Cancer in First Nations people in Ontario, Canada: Incidence and mortality, 1991 to 2010.

IF 2.7 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Reports Pub Date : 2021-06-16 DOI:10.25318/82-003-x202100600002-eng

Sehar Jamal, Carmen Jones, Jennifer Walker, Maegan Mazereeuw, Amanda J Sheppard, David Henry, Loraine D Marrett

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引用次数: 6

Abstract

Background: This study aims to measure cancer incidence and mortality rates of Registered First Nations people in Ontario and compare them with those of other people in Ontario from 1991 to 2010.

Data and methods: The federal Indian Register, the Ontario Cancer Registry and the Registered Persons Database were linked to develop a cohort of First Nations people diagnosed with cancer in Ontario. Sex-and site-specific age-standardized cancer incidence and mortality rates, and selected trends over time, were calculated. Rate ratios (RRs) were used to compare rates in First Nations peoples with those of other people in Ontario.

Results: The First Nations cohort comprised 194,392 people, with 6,859 cancer diagnoses. First Nations people had higher rates for certain cancers than others in Ontario: lung (males RR 1.19; females RR 1.47), colorectal (males RR 1.36; females RR 1.34) and kidney (males RR1.95; females RR 2.23). While lung cancer rates rose in First Nations females (annual percent change [APC] +2.67), they fell at a similar rate (APC -2.28) in males. Cervical cancer rates fell (APC -9.53) and approached the rate among other females in Ontario. Kidney cancer rates increased in First Nations people.

Discussion: First Nations people in Ontario have higher incidence and mortality for certain cancers compared with other people in Ontario. However, the declines in cervical cancer rates in First Nations females and lung cancer rates in First Nations males illustrate the likely impact of Pap test uptake and smoking cessation programs. Community-led efforts to develop culturally appropriate prevention and screening programs are essential to further reduce cancer rates in First Nations people.

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加拿大安大略省原住民的癌症:1991年至2010年的发病率和死亡率。

背景:本研究旨在测量安大略省注册第一民族的癌症发病率和死亡率，并将其与安大略省其他民族的发病率和死亡率进行比较。数据和方法:将联邦印第安人登记处、安大略省癌症登记处和登记人员数据库联系起来，建立了一个在安大略省被诊断患有癌症的第一民族队列。计算了性别和特定地点的年龄标准化癌症发病率和死亡率，以及随时间选择的趋势。比率比率(rr)用于比较第一民族与安大略省其他民族的比率。结果:第一民族队列包括194,392人，其中有6,859人被诊断患有癌症。在安大略省，原住民患某些癌症的比例高于其他人:肺癌(男性RR 1.19;女性RR 1.47)、结直肠(男性RR 1.36;女性rr1.34)和肾脏(男性RR1.95;女性RR 2.23)。虽然第一民族女性的肺癌发病率上升(年百分比变化[APC] +2.67)，但男性的下降速度相似(APC -2.28)。宫颈癌发病率下降(APC -9.53)，接近安大略省其他女性的发病率。原住民的肾癌发病率上升。讨论:安大略省的原住民与安大略省的其他人相比，某些癌症的发病率和死亡率更高。然而，第一民族女性宫颈癌发病率和第一民族男性肺癌发病率的下降说明了接受巴氏涂片检查和戒烟计划可能产生的影响。社区主导的努力，发展文化上合适的预防和筛查项目，对于进一步降低第一民族的癌症发病率至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Reports PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.30

自引率

4.00%

发文量

期刊介绍： Health Reports publishes original research on diverse topics related to understanding and improving the health of populations and the delivery of health care. We publish studies based on analyses of Canadian national/provincial representative surveys or Canadian national/provincial administrative databases, as well as results of international comparative health research. Health Reports encourages the sharing of methodological information among those engaged in the analysis of health surveys or administrative databases. Use of the most current data available is advised for all submissions.