Gurney Jason K, Robson Bridget, Koea Jonathan, Scott Nina, Stanley James, Sarfati Diana
Cancer and Chronic Conditions Research Group, Department of Public Health, University of Otago, Wellington; Hei Āhuru Mōwai (National Māori Cancer Leadership Group).
Te Rōpū Rangahau Hauora a Eru Pōmare, Department of Public Health, University of Otago, Wellington.
N Z Med J. 2020 Sep 4;133(1521):77-96.
Cancer is an important cause of morbidity and avoidable mortality for Māori-and substantial disparities exist in cancer incidence, mortality and survival for Māori compared to non-Māori New Zealanders. In this viewpoint, we draw together cancer incidence, mortality and survival data from the previous decade, in order to provide clarity regarding the most important causes of cancer burden for Māori. Covering the decade 2007-2016, our manuscript directly leads on from the landmark Unequal Impact II report (which covered 1996-2006), and provides the most up-to-date record of this burden as is currently possible. While focusing on the absolute burden of cancer for Māori, we also compare this burden to that experienced by non-Māori, and consider how this relative disparity may (or may not) have changed over time. Finally, we discuss how to reduce the occurrence and the overall cancer mortality burden for Māori, with a focus on those cancers that confer the greatest burden.
癌症是毛利人发病和可避免死亡的一个重要原因，与非毛利新西兰人相比，毛利人的癌症发病率、死亡率和生存率存在显著差异。在这一观点中，我们汇总了过去十年的癌症发病率、死亡率和生存率数据，以便明确毛利人癌症负担的最重要原因。涵盖2007年至2016年这十年，我们的手稿直接延续了具有里程碑意义的《不平等影响II报告》（该报告涵盖1996年至2006年），并提供了目前可能的关于这一负担的最新记录。在关注毛利人癌症绝对负担的同时，我们还将这一负担与非毛利人所经历的负担进行比较，并考虑这种相对差距可能（或不可能）如何随时间变化。最后，我们讨论如何降低毛利人癌症的发生率和总体死亡负担，重点关注那些造成最大负担的癌症。
