Show simple record

dc.contributor.authorKereama-Royal, Irene
dc.contributor.authorJones, S.
dc.contributor.authorLavelle Wijohn, E.
dc.contributor.authorDoole, C.
dc.contributor.authorBurgess, E.
dc.contributor.authorCame, H.
dc.description.abstractMāori women with advanced breast cancer are less than half as likely as their Pākehā counterparts to reach the five-year survival mark. We argue that this inequity is unacceptable. We trace the inequity back to i) inadequate screening and risk assessment, ii) lack of support for patient navigation, iii) failure to offer accessible state-of-the-art treatments, and iv) delays in receiving life-prolonging care. We posit that each of these factors is a site of institutional racism and privilege as they cause Māori women to experience significantly worse outcomes than non-Māori. In the active pursuit of justice, cancer survivors, women living with cancer and their supporters across the country have been engaging in passionate advocacy to address inequities. As the Ministry of Health develops a new cancer control plan, in this viewpoint opinion piece, we seek to amplify these distressing inequities and o er evidence-based recommendations to improve the quality of care and ultimately survival rates. Breast cancer inequities are modifiable. We recommend prioritising breast cancer screening and risk assessments for Māori women, reducing treatment delays, providing Māori-centered patient navigation, increasing funding for treatments and drugs to align with the OECD standard of care, and holding health providers accountable for ethnic inequities. We call on policy makers dra ing the new cancer control strategy, and those working across the cancer continuum, to take action to improve breast cancer outcomes so Māori women will gain valuable life-years.en_NZ
dc.publisherNew Zealand Medical Associationen_NZ
dc.rightsAll rights reserveden_NZ
dc.subjectNew Zealanden_NZ
dc.subjectMāori women cancer patientsen_NZ
dc.subjectbreast canceren_NZ
dc.subjectcancer patientsen_NZ
dc.subjectdelivery of health careen_NZ
dc.subjectwomen with canceren_NZ
dc.titleResisting ethnic inequities in advanced breast cancer: A call to actionen_NZ
dc.typeJournal Articleen_NZ
dc.subject.marsden451012 Te mahi tapuhi o te Māori (Māori nursing)en_NZ
dc.subject.marsden3211 Oncology and carcinogenesisen_NZ
dc.identifier.bibliographicCitationKereama-Royal, I., Jones, S., Lavelle Wijohn, E., Doole, C, Burgess, E. & Came, H. (2019). Resisting ethnic inequities in advanced breast cancer: a call to action. New Zealand Medical Journal, Vol 132 No 1507, 83-89.en_NZ
unitec.publication.titleNew Zealand Medical Journalen_NZ
dc.contributor.affiliationUnitec Institute of Technologyen_NZ
dc.contributor.affiliationUniversity of Miamien_NZ
dc.contributor.affiliationLavelle Wijohn Consulting (Auckland, N.Z.)en_NZ
dc.contributor.affiliationAuckland University of Technologyen_NZ
dc.contributor.affiliationBreast Cancer Aotearoa Coalitionen_NZ
dc.subject.tukutukuMate ūmi_NZ
dc.subject.tukutukuTake hauorami_NZ
unitec.publication.placeWellington, New Zealanden_NZ

Files in this item


This item appears in

Show simple record

 Unitec Institute of Technology, Private Bag 92025, Victoria Street West, Auckland 1142