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From 2001 to 2009, death rates per 100,000 people for all cancer sites combined had significant differences by region for AI/ANs, but not nearly as much for white people.
For all areas combined, the five most common causes of cancer deaths among AI/AN men were lung, colon and rectum, prostate, liver, and kidney.
Many AI/ANs live on reservation lands or in remote rural areas, and their primary health care is provided by a tribally operated health program or the Indian Health Service. To improve the quality of cancer statistics for AI/AN people, death records and cancer incidence (new cases of cancer) records from state cancer registries were linked with Indian Health Service registration data to identify AI/AN people correctly; many times, they are incorrectly reported as being members of other racial groups.
Neither Section 703(i) nor any other section of the Act, however, defines the terms “Indian reservation” or “near.” Although the Commission has issued several decisions involving the jurisdictional exemption of Indian tribes under Section 701(b)(1) of Title VII, its one published decision involving the Indian preference exception under Section 703(i) of the Act turned solely on the question of whether the employer had satisfied the public announcement requirement of that section. Specifically, the Commission addresses: (1) the definition of "Indian reservation" for Title VII purposes, (2) the meaning of the term "near," (3) the scope of the term "employment practice," and (4) the issue of whether a preference based on tribal affiliation conflicts with the provisions of Title VII.
The need to define the term "Indian reservation" within the meaning of Section 703(i) of Title VII arises in connection with the circumstances that exist in the state of Oklahoma.
Compared with white people, deaths for all cancers combined among AI/AN people were lower from 1990 to 1998, but higher from 1999 to 2009.
The relative ranking of cancer types varied by region.