Using Tribal Data Linkages to Improve the Quality of American Indian Cancer Data in Michigan

Tess L. Weber, Glenn Copeland, Noel Pingatore, Kendra K Schmid, Melissa A. Jim, Shinobu Watanabe-Galloway

Research output: Contribution to journalArticle

Abstract

This study examines the extent to which data linkages between Indian Health Service, tribal data, and cancer registries affect cancer incidence rates among American Indians/Alaska Natives (AI/ANs) in Michigan. The incidence of tobacco- and alcohol-associated cancers for 1995-2012 was analyzed to compare rates of the Upper Peninsula (UP) and Lower Peninsula (LP) in Michigan and among AI/ANs and non-Hispanic Whites (NHWs). Complete linkage resulted in 1,352 additional AI/AN cases; 141 cases were linked via IHS records alone, while 373 were linked via tribal records alone; 838 were linked through both IHS and tribal records. Age-adjusted incidence rates for AI/ANs increased from 214.39 per 100,000 to 405.41 per 100,000, similar to that of NHWs after complete linkage (421.46 per 100,000). In the UP, AI/ANs had age-adjusted incidence rates 1.67 times higher than NHWs (596.69 per 100,000 vs. 356.32 per 100,000 respectively). This study indicates a substantial number of AI/AN cancer cases remain misclassified in Michigan.

Original languageEnglish (US)
Pages (from-to)1237-1247
Number of pages11
JournalJournal of health care for the poor and underserved
Volume30
Issue number3
DOIs
StatePublished - Jan 1 2019

Fingerprint

North American Indians
Information Storage and Retrieval
Neoplasms
Incidence
United States Indian Health Service
Tobacco
Registries
Alaska Natives
Alcohols

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Using Tribal Data Linkages to Improve the Quality of American Indian Cancer Data in Michigan. / Weber, Tess L.; Copeland, Glenn; Pingatore, Noel; Schmid, Kendra K; Jim, Melissa A.; Watanabe-Galloway, Shinobu.

In: Journal of health care for the poor and underserved, Vol. 30, No. 3, 01.01.2019, p. 1237-1247.

Research output: Contribution to journalArticle

@article{8910cb4c31df47bbb23b601875a6e462,
title = "Using Tribal Data Linkages to Improve the Quality of American Indian Cancer Data in Michigan",
abstract = "This study examines the extent to which data linkages between Indian Health Service, tribal data, and cancer registries affect cancer incidence rates among American Indians/Alaska Natives (AI/ANs) in Michigan. The incidence of tobacco- and alcohol-associated cancers for 1995-2012 was analyzed to compare rates of the Upper Peninsula (UP) and Lower Peninsula (LP) in Michigan and among AI/ANs and non-Hispanic Whites (NHWs). Complete linkage resulted in 1,352 additional AI/AN cases; 141 cases were linked via IHS records alone, while 373 were linked via tribal records alone; 838 were linked through both IHS and tribal records. Age-adjusted incidence rates for AI/ANs increased from 214.39 per 100,000 to 405.41 per 100,000, similar to that of NHWs after complete linkage (421.46 per 100,000). In the UP, AI/ANs had age-adjusted incidence rates 1.67 times higher than NHWs (596.69 per 100,000 vs. 356.32 per 100,000 respectively). This study indicates a substantial number of AI/AN cancer cases remain misclassified in Michigan.",
author = "Weber, {Tess L.} and Glenn Copeland and Noel Pingatore and Schmid, {Kendra K} and Jim, {Melissa A.} and Shinobu Watanabe-Galloway",
year = "2019",
month = "1",
day = "1",
doi = "10.1353/hpu.2019.0084",
language = "English (US)",
volume = "30",
pages = "1237--1247",
journal = "Journal of Health Care for the Poor and Underserved",
issn = "1049-2089",
publisher = "Johns Hopkins University Press",
number = "3",

}

TY - JOUR

T1 - Using Tribal Data Linkages to Improve the Quality of American Indian Cancer Data in Michigan

AU - Weber, Tess L.

AU - Copeland, Glenn

AU - Pingatore, Noel

AU - Schmid, Kendra K

AU - Jim, Melissa A.

AU - Watanabe-Galloway, Shinobu

PY - 2019/1/1

Y1 - 2019/1/1

N2 - This study examines the extent to which data linkages between Indian Health Service, tribal data, and cancer registries affect cancer incidence rates among American Indians/Alaska Natives (AI/ANs) in Michigan. The incidence of tobacco- and alcohol-associated cancers for 1995-2012 was analyzed to compare rates of the Upper Peninsula (UP) and Lower Peninsula (LP) in Michigan and among AI/ANs and non-Hispanic Whites (NHWs). Complete linkage resulted in 1,352 additional AI/AN cases; 141 cases were linked via IHS records alone, while 373 were linked via tribal records alone; 838 were linked through both IHS and tribal records. Age-adjusted incidence rates for AI/ANs increased from 214.39 per 100,000 to 405.41 per 100,000, similar to that of NHWs after complete linkage (421.46 per 100,000). In the UP, AI/ANs had age-adjusted incidence rates 1.67 times higher than NHWs (596.69 per 100,000 vs. 356.32 per 100,000 respectively). This study indicates a substantial number of AI/AN cancer cases remain misclassified in Michigan.

AB - This study examines the extent to which data linkages between Indian Health Service, tribal data, and cancer registries affect cancer incidence rates among American Indians/Alaska Natives (AI/ANs) in Michigan. The incidence of tobacco- and alcohol-associated cancers for 1995-2012 was analyzed to compare rates of the Upper Peninsula (UP) and Lower Peninsula (LP) in Michigan and among AI/ANs and non-Hispanic Whites (NHWs). Complete linkage resulted in 1,352 additional AI/AN cases; 141 cases were linked via IHS records alone, while 373 were linked via tribal records alone; 838 were linked through both IHS and tribal records. Age-adjusted incidence rates for AI/ANs increased from 214.39 per 100,000 to 405.41 per 100,000, similar to that of NHWs after complete linkage (421.46 per 100,000). In the UP, AI/ANs had age-adjusted incidence rates 1.67 times higher than NHWs (596.69 per 100,000 vs. 356.32 per 100,000 respectively). This study indicates a substantial number of AI/AN cancer cases remain misclassified in Michigan.

UR - http://www.scopus.com/inward/record.url?scp=85072150198&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85072150198&partnerID=8YFLogxK

U2 - 10.1353/hpu.2019.0084

DO - 10.1353/hpu.2019.0084

M3 - Article

VL - 30

SP - 1237

EP - 1247

JO - Journal of Health Care for the Poor and Underserved

JF - Journal of Health Care for the Poor and Underserved

SN - 1049-2089

IS - 3

ER -