U.S. Cancer Statistics American Indian and Alaska Native Incidence Data
Accurate determination of disease burden is a critical first step toward identifying health disparities. More American Indian and Alaska Native (AI/AN) patients are misclassified as another race in cancer registry records than patients in other racial groups. This misclassification can result in underestimates of cancer incidence among AI/ANs. Cancer incidence data from the central cancer registries have been linked with the Indian Health Service (IHS) patient registration database for improved accuracy of racial classification.
Another way to improve the precision of AI/AN cancer statistics is to restrict statistical analyses to areas with health care services provided by the IHS. IHS purchased/referred care delivery areas (PRCDAs) consist of counties that include all or part of an AI/AN reservation, as well as any county that has a common boundary with a reservation. Updates to the PRCDA list are published in the Federal Register.
The U.S. Cancer Statistics American Indian and Alaska Native Incidence Analytic Database is restricted to populations residing in PRCDA counties (defined in the October 19, 2017 Federal Register (82 FR 47004external icon)). The database includes incidence data from CDC’s National Program of Cancer Registries and the National Cancer Institute’s Surveillance, Epidemiology, and End Results Program.
Map of the United States showing the states and Purchased/Referred Care Delivery Area (PRCDA) counties by IHS Region: United States. The IHS Regions are East, Northern Plains, Southern Plains, Southwest, Pacific Coast, Alaska, and Hawaii. States within the East IHS Region having PRCDA counties are Maine, Massachusetts, New York, Pennsylvania, Virginia, South Carolina, Florida, Alabama, Mississippi, and Louisiana. All states in the Northern Plains, except for Illinois, have PRCDA counties. All states on the Southern Plains, Southwest, and Pacific Coast IHS regions have PRCDA counties, as well as Alaska. Hawaii does not have PRCDA counties.
|Alabama||Baldwin, Elmore, Escambia, Mobile, and Monroe|
|Alaska||All counties in the state|
|Arizona||Apache, Cochise, Coconino, Gila, Graham, Greenlee, La Paz, Maricopa, Mohave, Navajo, Pima, Pinal, Yavapai, and Yuma|
|Arkansas||No counties in the state|
|California||Entire state of California, excluding the counties of Alameda, Contra Costa, Los Angeles, Marin, Orange, Sacramento, San Francisco, San Mateo, Santa Clara, Kern, Merced, Monterey, Napa, San Benito, San Joaquin, San Luis Obispo, Santa Cruz, Solano, Stanislaus, and Ventura|
|Colorado||Archuleta, La Plata, Montezuma, and Rio Blanco|
|Connecticut||All counties in the state|
|Delaware||No counties in the state|
|Florida||Broward, Collier, Escambia, Glades, Hendry, and Miami-Dade|
|Georgia||No counties in the state|
|Hawaii||No counties in the state|
|Idaho||Bannock, Benewah, Bingham, Boundary, Caribou, Clearwater, Idaho, Kootenai, Latah, Lewis, Nez Perce, Owyhee, Power, and Lemhi|
|Illinois||No counties in the state|
|Indiana||Elkhart, Kosciusko, La Porte, Marshall, St. Joseph, and Starke|
|Iowa||Monona, Pottawattomie, Tama, and Woodbury|
|Kansas||Brown, Doniphan, Douglas, and Jackson|
|Kentucky||No counties in the state|
|Louisiana||Allen Parish, Avoyelles, Elton, Grant Parish, LaSalle Parish, Rapides Parish, and St. Mary Parish|
|Maine||Aroostook, Hancock, Penobscot, and Washington|
|Maryland||No counties in the state|
|Massachusetts||Barnstable, Bristol, Dukes, Norfolk, Plymouth, and Suffolk|
|Michigan||Alcona, Alger, Allegan, Alpena, Antrim, Arenac, Baraga, Barry, Benzie, Berrien, Branch, Calhoun, Cass, Charlevoix, Cheboygan, Chippewa, Clare, Crawford, Delta, Emmet, Gogebic, Grand Traverse, Houghton, Iosco, Isabella, Itasca, Kalamazoo, Kalkaska, Kent, Lake, Leelanau, Luce, Mackinac, Manistee, Marquette, Mason, Menominee, Midland, Missaukee, Montmorency, Muskegon, Newaygo, Oceana, Ogemaw, Ontonagon, Oscoda, Otsego, Ottawa, Presque Isle, Roscommon, Schoolcraft, Van Buren, and Wexford|
|Minnesota||Aitkin, Becker, Beltrami, Carlton, Cass, Chippewa, Clearwater, Cook, Goodhue, Houston, Hubbard, Itasca, Kanebec, Koochiching, Lake of the Woods, Mahnomen, Marshall, Mille Lacs, Norman, Pennington, Pine, Polk, Redwood, Renville, Roseau, Scott, St. Louis, Traverse, and Yellow Medicine|
|Mississippi||Attala, Jasper, Jones, Kemper, Leake, Neshoba, Newton, Noxubee, Scott, and Winston|
|Missouri||No counties in the state|
|Montana||Big Horn, Blaine, Carbon, Carter, Chouteau, Daniels, Flathead, Glacier, Hill, Lake, Liberty, McCone, Missoula, Phillips, Pondera, Richland, Roosevelt, Rosebud, Sanders, Sheridan, Treasure, Valley, and Yellowstone|
|Nebraska||Boyd, Burt, Cherry, Cuming, Dakota, Dawes, Dixon, Douglas, Hall, Holt, Knox, Lancaster, Madison, Platte, Richardson, Sarpy, Sheridan, Stanton, Thurston, and Wayne|
|Nevada||All counties in the state|
|New Hampshire||No counties in the state|
|New Jersey||No counties in the state|
|New Mexico||Bernalillo, Chaves, Cibola, Colfax, Lincoln, Los Alamos, McKinley, Otero, Rio Arriba, San Juan, Sandoval, Santa Fe, Socorro, Taos, Torrance, and Valencia|
|New York||Allegany, Cattaraugus, Chautauqua, Chenango, Cortland, Erie, Franklin, Genesee, Herkimer, Madison, Nassau, Niagara, Oneida, Onondaga, St. Lawrence, and Suffolk|
|North Carolina||Cabarrus, Cherokee, Cleveland, Gaston, Graham, Haywood, Jackson, Mecklenburg, Rutherford, Swain, and Union|
|North Dakota||Adams, Benson, Divide, Dunn, Eddy, Emmons, Grant, McKenzie, McLean, Mercer, Morton, Mountrail, Nelson, Ramsey, Richland, Rolette, Sargent, Sioux, Ward, and Williams|
|Ohio||No counties in the state|
|Oklahoma||All counties in the state|
|Oregon||Benton, Clackamas, Columbia, Coos, Curry, Deshutes, Douglas, Harney, Jackson, Jefferson, Josephine, Klamath, Lane, Lincoln, Linn, Malheur, Marion, Multnomah, Polk, Tillamook, Umatilla, Union, Wasco, Washington, and Yamhill|
|South Carolina||All counties in the state|
|South Dakota||Bennett, Bon Homme, Brule, Buffalo, Campbell, Charles Mix, Codington, Corson, Custer, Day, Dewey, Douglas, Fall River, Grant, Gregory, Haakon, Hand, Hughes, Hutchinson, Hyde, Jackson, Lyman, Marshall, Meade, Mellette, Moody, Pennington, Perkins, Potter, Roberts, Shannon, Stanley, Sully, Todd, Tripp, Walworth, and Ziebach|
|Tennessee||No counties in the state|
|Texas||El Paso, Maverick, and Polk|
|Utah||Box Elder, Carbon, Daggett, Duchesne, Emery, Grand, Iron, Juab, Kane, Millard, San Juan, Sevier, Summit, Tooele, Uintah, Utah, Wasatch, Washington|
|Vermont||No counties in the state|
|Virginia||Caroline, Hanover, Henrico, King and Queen, King William, New Kent, and Richmond City|
|Washington||Chelan, Clallam, Clark, Cowlitz, Douglas, Ferry, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Whatcom, Whitman, and Yakima|
|West Virginia||No counties in the state|
|Wisconsin||Adams, Ashland, Barron, Bayfield, Brown, Burnett, Clark, Columbia, Crawford, Dane, Eau Claire, Forest, Iron, Jackson, Juneau, La Crosse, Langlade, Marathon, Marinette, Menominee, Monroe, Oconto, Oneida, Outagamie, Polk, Sauk, Sawyer, Shawano, Vernon, Vilas, Washburn, and Wood|
|Wyoming||Big Horn, Fremont, Hot Springs, Sheridan, and Sublette|
The U.S. Cancer Statistics AI/AN Incidence Analytic Database can be used to—
- Describe the incidence of cancer.
- Identify AI/AN populations most affected by cancer.
- Evaluate cancer prevention and screening activities.
- Assess cancer disparities.
You can use the AI/AN Incidence Analytic Database module in the U.S. Cancer Statistics Data Visualizations tool to explore the data. The module includes the latest and most complete AI/AN cancer data.
The AI/AN Incidence Analytic Database module provides interactive graphics and data interpretations—
- For new cancer cases.
- By IHS region.
- By sex and age.
- By type of cancer.