The experience of lung cancer in Aboriginal and Torres Strait Islander peoples and what it means for policy, service planning and delivery

Background: Aboriginal and Torres Strait Islander peoples experience inferior outcomes following diagnosis of lung cancer. Aim: To examine the experience of lung cancer in this population and identify reasons for poorer outcomes and lower levels of treatment compared with non-Aboriginal and Torres S...

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Main Authors: Davidson, Patricia, McGrath, Sarah, DiGiacomo, Michelle, Thompson, Sandra, Bessarab, Dawn, Newton, P, Durey, Angela, Jiwa, Moyez
Format: Journal Article
Published: CSIRO Publishing 2012
Online Access:http://hdl.handle.net/20.500.11937/39315
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author Davidson, Patricia
McGrath, Sarah
DiGiacomo, Michelle
Thompson, Sandra
Bessarab, Dawn
Newton, P
Durey, Angela
Jiwa, Moyez
author_facet Davidson, Patricia
McGrath, Sarah
DiGiacomo, Michelle
Thompson, Sandra
Bessarab, Dawn
Newton, P
Durey, Angela
Jiwa, Moyez
author_sort Davidson, Patricia
building Curtin Institutional Repository
collection Online Access
description Background: Aboriginal and Torres Strait Islander peoples experience inferior outcomes following diagnosis of lung cancer. Aim: To examine the experience of lung cancer in this population and identify reasons for poorer outcomes and lower levels of treatment compared with non-Aboriginal and Torres Strait Islander peoples, and opportunities for early intervention. Method: Literature was sought via electronic database searches and journal hand-searching for the period from January 1995 to July 2010. Databases used included Indigenous HealthInfoNet, SCOPUS, PsycInfo, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline, HealthInsite and Google Scholar. Findings: Exposure to risk factors, cultural and spiritual values, remoteness and geographic characteristics, entrenched socioeconomic inequalities and racism contribute to reduced service access and poor outcomes. The review highlighted a complex interplay of individual, social, health system and environmental factors that impact on optimal lung cancer care and lung cancer outcomes. Considering the burden of lung cancer within a framework of social determinants of health is necessary for policy-making and service planning and delivery.Conclusions: It is imperative that the disproportionate burden of lung cancer in Aboriginal and Torres Strait Islander peoples is addressed immediately. Whilst strategic interventions in lung cancer prevention and care are needed, service providers and policy makers must acknowledge the entrenched inequality that exists and consider the broad range of factors at the patient, provider and system level. Primary care strategies and health promotion activities to reduce risk factors, such as smoking, must also be implemented, with Aboriginal and Torres Strait Islander peoples’ engagement and control at the core of any strategy. This review has indicated that multifaceted interventions, supported by enabling policies that target individuals, communities and health professionals, are necessary to improve lung cancer outcomes and disparities.
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institution Curtin University Malaysia
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publishDate 2012
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spelling curtin-20.500.11937-393152017-11-02T07:11:02Z The experience of lung cancer in Aboriginal and Torres Strait Islander peoples and what it means for policy, service planning and delivery Davidson, Patricia McGrath, Sarah DiGiacomo, Michelle Thompson, Sandra Bessarab, Dawn Newton, P Durey, Angela Jiwa, Moyez Background: Aboriginal and Torres Strait Islander peoples experience inferior outcomes following diagnosis of lung cancer. Aim: To examine the experience of lung cancer in this population and identify reasons for poorer outcomes and lower levels of treatment compared with non-Aboriginal and Torres Strait Islander peoples, and opportunities for early intervention. Method: Literature was sought via electronic database searches and journal hand-searching for the period from January 1995 to July 2010. Databases used included Indigenous HealthInfoNet, SCOPUS, PsycInfo, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline, HealthInsite and Google Scholar. Findings: Exposure to risk factors, cultural and spiritual values, remoteness and geographic characteristics, entrenched socioeconomic inequalities and racism contribute to reduced service access and poor outcomes. The review highlighted a complex interplay of individual, social, health system and environmental factors that impact on optimal lung cancer care and lung cancer outcomes. Considering the burden of lung cancer within a framework of social determinants of health is necessary for policy-making and service planning and delivery.Conclusions: It is imperative that the disproportionate burden of lung cancer in Aboriginal and Torres Strait Islander peoples is addressed immediately. Whilst strategic interventions in lung cancer prevention and care are needed, service providers and policy makers must acknowledge the entrenched inequality that exists and consider the broad range of factors at the patient, provider and system level. Primary care strategies and health promotion activities to reduce risk factors, such as smoking, must also be implemented, with Aboriginal and Torres Strait Islander peoples’ engagement and control at the core of any strategy. This review has indicated that multifaceted interventions, supported by enabling policies that target individuals, communities and health professionals, are necessary to improve lung cancer outcomes and disparities. 2012 Journal Article http://hdl.handle.net/20.500.11937/39315 10.1071/AH10955 CSIRO Publishing fulltext
spellingShingle Davidson, Patricia
McGrath, Sarah
DiGiacomo, Michelle
Thompson, Sandra
Bessarab, Dawn
Newton, P
Durey, Angela
Jiwa, Moyez
The experience of lung cancer in Aboriginal and Torres Strait Islander peoples and what it means for policy, service planning and delivery
title The experience of lung cancer in Aboriginal and Torres Strait Islander peoples and what it means for policy, service planning and delivery
title_full The experience of lung cancer in Aboriginal and Torres Strait Islander peoples and what it means for policy, service planning and delivery
title_fullStr The experience of lung cancer in Aboriginal and Torres Strait Islander peoples and what it means for policy, service planning and delivery
title_full_unstemmed The experience of lung cancer in Aboriginal and Torres Strait Islander peoples and what it means for policy, service planning and delivery
title_short The experience of lung cancer in Aboriginal and Torres Strait Islander peoples and what it means for policy, service planning and delivery
title_sort experience of lung cancer in aboriginal and torres strait islander peoples and what it means for policy, service planning and delivery
url http://hdl.handle.net/20.500.11937/39315