The algorithms for creating the race recode variables in the SEER incidence and U.S. mortality data were modified starting with the November 2005 submission of data. All of the variable names within the SEER*Stat and SEER*Prep software were modified for clarity and to avoid compatibility issues between submissions of data.
Available Race Variables
- Race Recode (White, Black, Other)
- Other (American Indian/AK Native, Asian/Pacific Islander)
- Race Recode (W, B, AI, API)
- American Indian/Alaska Native
- Asian or Pacific Islander
- Origin Recode NHIA (Hispanic, Non-Hisp)
- Race and origin recode (NHW, NHB, NHAIAN, NHAPI, Hispanic)
- Non-Hispanic White
- Non-Hispanic Black
- Non-Hispanic American Indian/Alaska Native
- Non-Hispanic Asian or Pacific Islander
- Hispanic (All races)
- Non-Hispanic Unknown Race
Race Recode Definition
For incidence and mortality rate calculations, we recoded detailed race information into four major categories in order to make them compatible with available annual population estimates used as denominators for the rates. These categories are:
- American Indian/Alaskan Native
- Asian or Pacific Islander
The available race codes for the fields in the underlying incidence and mortality data have changed over the years. For some years, both the SEER incidence and NCHS mortality data have had a code available for “all other races”, when in fact every race was already represented, and therefore the “all other races” code was not needed. However, cases/deaths were coded to this category. Starting with the 2010 data (November 2012 submission), these incidence cases are now coded as "unknown" race. In prior incidence databases, these cases were coded as "Other - unspecified (1991+)". In mortality databases, these deaths are coded as “Other - unspecified (1978-1991)”.
Starting with data through 2005 (November 2007 submission), the “Race/ethnicity” variable used to create the race recodes in the SEER incidence data was revised. This field is created from the Race1 and Indian Health Service (IHS) Link variables. If Race1 is white, unknown, or other and the IHS Link is positive, then Race/ethnicity is set to American Indian/Alaskan Native, otherwise Race/Ethnicity is set to the Race1 value. The previous method is described for the 1973-2004 SEER Research Data (November 2006 submission).
Hispanic is not mutually exclusive from Whites, Blacks, Asian/Pacific Islanders, and American Indians/Alaska Natives.
Incidence data for Hispanics are based on NAACCR Hispanic Identification Algorithm (NHIA) (PDF) . When producing statistics using SEER Incidence data for Hispanic ethnicity, we exclude cases from the Alaska Native Registry.
For state exclusions that SEER uses when producing Hispanic (and non-Hispanic) mortality rates, see Policy for Calculating Hispanic Mortality.
Combining Race and Ethnicity in Rate Analyses
Some SEER incidence and mortality databases in SEER*Stat are now linked to both race (White, Black, AI/AN, API) and Hispanic origin within the same database. While this provides the ability to produce rates for the 8 combinations of these variables, the SEER Program does not recommend using all of the combinations. SEER only reports Hispanic/non-Hispanic rates for the races of all races combined, white, and non-white.
American Indian/Alaskan Native Statistics
When producing statistics using SEER Incidence data for American Indians/Alaska Natives, SEER frequently only includes cases that are in a Purchased/Referred Care Delivery Area (PRCDA).
In SEER Incidence and NCHS Mortality databases, the PRCDA 2017 variable is used starting with data through 2017. Prior to that, the following variables have been used: PRCDA 2016 for data through 2016; CHSDA 2012 for data through 2010-2015; and CHSDA 2006 for data through 2004-2009.