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Geriatrics

Geriatrics

Ethnogeriatrics

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Causes of Death: Cancer

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  •  Figure 2: Cancer Rates

Cancer is the leading cause of death for Alaska Native older adults. Age specific cancer mortality rates show that Alaska Native older adult have a higher proportion of deaths from all types of cancer than the U.S. White population (Lanier et. al. 2002).  Although cancer mortality is higher in Alaska Native older adults than in U.S. Whites, the incidence rate of cancer per 100,000 population is very similar (Lanier et. al. 2001).

Figure 2 below compares cancer rates in Alaska Natives and US Whites by age from 1984–1998. Data from the Tumor Registry indicate that between 1969–1998 the number of cancer cases tripled, and more people are surviving cancer. Specific cases of cancer for the years 1984–1998 indicate that by far the highest numbers of people with cancer are elders: out of a total of 3,097 cases of cancer, 30% are 70 and older, 25% are between 60 and 69, and 21% are 50 to 59 years old. Therefore, as the Alaska Native population continues to age and live longer, we can also expect an increase in the incidence of cancer, and will need to factor that increase into planning for elder services.

Figure 2:

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Alaska Native

  • Description
  • Learning Objectives
  • Updated Summary
  • Introduction and Overview
    • Terminology
    • Geography
    • Demographics
    • Native Cultures
      • Athabascan
      • Yup’ik and Cup’ik
      • Inupiaq
      • Aleut and Alutiiq
      • Southeastern Tribes
    • Historical Background
      • Historical Trauma
      • Decade Value Development
      • Exxon-Valdez Oil Spill
      • Land Claims
  • Patterns of Health Risk
    • Causes of Death
      • Cancer
      • Diabetes
      • Trauma-Falls
      • Suicide
      • Elder Abuse

Culturally Appropriate Care

  • Fund of Knowledge
    • Cohort Analysis
      • Cohort Experiences
    • Cultural Values
      • Health Care Impact
    • Communication Patterns
      • Presentation of Self
      • Distribution of Talk
      • Contents of Talk
    • Traditional Healing
    • Important Cultural Issues
  • Assesment
    • Respect and Rapport
    • Communication
    • Standardized Instruments
    • Client Background
    • Clinical Assesment
      • Health History
      • Physical Examination
      • Cognitive and Affective Status
      • Functional Status
      • Home and Family
      • Community and Neighborhood
      • End of Life Preferences
    • Eliciting Perspectives
  • Cancer Care

Access & Utilization

  • Patterns of and Barriers to Utilization
  • Models of Service
  • Health Care Policy
  • Health Promotion Strategies
    • Alcohol and Substance Abuse
    • Issues in Treatment
    • Blending Biomedicine and Tradition
    • Long Term Care
    • Adult Day Programs

Learning Resources

  • Instructional Strategies
    • Case Study 1
    • Case Study 2
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