Inequalities between Māori and non-Māori men with prostate cancer in Aotearoa New Zealand.
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Date
2020-09-04
DOI
Open Access Location
Journal Title
Journal ISSN
Volume Title
Publisher
Pasifika Medical Association Group (PMAG) previously New Zealand Medical Association (NZMA)
Rights
(c) The author/s
(c) The Publishers
Abstract
Māori experience poorer health statistics in terms of cancer incidence and mortality compared to non-Māori. For prostate cancer, Māori men are less likely than non-Māori men to be diagnosed with prostate cancer, but those that are diagnosed are much more likely to die of the disease than non-Māori men resulting in an excess mortality rate in Māori men compared with non-Māori. A review of the literature included a review of the epidemiology of prostate cancer; of screening; of access to healthcare and of treatment modalities. Our conclusion was that there are a number of reasons for the disparity in outcomes for Māori including differences in staging and characteristics at diagnosis; differences in screening and treatment offered to Māori men; and general barriers to healthcare that exist for Māori men in New Zealand. We conclude that there is a need for more culturally appropriate care to be available to Māori men.
Description
Keywords
Adult, Aged, Healthcare Disparities, Humans, Male, Middle Aged, Native Hawaiian or Other Pacific Islander, New Zealand, Prostatic Neoplasms, Risk Factors, Socioeconomic Factors, White People
Citation
Egan R, Lawrenson R, Kidd J, Cassim S, Black S, Blundell R, Bateman J, Broughton JR. (2020). Inequalities between Māori and non-Māori men with prostate cancer in Aotearoa New Zealand.. N Z Med J. 133. 1521. (pp. 69-76).