Unveiling a Health Disparity: Comparative Analysis of Head and Neck Cancer Trends between First Nations People and Non-Indigenous Australians (1998-2015).

Cancers (Basel)

Dentistry and Oral Health, Department of Rural Clinical Science, La Trobe Rural Health School, La Trobe University, Bendigo, VIC 3550, Australia.

Published: July 2024

AI Article Synopsis

  • The study compares the trends of head and neck cancer (HNC) between First Nations and non-Indigenous Australians using data from 1998-2015.
  • Findings reveal that First Nations people have significantly higher rates of HNC incidence (29.8 vs. 14.7 per 100,000) and mortality (14.2 vs. 4.1 per 100,000) compared to non-Indigenous individuals.
  • Despite both groups experiencing a decline in mortality rates, only the decline in non-Indigenous Australians was statistically significant, highlighting a persistent health disparity for First Nations people.

Article Abstract

Background: We aim to assess and compare the HNC trends between the First Nations and non-Indigenous population.

Methods: HNC incidence (1998-2013) and mortality (1998-2015) data in First Nations people and non-Indigenous Australians were utilised from the Australian Cancer Database. The age-standardised incidence and mortality trends along with annual percentage changes were analysed using Joinpoint models. Age-standardised incidence and mortality rates according to remoteness, states, and five-year survival rates among First Nations people and non-Indigenous Australians were presented as graphs.

Results: First Nations people had over twice the age-standardised incidence (2013; 29.8/100,000 vs. 14.7/100,000) and over 3.5 times the age-standardised mortality rates (2015; 14.2/100,000 vs. 4.1/100,000) than their non-Indigenous counterparts. Both populations saw a decline in mortality, but the decline was only statistically significant in non-Indigenous Australians (17.1% decline, 1998: 4.8/100,000, 2015: 4.1/100,000; < 0.05). Across all remoteness levels and states, First Nations people consistently had higher age-standardised incidence and mortality rates. Furthermore, the five-year survival rate was lower by 25% in First Nations people.

Conclusion: First Nations people continue to shoulder a disproportionate HNC burden compared to non-Indigenous Australians.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11274635PMC
http://dx.doi.org/10.3390/cancers16142548DOI Listing

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