Abstract:
OBJECTIVE:To investigate time trends in hepatocellular carcinoma (HCC) incidence disparities, and ethnic differences in risk factors, comorbidity and treatment pathways among HCC patients. METHODS:Cohorts of the NZ population (1981-2004) were created and probabilistically linked to cancer registry records to investigate trends in incidence by ethnicity over time. Hospital notes of 97 Māori and 92 non-Māori HCC patients diagnosed between 01/01/2006 and 31/12/2008 in NZ's North Island were reviewed. RESULTS:Liver cancer incidence was higher among Māori for all time periods. Compared with non-Māori, Māori males had nearly five times the rate of liver cancer (pooled RR=4.79, 95% CI 4.14-5.54), and Māori females three times the rate (pooled RR= 3.02, 95% CI 2.33-3.92). There were no significant differences in tumour characteristics or treatment of Māori and non-Māori patients with HCC. Māori more commonly had hypertension (51% versus 25%) while more non-Māori had cirrhosis recorded (62% versus 41%). The prevalence of hepatitis B among Māori patients (56%; 95% CI 45%-67%) was more than double that of non-Māori (27%; 95% CI 19%-36%). The hazard ratio for cancer-specific death for Māori compared with non-Māori was 1.36 (95% CI 0.96-1.92). CONCLUSIONS AND IMPLICATIONS:HCC remains an important health problem particularly for Māori men. Efforts to improve coverage of screening for hepatitis B and surveillance of those with chronic hepatitis should be a priority to address the large inequalities found in liver cancer epidemiology.
journal_name
Aust N Z J Public Healthjournal_title
Australian and New Zealand journal of public healthauthors
Chamberlain J,Sarfati D,Cunningham R,Koea J,Gurney J,Blakely Tdoi
10.1111/1753-6405.12108subject
Has Abstractpub_date
2013-12-01 00:00:00pages
520-6issue
6eissn
1326-0200issn
1753-6405journal_volume
37pub_type
杂志文章abstract:OBJECTIVE:To explore antecedents of health service engagement and experience among urban Aboriginal people with comorbid physical and mental health conditions. METHODS:Focus groups and interviews were conducted with Aboriginal people who had comorbid health conditions and were accessing Aboriginal and/or mainstream se...
journal_title:Australian and New Zealand journal of public health
pub_type: 杂志文章
doi:10.1111/1753-6405.12382
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abstract:OBJECTIVES:To estimate the proportion and numbers of cancers in Australia in 2010 attributable to infectious agents. METHODS:The population attributable fraction (PAF) and number of cancers caused by hepatitis B and C viruses (HBV, HCV), Helicobacter pylori and human immunodeficiency virus (HIV) were calculated using ...
journal_title:Australian and New Zealand journal of public health
pub_type: 杂志文章
doi:10.1111/1753-6405.12445
更新日期:2015-10-01 00:00:00
abstract:OBJECTIVE:To report changes in sexual behaviour among gay men in Sydney from 1986 to 2003. METHODS:Baseline data from four studies of gay men in Sydney were used: the Social Aspects of the Prevention of AIDS study (1986/87: 91 HIV-positive and 444 HIV-negative men); the Sydney Men and Sexual Health cohort (1993-95: 23...
journal_title:Australian and New Zealand journal of public health
pub_type: 杂志文章
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更新日期:2005-12-01 00:00:00
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journal_title:Australian and New Zealand journal of public health
pub_type: 杂志文章
doi:10.1111/j.1467-842x.1998.tb01411.x
更新日期:1998-06-01 00:00:00
abstract:BACKGROUND:Current State of the Environment (SoE) reporting focuses primarily on indicators directly related to the physical environment such as climate, and air, water and soil quality. As the environment has both direct and indirect effects on human health, an opportunity exists to include environment-related human d...
journal_title:Australian and New Zealand journal of public health
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pub_type: 杂志文章
doi:10.1111/1753-6405.12181
更新日期:2014-02-01 00:00:00
abstract:OBJECTIVE:To compare dietary intakes of European, Māori, Pacific, and Asian men and women living in Auckland. METHODS:Daily nutrient intakes were calculated from a self-administered food frequency questionnaire from participants in a cross-sectional health screening study carried out between 2002 and 2003. Participant...
journal_title:Australian and New Zealand journal of public health
pub_type: 杂志文章
doi:10.1111/j.1753-6405.2008.00279.x
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journal_title:Australian and New Zealand journal of public health
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2004-10-01 00:00:00
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journal_title:Australian and New Zealand journal of public health
pub_type: 杂志文章,评审
doi:10.1111/1753-6405.12150
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journal_title:Australian and New Zealand journal of public health
pub_type: 杂志文章
doi:10.1111/j.1467-842x.2003.tb00404.x
更新日期:2003-01-01 00:00:00
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journal_title:Australian and New Zealand journal of public health
pub_type: 杂志文章
doi:10.1111/1753-6405.12434
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journal_title:Australian and New Zealand journal of public health
pub_type: 杂志文章
doi:10.1111/1753-6405.12804
更新日期:2018-08-01 00:00:00
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journal_title:Australian and New Zealand journal of public health
pub_type: 杂志文章
doi:10.1111/1753-6405.12124
更新日期:2013-10-01 00:00:00
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journal_title:Australian and New Zealand journal of public health
pub_type: 杂志文章
doi:10.1111/j.1753-6405.2011.00700.x
更新日期:2011-06-01 00:00:00
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journal_title:Australian and New Zealand journal of public health
pub_type: 杂志文章
doi:10.1111/j.1467-842x.2001.tb00595.x
更新日期:2001-08-01 00:00:00
abstract:OBJECTIVE:To estimate the contribution of trends in three risk factors--systolic blood pressure (SBP), total blood cholesterol (TBC) and cigarette smoking--to the decline in premature coronary heart disease (CHD) mortality in New Zealand from 1980-2004. METHOD:Risk factor prevalence data by 10-year age group (35-64 ye...
journal_title:Australian and New Zealand journal of public health
pub_type: 杂志文章
doi:10.1111/j.1753-6405.2008.00186.x
更新日期:2008-04-01 00:00:00
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journal_title:Australian and New Zealand journal of public health
pub_type: 杂志文章,评审
doi:10.1111/1753-6405.12600
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journal_title:Australian and New Zealand journal of public health
pub_type: 杂志文章
doi:10.1111/j.1753-6405.2010.00468.x
更新日期:2010-02-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/j.1467-842x.1999.tb01227.x
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journal_title:Australian and New Zealand journal of public health
pub_type: 杂志文章
doi:10.1111/j.1753-6405.2011.00730.x
更新日期:2011-08-01 00:00:00
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doi:10.1111/1753-6405.12085
更新日期:2013-08-01 00:00:00
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journal_title:Australian and New Zealand journal of public health
pub_type: 杂志文章
doi:10.1111/j.1467-842x.2005.tb00253.x
更新日期:2005-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/j.1467-842x.1998.tb01476.x
更新日期:1998-10-01 00:00:00
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journal_title:Australian and New Zealand journal of public health
pub_type: 杂志文章
doi:10.1111/j.1467-842x.1999.tb01205.x
更新日期:1999-02-01 00:00:00
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journal_title:Australian and New Zealand journal of public health
pub_type: 杂志文章
doi:10.1111/j.1467-842x.1999.tb01237.x
更新日期:1999-04-01 00:00:00
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journal_title:Australian and New Zealand journal of public health
pub_type: 杂志文章
doi:10.1111/j.1467-842x.2006.tb00843.x
更新日期:2006-08-01 00:00:00
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journal_title:Australian and New Zealand journal of public health
pub_type: 杂志文章
doi:10.1111/j.1467-842x.1997.tb01716.x
更新日期:1997-01-01 00:00:00
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journal_title:Australian and New Zealand journal of public health
pub_type: 杂志文章
doi:10.1111/j.1467-842x.2002.tb00266.x
更新日期:2002-02-01 00:00:00
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journal_title:Australian and New Zealand journal of public health
pub_type: 杂志文章,评审
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更新日期:2011-02-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/j.1753-6405.2007.00037.x
更新日期:2007-04-01 00:00:00