An overview of cancer and beliefs about the disease in Indigenous people of Australia, Canada, New Zealand and the US
Article first published online: 7 APR 2009
© 2009 The Authors. Journal Compilation © 2009 Public Health Association of Australia
Australian and New Zealand Journal of Public Health
Volume 33, Issue 2, pages 109–118, April 2009
How to Cite
Shahid, S. and Thompson, S. C. (2009), An overview of cancer and beliefs about the disease in Indigenous people of Australia, Canada, New Zealand and the US. Australian and New Zealand Journal of Public Health, 33: 109–118. doi: 10.1111/j.1753-6405.2009.00355.x
- Issue published online: 7 APR 2009
- Article first published online: 7 APR 2009
- Submitted: March 2008 Revision requested: July 2008 Accepted: November 2008
- Health services;
- holistic health
Objective: Cancer among Indigenous populations in the developed world appears to have increased over past few decades. This article explores issues related to cancer among the Indigenous populations of Australia, Canada, New Zealand and the US and examines variations in the epidemiology, Indigenous peoples' perceptions about cancer and potential effects on care-seeking behaviour.
Methods: A search of peer-reviewed journal articles, government reports, published and unpublished theses and other grey literature was undertaken using electronic databases and citation snowballing. Both epidemiological and qualitative studies were included.
Results: Cancer in Indigenous populations in these four countries is characterised by high incidence and mortality rates for specific cancers and lower survival rates as a result of late diagnosis, lower participation and poorer compliance with treatment. A higher prevalence of many cancer risk factors occurs across these populations. Fear of death, fatalism, payback, shame and other spiritual and cultural issues are reported in the few qualitative studies examining Indigenous beliefs and understanding of cancer which undoubtedly influences participation in cancer screening and treatment.
Conclusions and implications: The holistic approach (physical, mental, emotional and spiritual) to healing and well-being, and the concept that individual, family and community are inseparable underpin Indigenous care-seeking behaviour. Further community-based research is needed to increase understanding of the needs of Indigenous people with cancer, and to guide policy and practice towards more supportive and effective care.