Cancer among people living in rural and remote indigenous communities in Queensland

Objective To describe the pattern of cancer among people living in rural and remote Indigenous communities in Queensland and to consider what implications the results have for cancer control. Design and setting Descriptive analysis of data on incidence and mortality from the population‐based Queensl...

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Bibliographic Details
Published in:	Medical journal of Australia Vol. 173; no. 6; pp. 301 - 304
Main Authors:	Coory, Michael, Thompson, Alison, Ganguly, Indranl
Format:	Journal Article
Language:	English
Published:	Sydney Australasian Medical Publishing Company 18-09-2000
Subjects:	Aboriginal health Adult Aged Biological and medical sciences Cancer Cause of Death Cross-Sectional Studies Female General aspects Health services Humans Incidence Male Medical sciences Middle Aged Mortality Needs Assessment Neoplasms - ethnology Neoplasms - mortality Neoplasms - prevention & control Oceanic Ancestry Group - statistics & numerical data Planification. Prevention (methods). Intervention. Evaluation Public health. Hygiene Public health. Hygiene-occupational medicine Queensland Queensland: Social conditions Remote areas Risk Factors Rural Population - statistics & numerical data Statistics Australia Oceania Queensland Human Cancerology Rural environment Malignant tumor Autochtonous Localization Epidemiology Public health Incidence
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Summary:	Objective To describe the pattern of cancer among people living in rural and remote Indigenous communities in Queensland and to consider what implications the results have for cancer control. Design and setting Descriptive analysis of data on incidence and mortality from the population‐based Queensland Cancer Registry for the years Main outcome measures Age‐standardised incidence and mortality rates for different cancer sites. Results The pattern of cancer was different from that found in the Queensland population as a whole. Of all the cancer sites, cervical cancer showed the biggest difference: the age‐standardised incidence was 4.7 times the State average (95% Cl, 3.2‐6.6) and the mortality rate was 13.4 times the State average (95% Cl, 7.8‐21.4). Rates of lung cancer and other smoking‐related cancers, although not as high as those for cervical cancer, were also significantly higher than the Queensland average, while rates for prostate and colorectal cancer were significantly lower. Conclusion The cancers that are over‐represented among Indigenous people are amenable to preventive measures. The cancer burden among Indigenous people could be reduced by lowering the prevalence of smoking and improving participation in cervical cancer screening and follow‐up of screening‐detected abnormalities.
Bibliography:	Medical Journal of Australia, v.173, no.6, 18 Sept 2000: 301-304 ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0025-729X 1326-5377
DOI:	10.5694/j.1326-5377.2000.tb125661.x