Examples of American Indian Alaska Native Cancer Patterns

1. Examples of American Indian Alaska Native Cancer Patterns Linda Burhansstipanov, DrPH (Cherokee Nation of Oklahoma) Native American Cancer Research 393 South Harlan Street, suite 125 Lakewood, CO 80226-3571 303-325-3377; fax: 303-495-3040 http://www.NatAmCancer.org Native American Cancer Research 800-537-8295; http://www.NatAmCancer.org

2. Pre-Training Knowledge4 Items Native American Cancer Research ARS polling question

3. Which of the following health problems (co-morbidities) are present in 15-25% of AIAN cancer patients? • Lupus Arthritis • Heart disease • Diabetes • Stroke • Don’t know / Not sure pa1-comorbidity-1 Native American Cancer Research ARS polling question 0 / 175

4. What percentage of AIAN women are younger than age 50 at the time they are diagnosed with breast cancer? • 15% • 25% • 35% • 50% • Don’t know / not sure b1-age-dx-4 Native American Cancer Research ARS polling question 0 / 250

5. What geographic region of Indian Country has the most significant problem with stomach cancer? • Southwest • Northwest • Northern Plains • Southern Plains • Northeast • Southeast • Don’t know / not sure pa1_stomach-2 Native American Cancer Research ARS polling question 0 / 250

6. Where are oncologists based within Indian Health Service / Tribal / urban clinical settings? • Phoenix • Anchorage • Oklahoma City • Seattle • Los Angeles • Portland • New York • Don’t know / not sure pa1_oncologist-3 Native American Cancer Research ARS polling question 0 / 250

7. Workshop Objectives: By the end of the session, the participant will be able to: • Identify unique characteristics and differences of AIAN cancer patterns in comparison to other racial groups.

8. Examples of Different Patterns of Cancer Sites and Access (cont.) • Average age of AIAN population is younger in comparison to US All Races and our people are diagnosed at younger ages • ½ of AIAN breast patients younger than 50 • Co-morbidity • 15%-25% of AIAN cancer patients are diabetic

9. Examples of Different Patterns of Cancer Sites and Access (cont.) • Access to cancer resources outside of IHS / Tribal / Urban clinical settings insufficient or non-existent • ½ of AIAN cancer patients fight for Medicaid (young at time of dx) or Medicare)

10. Examples of Different Patterns of Cancer Sites and Access (cont.) • Access to cancer resources (continued) • 64+% of AIANs live in urban areas of which there are only two I/T/U cities that provides cancer care: • Anchorage • Fairbanks

11. What part of the country do you think prostate cancer has the highest deaths for AIAN men? • Alaska • Southwest • Northwest • Northern Plains • Southern Plains • Northeast • Southeast • Don’t know / Not Sure pa1_prostate-10 0/0

12. Examples of Different Patterns of Cancer Sites and Access (cont.) • Different Types of Cancer by Geographic Region and Tribal Nation; such as: • Prostate cancer among northern plains comparable to African Americans and whites • More stomach, kidney and gallbladder among southwestern tribal nations • More CRC, breast and lung among AK, northern plains and southern plains

17. Interactive Activity

18. Bear / Coyote 1. Stomach cancer is more common among Northern Plains American Indians in comparison to Natives living in other parts of the country False / Coyote

19. Bear / Coyote 2. Prostate cancer is more common among Northern Plains American Indians in comparison to Natives living in other parts of the country True / Bear

20. Bear / Coyote 3. About 25% of White women are diagnosed with breast cancer prior to age 50, but about half of AIAN women are diagnosed with breast cancer prior to age 50. True / Bear

21. Bear / Coyote 4. About 15-25% of AIANs diagnosed with breast cancer also have diabetes. True / Bear

22. Bear / Coyote 5. About ½ of all AIANs diagnosed with cancer have to fight to get Medicaid or Medicare benefits. True / Bear

23. Bear / Coyote 6. The only clinic that has an oncologist on staff throughout Indian Country is at the Alaska Native Medical Center in Anchorage, AK True / Bear

24. Which of the following health problems (co-morbidities) are present in 15-25% of AIAN cancer patients? • Lupus Arthritis • Heart disease • Diabetes • Stroke • Don’t know / Not sure pa2-comorbidity-1 Native American Cancer Research ARS polling question 0 / 175

25. What percentage of AIAN women are younger than age 50 at the time they are diagnosed with breast cancer? • 15% • 25% • 35% • 50% • Don’t know / not sure b2-age-dx-4 Native American Cancer Research ARS polling question 0 / 250

26. What geographic region of Indian Country has the most significant problem with stomach cancer? • Southwest • Northwest • Northern Plains • Southern Plains • Northeast • Southeast • Don’t know / not sure pa2_stomach-2 Native American Cancer Research ARS polling question 0 / 250

27. Where are oncologists based within Indian Health Service / Tribal / urban clinical settings? • Phoenix • Anchorage • Oklahoma City • Seattle • Los Angeles • Portland • New York • Don’t know / not sure pa2_oncologist-3 Native American Cancer Research ARS polling question 0 / 250

28. Give Yourself a Hand!