| Title: |
The effect of general practice contact on cancer stage at diagnosis in Aboriginal and non-Aboriginal residents of New South Wales |
| Authors: |
Banham, D.; Roder, D.; Thompson, S.; Williamson, A.; Bray, F.; Currow, D. |
| Source: |
http://dx.doi.org/10.1007/s10552-023-01727-6. |
| Publisher Information: |
Springer |
| Publication Year: |
2023 |
| Collection: |
The University of Adelaide: Digital Library |
| Subject Terms: |
Indigenous status; Cancer disparities; Comorbidity; Socioeconomic position; Primary care; Local stage at diagnosis |
| Description: |
Published online: 17 June 2023. ; Purpose: Older age, risks from pre-existing health conditions and socio-economic disadvantage are negatively related to the prospects of an early-stage cancer diagnosis. With older Aboriginal Australians having an elevated prevalence of these underlying factors, this study examines the potential for the mitigating effects of more frequent contact with general practitioners (GPs) in ensuring local-stage at diagnosis. Methods: We compared the odds of local vs. more advanced stage at diagnosis of solid tumours according to GP contact, using linked registry and administrative data. Results were compared between Aboriginal (n = 4,084) and non-Aboriginal (n = 249,037) people aged 50 + years in New South Wales with a first diagnosis of cancer in 2003–2016. Results: Younger age, male sex, having less area-based socio-economic disadvantage, and fewer comorbid conditions in the 12 months before diagnosis (0–2 vs. 3 +), were associated with local-stage in fully-adjusted structural models. The odds of local-stage with more frequent GP contact (14 + contacts per annum) also differed by Aboriginal status, with a higher adjusted odds ratio (aOR) of local-stage for frequent GP contact among Aboriginal people (aOR = 1.29; 95% CI 1.11–1.49) but not among non-Aboriginal people (aOR = 0.97; 95% CI 0.95–0.99). Conclusion: Older Aboriginal Australians diagnosed with cancer experience more comorbid conditions and more socioeconomic disadvantage than other Australians, which are negatively related to diagnosis at a local-cancer stage. More frequent GP contact may act to partly offset this among the Aboriginal population of NSW. ; David Banham, David Roder, Sandra Thompson, Anna Williamson, Freddie Bray, David Currow |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
English |
| ISSN: |
0957-5243; 1573-7225 |
| Relation: |
http://purl.org/au-research/grants/nhmrc/1170403; Cancer Causes and Control, 2023; 34(10):909-926; https://hdl.handle.net/2440/138862; Roder, D. [0000-0001-6442-4409] |
| DOI: |
10.1007/s10552-023-01727-6 |
| Availability: |
https://hdl.handle.net/2440/138862; https://doi.org/10.1007/s10552-023-01727-6 |
| Rights: |
© The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licen es/by/4.0/. |
| Accession Number: |
edsbas.591AD34D |
| Database: |
BASE |