Cancer Data and Aboriginal Disparities Project (CanDAD)--an overdue cancer control initiative

Autor: Rachel Reilly, Margaret Cargo, Paul Yerrell, David Banham, David Roder, Harold Stewart, Jasmine Micklem, Kim Morey, Alex Brown
Přispěvatelé: Brown, A, Roder, D, Yerrell, P, Cargo, M, Reilly, R, Banham, D, Micklem, J, Morey, K, Stewart, H
Rok vydání: 2016
Předmět:
Zdroj: European journal of cancer care. 25(2)
ISSN: 1365-2354
Popis: Aboriginal and Torres Strait Islander people (referred to here as ‘Aboriginal’) account for 3% of the Australian population (Australian Indigenous HealthInfoNet (AIHInfoNet) 2015). Their health status is poor, with elevated mortality from: cardiovascular diseases; diabetes; cancer, chronic respiratory, liver and renal diseases; trauma; and other causes. Their average life expectancy at birth is about 10 years less than for other Australians and their mental and physical health commonly suffer from social disadvantage and marginalisation (AIHInfoNet 2015).Aboriginal status is poorly recorded by Australian cancer registries, although indicative incidence data exist for about 80% of cancers. Available data indicate an age-standardised incidence equivalent to, or slightly lower for Aboriginal than other Australians for all cancers combined (Zhang et al. 2011; Australian Institute of Health and Welfare (AIHW) 2014). Meanwhile mortality data for almost 90% of cancer deaths suggest an Aboriginal cancer mortality rate about 30% higher than for other Australians (Zhang et al. 2011; Australian Institute of Health and Welfare & Cancer Australia (AIHW) 2013); Australian Institute of Health and Welfare (AIHW) 2014), partly due to an elevated incidence of cancer types with poorer outcomes. Although comprehensive data are lacking, poorer survivals are also attributed to more advanced cancer stages at diagnosis, elevated co-morbidity and poorer access to comprehensive and culturally appropriate care (Cunningham et al. 2008; Garvey et al. 2011). Refereed/Peer-reviewed
Databáze: OpenAIRE