Whites from Oklahoma.

(b)

	AI/AN^a			White			Rate ratio
	Overall^d (95% CI)	Male^d (95% CI)	Female^d (95% CI)	Overall^d (95% CI)	Male^d (95% CI)	Female^d (95% CI)	Overall (95% CI)	Male (95% CI)	Female (95% CI)
OK^b	9.7 (8.9-10.5)	13.8 (12.5-15.1)	6.3 (5.4-7.2)	4.9 (4.7-5.1)	7.0 (6.7-7.3)	3.2 (3.0-3.4)	1.98 (1.81-2.17)	1.97 (1.77-2.19)	1.97 (1.68-2.30)
U.S.^c,e	3.9 (3.8, 4.0)	5.5 (5.2, 5.8)	2.6 (2.4, 2.8)	4.0 (4.0, 4.0)	5.9 (5.9-5.9)	2.6 (2.6-2.6)	0.98 (0.94, 1.01)	0.93 (0.89, 0.98)	1.00 (0.94, 1.07)

AI/AN: American Indian/Alaskan Native. ^aAI/AN includes only AI/AN of non-Hispanic origins using IHS racial categories. ^bOklahoma mortality data derived from the Oklahoma State Department of Health (OSDH) web portal, OK2SHARE (https://www.health.state.ok.us/) from 1999 to 2015. ^cUnited States mortality data derived from the Center for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) database from 1999 to 2017. ^dMortality rates are per 100,000 and are age-adjusted based on the 2000 U.S. standard population. ^eUnited States mortality rates excluding AI/ANs and Whites from Oklahoma.