Bay Samantha, Taylor Emma V, Robinson Melanie, Pilkington Leanne, Thompson Sandra C
Western Australian Centre for Rural Health, University of Western Australia, 167 Fitzgerald St, Geraldton, Western Australia, 6531, Australia.
Child and Adolescent Health Service, Department of Health Western Australia, 15 Hospital Ave, Nedlands, Western Australia, 6009, Australia.
Lancet Reg Health West Pac. 2025 Mar 30;61:101530. doi: 10.1016/j.lanwpc.2025.101530. eCollection 2025 Aug.
Compared to adult cancer in Aboriginal and Torres Strait Islander populations, minimal research has focussed on cancer in Indigenous Australian children. This narrative review examined published information about incidence, mortality, barriers to diagnosis and treatment, and psychosocial needs and interventions for Indigenous Australian children with cancer. Most papers were epidemiological, investigating incidence and mortality. A reported lower overall cancer incidence in Indigenous Australian compared to non-Indigenous children may reflect detection bias. Some studies suggested differences in the incidence of types of cancers. There were conflicting findings about differences in mortality rates. Reported barriers to diagnosis and treatment include individual, systemic and cultural factors. There was a lack of published studies about psychosocial needs and interventions for Indigenous Australian children with cancer. Further research is needed to better understand complexities in the presentation of cancer in Indigenous Australian children and identify their psychosocial needs to ensure interventions are relevant and holistic.
与原住民和托雷斯海峡岛民成年人群体的癌症情况相比，针对澳大利亚原住民儿童癌症的研究极少。这篇叙述性综述考察了已发表的有关澳大利亚原住民癌症儿童的发病率、死亡率、诊断和治疗障碍以及心理社会需求与干预措施的信息。大多数论文是流行病学研究，调查发病率和死亡率。据报道，与非原住民儿童相比，澳大利亚原住民总体癌症发病率较低，这可能反映了检测偏倚。一些研究表明癌症类型的发病率存在差异。关于死亡率差异的研究结果相互矛盾。报告的诊断和治疗障碍包括个人、系统和文化因素。目前缺乏关于澳大利亚原住民癌症儿童心理社会需求和干预措施的已发表研究。需要进一步研究，以更好地了解澳大利亚原住民儿童癌症表现的复杂性，并确定他们的心理社会需求，以确保干预措施具有针对性和全面性。
