Division of Radiation Oncology, The Ottawa Hospital, Ottawa, ON, Canada; University of Ottawa Faculty of Medicine, Ottawa, ON, Canada.
University of Ottawa Faculty of Medicine, Ottawa, ON, Canada; Division of Medical Oncology, The Ottawa Hospital, Ottawa, ON, Canada.
J Cancer Policy. 2021 Dec;30:100309. doi: 10.1016/j.jcpo.2021.100309. Epub 2021 Sep 25.
Cancer incidence and mortality among Indigenous peoples of Canada (First Nations, Inuit, and Métis) continue to rise in contrast to non-Indigenous Canadians, and Indigenous peoples are at higher risk of cancers associated with known modifiable risk factors. Jurisdictional and administrative challenges have hindered high quality cancer care for Indigenous peoples since the country's inception, and different Indigenous populations face these challenges under similar yet non-identical circumstances. Collaborative initiatives under Indigenous leadership have drawn attention to specific issues such as screening, funding, and culturally appropriate care, and have identified resources necessary to address these problems. The Canadian Partnership Against Cancer and their collaborators have committed significant resources to Indigenous cancer programs with locally and regionally determined leadership and priorities. In the context of broader global movements against systemic racism and inequity, decolonization of cancer care demands critical analysis of the existing cancer systems and restructuring under Indigenous leadership with multidisciplinary collaboration.
加拿大原住民（第一民族、因纽特人和梅蒂斯人）的癌症发病率和死亡率持续上升，与非原住民加拿大人相比，原住民面临着更高的风险患上与已知可改变风险因素相关的癌症。自加拿大成立以来，管辖和行政方面的挑战一直阻碍着为原住民提供高质量的癌症护理，不同的原住民群体在类似但又不完全相同的情况下面临着这些挑战。在原住民领导下的合作倡议引起了人们对特定问题的关注，如筛查、资金和文化上适宜的护理，并确定了解决这些问题所需的资源。加拿大抗癌伙伴关系及其合作者承诺为具有地方和区域确定的领导力和优先事项的原住民癌症项目提供大量资源。在更广泛的全球反对系统性种族主义和不平等运动的背景下，癌症护理的去殖民化需要对现有癌症系统进行批判性分析，并在多学科合作下由原住民领导进行重组。
