Differences in cancer incidence by age at diagnosis between Aboriginal and non-Aboriginal people for cancer types included in Australian national screening programs

Hanna E. Tervonen, Stephen Morrell, David Roder, Hui You, David C. Currow

Research output: Contribution to journalArticle

Abstract

Background: This study examined age distributions and age-specific incidence of screened cancers by Aboriginal status in New South Wales (NSW) to consider the appropriateness of screening target age ranges. Methods: The NSW Cancer Registry identified invasive (female) breast, cervical and bowel cancers in people diagnosed in 2001–2014. Results: Aboriginal people were younger at diagnosis with higher proportions of breast and bowel cancers diagnosed before the screening target age range (<50 years) compared with non-Aboriginal people (30.6% vs. 22.8%, and 17.3% vs. 7.3%, respectively). Age-specific incidence rate ratios (IRRs) were lower/similar for breast and bowel cancers in younger and higher in older Aboriginal than non-Aboriginal people. All age-specific cervical cancer IRRs were higher for Aboriginal compared with non-Aboriginal people. Conclusion: Although higher proportions of breast and colorectal cancers were diagnosed before screening commencement age in Aboriginal people, this does not necessarily indicate a need for earlier screening commencement. Other aspects needing consideration include benefits, harms and cost-effectiveness.

LanguageEnglish
Pages102-105
Number of pages4
JournalCancer Epidemiology
Volume60
DOIs
Publication statusPublished - 1 Jun 2019

Keywords

  • Australia
  • Cancer screening
  • Early detection of cancer
  • Indigenous
  • Neoplasms

ASJC Scopus subject areas

  • Epidemiology
  • Oncology
  • Cancer Research

Cite this

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abstract = "Background: This study examined age distributions and age-specific incidence of screened cancers by Aboriginal status in New South Wales (NSW) to consider the appropriateness of screening target age ranges. Methods: The NSW Cancer Registry identified invasive (female) breast, cervical and bowel cancers in people diagnosed in 2001–2014. Results: Aboriginal people were younger at diagnosis with higher proportions of breast and bowel cancers diagnosed before the screening target age range (<50 years) compared with non-Aboriginal people (30.6{\%} vs. 22.8{\%}, and 17.3{\%} vs. 7.3{\%}, respectively). Age-specific incidence rate ratios (IRRs) were lower/similar for breast and bowel cancers in younger and higher in older Aboriginal than non-Aboriginal people. All age-specific cervical cancer IRRs were higher for Aboriginal compared with non-Aboriginal people. Conclusion: Although higher proportions of breast and colorectal cancers were diagnosed before screening commencement age in Aboriginal people, this does not necessarily indicate a need for earlier screening commencement. Other aspects needing consideration include benefits, harms and cost-effectiveness.",
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Differences in cancer incidence by age at diagnosis between Aboriginal and non-Aboriginal people for cancer types included in Australian national screening programs. / Tervonen, Hanna E.; Morrell, Stephen; Roder, David; You, Hui; Currow, David C.

In: Cancer Epidemiology, Vol. 60, 01.06.2019, p. 102-105.

Research output: Contribution to journalArticle

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AU - Currow, David C.

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