dc.contributor.author |
Lawrenson, R |
en |
dc.contributor.author |
Seneviratne, S |
en |
dc.contributor.author |
Scott, Katrina |
en |
dc.contributor.author |
Peni, T |
en |
dc.contributor.author |
Brown, C |
en |
dc.contributor.author |
Campbell, Ian |
en |
dc.date.accessioned |
2018-10-17T01:30:22Z |
en |
dc.date.issued |
2016-03 |
en |
dc.identifier.issn |
0961-5423 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/42372 |
en |
dc.description.abstract |
Māori women have one of the highest incidences of breast cancer in the world. This high incidence is generally unexplained although higher rates of obesity and alcohol intake are modifiable risk factors that may be important. Māori women are less likely to attend mammographic breast screening and are likely to be diagnosed with more advanced disease. This is one of the reasons for the excess mortality. Another factor is differences in the treatment pathway. Māori women are more likely to experience delay in receiving treatment, are less likely to receive radiotherapy, are more likely to be treated with a mastectomy and are less likely to adhere to long-term adjuvant endocrine therapy. However, genetic factors in Māori women do not seem to impact significantly on mortality. This review looks at the inequity between Māori and non-Māori women and addresses the causes. It proposes ways of reducing inequity through primary prevention, increased participation in breast screening and greater standardisation of the treatment pathway for women newly diagnosed with breast cancer. We believe that health system improvements will decrease barriers to health care participation for Māori women and suggest that further research into identifying and modifying obstacles within health systems is required. |
en |
dc.format.medium |
Print |
en |
dc.language |
eng |
en |
dc.relation.ispartofseries |
European journal of cancer care |
en |
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
en |
dc.subject |
Humans |
en |
dc.subject |
Breast Neoplasms |
en |
dc.subject |
Obesity |
en |
dc.subject |
Antineoplastic Agents, Hormonal |
en |
dc.subject |
Mammography |
en |
dc.subject |
Chemotherapy, Adjuvant |
en |
dc.subject |
Radiotherapy, Adjuvant |
en |
dc.subject |
Mastectomy |
en |
dc.subject |
Incidence |
en |
dc.subject |
Risk Factors |
en |
dc.subject |
Alcohol Drinking |
en |
dc.subject |
European Continental Ancestry Group |
en |
dc.subject |
Oceanic Ancestry Group |
en |
dc.subject |
New Zealand |
en |
dc.subject |
Female |
en |
dc.subject |
Health Status Disparities |
en |
dc.subject |
Healthcare Disparities |
en |
dc.subject |
Early Detection of Cancer |
en |
dc.subject |
Delayed Diagnosis |
en |
dc.subject |
Time-to-Treatment |
en |
dc.title |
Breast cancer inequities between Māori and non-Māori women in Aotearoa/New Zealand. |
en |
dc.type |
Journal Article |
en |
dc.identifier.doi |
10.1111/ecc.12473 |
en |
pubs.issue |
2 |
en |
pubs.begin-page |
225 |
en |
pubs.volume |
25 |
en |
dc.rights.holder |
Copyright: The author |
en |
dc.identifier.pmid |
26918687 |
en |
pubs.end-page |
230 |
en |
pubs.publication-status |
Published |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/RestrictedAccess |
en |
pubs.subtype |
Review |
en |
pubs.subtype |
Journal Article |
en |
pubs.elements-id |
524363 |
en |
pubs.org-id |
Medical and Health Sciences |
en |
pubs.org-id |
School of Medicine |
en |
pubs.org-id |
Surgery Department |
en |
dc.identifier.eissn |
1365-2354 |
en |
pubs.record-created-at-source-date |
2016-02-27 |
en |
pubs.dimensions-id |
26918687 |
en |