Exploring why survival upon breast cancer diagnosis is poorer among First Nations women of Ontario compared to other Ontario women.

Abstract

Objectives: To investigate factors that influence breast cancer survival and to determine whether these factors influence breast cancer survival of First Nations women of Ontario differently as compared to the general population.

Study design: Literature review.

Methods: The review searched MEDLINE, PubMed, PsychInfo, and Za-geh-do-win Information Clearinghouse.

Results: Five broad factors were determined to influence breast cancer survival: access to health care; stage at diagnosis and stage of appropriate treatment; co-morbidity; genetic variation; and diet and lifestyle.

Conclusion: This analysis proposes that there may be factors that influence breast cancer survival differently for First Nations women of Ontario compared to other Ontario women. A further understanding of these factors can be used to advocate for changes to reduce the inequalities and improve the quality of life of First Nations women with cancer.