Cancer diagnosis, treatment, and survival in Indigenous and non-Indigenous Australians: a matched cohort study

Cancer Incidence, Mortality, and Stage at Diagnosis in First Nations Living in Manitoba

“…In Manitoba, where fn individuals constitute almost 10% of the population, health disparities in risk factors including obesity, type 2 diabetes, cardiovascular disease, periodontal disease, and renal disease between fn people and all other Manitobans (aoms) have been reported [5][6][7][8][9] . The incidence of and mortality from cancer also appear to be increasing among fn people [10][11][12] ; studies from both within and outside Canada have found poorer cancer survival among indigenous peoples [13][14][15][16][17][18] .…”

“…Surveillance of stage at diagnosis helps to evaluate access to and the quality and effectiveness of screening and early detection [20][21][22] . Several studies have found that indigenous individuals are more likely than the nonindigenous population to be diagnosed at a later stage 13,15,17,18,23 ; others have found no difference in stage distribution 14,24,25 . The primary objective of the present study was to examine trends in breast cancer (bca) and colorectal cancer (crc) incidence and mortality in Manitoba during 1984-2008 for fn individuals and aoms.…”

1027 Disparities in cancer epidemiology and care delivery among Brazilian indigenous populations

“…(27) Comprehensive indigenous people health studies from Australia, New Zealand and North America show that indigenous people with cancer tend to be diagnosed at a more advanced stage and have unfavorable outcomes. (11,12,14,28) Cultural differences and health beliefs may affect the relation between indigenous patients and healthcare professionals, with negative impacts on indigenous patients' cancer care experience. (29) Such mismatches may foster mistrust and prevent the implementation of appropriate treatment.…”

Lessons learned from a pilot study of an Indigenous patient navigator intervention in Queensland, Australia

“…Cancer is the second leading cause of death for Indigenous Australians (Australian Bureau of Statistics, 2008b) and when compared with other Australians, they have higher incidence of cancers with poorer prognosis (Australian Institute of Health and Welfare, 2014), higher cancer mortality and lower cancer survival (Condon, Barnes, Armstrong, Selva-Nayagam, & Elwood, 2005;Valery, Coory, Stirling, & Green, 2006). There are multiple reasons underlying these disparities including disease related factors (e.g.…”

“…There are multiple reasons underlying these disparities including disease related factors (e.g. delays in diagnosis [Condon, Barnes, Cunningham, & Armstrong, 2004;Valery et al, 2006] lower rates of treatment [Valery et al, 2006), higher rates of co-morbidities (Valery et al, 2006)] socioeconomic (Condon et al, 2004;Gracey & King, 2009), and cultural factors (Condon et al, 2004;Cunningham, Rumbold, Zhang, & Condon, 2008;Valery et al, 2006). Furthermore, the survival disparities between Indigenous and non-Indigenous cancer patients is more pronounced in the first year after diagnosis (Cramb, Garvey, Valery, Williamson, & Baade, 2012).…”