--- title: "Cancer disparity by race and ethnicity in Nebraska: 1991–2005. | Sutter Health" description: "To examine cancer incidence, staging, and survivals between 1991 and 2005 by using 6 mutually exclusive race-ethnicity groups in Nebraska." url: "https://www.sutterhealth.org/research/publications/cancer-disparity-by-race-and-ethnicity-in-nebraska-1055312884" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. Cancer disparity by race and ethnicity in Nebraska: 1991–2005. # Cancer disparity by race and ethnicity in Nebraska: 1991–2005. Lin G, Filos V, Ryan J, Zhang Y, Pu J, & Qu M. _Nebraska Department of Health and Human Services._ 2009-06-01 ## Abstract This report intends to identify and document cancer disparities by race and ethnicity in Nebraska between 1991 and 2005. The report also examines cancer status and trends at the same period in terms of incidence, staging, and survival with an emphasis on incidence, either by cancer site or by geography for the following mutually exclusive racial/ethnic groups: non-Hispanic whites, non-Hispanic African Americans, non-Hispanic American Indians/Alaska Natives, non-Hispanic Asians and Pacific Islanders, Hispanic whites, and Other Races with Hispanic Origin. In general, differences in the incidence among major cancer sites, such as breast, colorectal, lung, prostate by race and ethnicity, exhibit patterns and trends similar to those at the national level. In addition, differences in early stage diagnoses and five-year survival rates favoring non-Hispanic whites remain throughout the study period. In particular, non-Hispanic African Americans and non-Hispanic whites had a heavier and more persistent burden for prostate cancer than other groups, although the trend for non-Hispanic whites declined. There was an increasing trend in lung cancer incidence for non-Hispanic white females. Measures specifically targeting lung cancer risk factors for white females should be considered. The state incidence rate for cervical cancer between 1991 and 2000 among non-Hispanic Asians was two to three times higher than the national rate for Asians. The higher state rate can be attributed, in part, to a relatively high proportion of Vietnamese Americans among the Asian population in Nebraska. American Indians in Nebraska share similar cancer risk factors as Northern Plains American Indians and had much higher incidence rates for many types of cancer than the corresponding national population. Localized cancer risk identification and intervention are needed to target American Indians in Nebraska. The rate of late-stage cancer at diagnosis is inversely related to the five-year survival rate. Nebraska’s non-Hispanic African Americans and American Indians had the highest rate of late-stage cancer at diagnosis and the lowest five-year survival rate of all racial and ethnic groups. Since minority populations are concentrated in a few counties in Nebraska with evident geographic staging and survival patterns, more localized efforts to increase the opportunity for early cancer diagnosis among minority populations should be implemented. The Hispanic white population increased rapidly in Nebraska during the study period, and this population tended to have relatively low incidence rates for most cancer sites. It is not clear whether the low incidence was due to the characteristics of in-migrants of Hispanic origin or due to this population’s low number of risk factors, or due to the underreporting of Hispanic ethnicity in the census population. [PubMed abstract](https://dhhs.ne.gov/Reports/Cancer%20Disparities%20by%20Race%20and%20Ethnicity%20in%20Nebraska%20-%201991-2005.pdf) ## Research topics - [All Cancer](https://www.sutterhealth.org/research-search-results?query=%22%5C%22All+Cancer%5C%22%22) - [Health Disparities](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Health+Disparities%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [Genomic testing & therapies for breast cancer in clinical practice.](https://www.sutterhealth.org/research/publications/genomic-testing-therapies-for-breast-cancer-1055312617) Haas JS, Phillips KA, Liang SY, Hassett MJ, Keohane C, Elkin EB, Armstrong J, Toscano M. J Oncol Pract. 7(3 Suppl):e1s-7s. doi: 10.1200/JOP.2011.000299 2011 May 01 - Publication ### [Incidence of lung cancer among never-smoking asian american, native hawaiian, and pacific islander females](https://www.sutterhealth.org/research/publications/lung-cancer-among-never-smoking-aanhpi-1055312793) J Natl Cancer Inst.djab143. doi: 10.1093/jnci/djab143. Online ahead of print. 2021 Aug 04 - Publication ### [The burden of cancer in Asian Americans: a report of national mortality trends by Asian ethnicity.](https://www.sutterhealth.org/research/publications/cancer-asian-ams-natl-mortality-trends-by-grps-1055312524) Thompson CA, Gomez SL, Hastings KG, Kapphahn K, Yu P, Shariff-Marco S, Bhatt AS, Wakelee HA, Patel MI, Cullen MR, Palaniappan LP. Cancer Epidemiol Biomarkers Prev. 25(10):1371-1382. 2016 Oct 01 - Publication ### [Patient and provider characteristics associated with colorectal, breast, and cervical cancer screening among Asian Americans.](https://www.sutterhealth.org/research/publications/characteristics-cancer-screening-asian-american-1055312854) Thompson CA, Gomez SL, Chan A, Chan JK, McClellan SR, Chung S, Olson C, Nimbal V, Palaniappan L. Cancer Epidemiol Biomarkers Prev. 23(11):2208-17. doi: 10.1158/1055-9965.EPI-14-0487. 2014 Nov 01 - Publication ### [Early diffusion of gene expression profiling in breast cancer patients associated with areas of high income inequality.](https://www.sutterhealth.org/research/publications/diffusion-gene-expression-profiling-breast-cancer-1055312821) Ponce NA, Ko M, Liang SY, Armstrong J, Toscano M, Chanfreau-Coffinier C, Haas JS. Health Aff (Millwood). 2015 Apr 1;34(4):609-15. doi: 10.1377/hlthaff.2014.1013. 2015 Apr 01 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/cancer-disparity-by-race-and-ethnicity-in-nebraska-1055312884#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Cancer disparity by race and ethnicity in Nebraska: 1991–2005."}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/cancer-disparity-by-race-and-ethnicity-in-nebraska-1055312884#medicalscholarlyarticle","name":"Cancer disparity by race and ethnicity in Nebraska: 1991–2005.","headline":"Cancer disparity by race and ethnicity in Nebraska: 1991–2005.","abstract":"This report intends to identify and document cancer disparities by race and ethnicity in Nebraska between 1991 and 2005. The report also examines cancer status and trends at the same period in terms of incidence, staging, and survival with an emphasis on incidence, either by cancer site or by geography for the following mutually exclusive racial/ethnic groups: non-Hispanic whites, non-Hispanic African Americans, non-Hispanic American Indians/Alaska Natives, non-Hispanic Asians and Pacific Islanders, Hispanic whites, and Other Races with Hispanic Origin. In general, differences in the incidence among major cancer sites, such as breast, colorectal, lung, prostate by race and ethnicity, exhibit patterns and trends similar to those at the national level. In addition, differences in early stage diagnoses and five-year survival rates favoring non-Hispanic whites remain throughout the study period. In particular, non-Hispanic African Americans and non-Hispanic whites had a heavier and more persistent burden for prostate cancer than other groups, although the trend for non-Hispanic whites declined. There was an increasing trend in lung cancer incidence for non-Hispanic white females. Measures specifically targeting lung cancer risk factors for white females should be considered. The state incidence rate for cervical cancer between 1991 and 2000 among non-Hispanic Asians was two to three times higher than the national rate for Asians. The higher state rate can be attributed, in part, to a relatively high proportion of Vietnamese Americans among the Asian population in Nebraska. American Indians in Nebraska share similar cancer risk factors as Northern Plains American Indians and had much higher incidence rates for many types of cancer than the corresponding national population. Localized cancer risk identification and intervention are needed to target American Indians in Nebraska. The rate of late-stage cancer at diagnosis is inversely related to the five-year survival rate. Nebraska’s non-Hispanic African Americans and American Indians had the highest rate of late-stage cancer at diagnosis and the lowest five-year survival rate of all racial and ethnic groups. Since minority populations are concentrated in a few counties in Nebraska with evident geographic staging and survival patterns, more localized efforts to increase the opportunity for early cancer diagnosis among minority populations should be implemented. The Hispanic white population increased rapidly in Nebraska during the study period, and this population tended to have relatively low incidence rates for most cancer sites. It is not clear whether the low incidence was due to the characteristics of in-migrants of Hispanic origin or due to this population’s low number of risk factors, or due to the underreporting of Hispanic ethnicity in the census population.","description":"To examine cancer incidence, staging, and survivals between 1991 and 2005 by using 6 mutually exclusive race-ethnicity groups in Nebraska.","keywords":["All Cancer","Health Disparities"],"datePublished":"2009-06-01","url":"https://www.sutterhealth.org/research/publications/cancer-disparity-by-race-and-ethnicity-in-nebraska-1055312884","inLanguage":"en-US","isPartOf":{"@type":"Periodical","name":"Nebraska Department of Health and Human Services"},"author":[{"@type":"Person","name":"Lin G"},{"@type":"Person","name":"Filos V"},{"@type":"Person","name":"Ryan J"},{"@type":"Person","name":"Zhang Y"},{"@type":"Person","name":"Pu J"},{"@type":"Person","name":"Qu M"}],"sourceOrganization":{"@type":"MedicalOrganization","name":"Palo Alto Medical Foundation Research Institute"},"about":[{"@type":"DefinedTerm","name":"All Cancer","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22All+Cancer%22%5D%7D%5D&verticalKey=research_publication"},{"@type":"DefinedTerm","name":"Health Disparities","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Health+Disparities%22%5D%7D%5D&verticalKey=research_publication"}],"mainEntityOfPage":{"@type":"WebPage","@id":"https://www.sutterhealth.org/research/publications/cancer-disparity-by-race-and-ethnicity-in-nebraska-1055312884","breadcrumb":{"@id":"https://www.sutterhealth.org/research/publications/cancer-disparity-by-race-and-ethnicity-in-nebraska-1055312884#breadcrumblist"}}} ```