Journal article

Aboriginal women have a higher risk of cervical abnormalities at screening; South Australia, 1993-2016

Ming Li, David Roder, Lisa J Whop, Abbey Diaz, Peter D Baade, Julia ML Brotherton, Karen Canfell, Joan Cunningham, Gail Garvey, Suzanne P Moore, Dianne L O'Connell, Patricia C Valery, John R Condon

JOURNAL OF MEDICAL SCREENING | SAGE PUBLICATIONS LTD | Published : 2019

Abstract

OBJECTIVE: Cervical cancer mortality has halved in Australia since the national cervical screening program began in 1991, but elevated mortality rates persist for Aboriginal and Torres Strait Islander women (referred to as Aboriginal women in this report). We investigated differences by Aboriginal status in abnormality rates predicted by cervical cytology and confirmed by histological diagnoses among screened women. METHODS: Using record linkage between cervical screening registry and public hospital records in South Australia, we obtained Aboriginal status of women aged 20-69 for 1993-2016 (this was not recorded by the registry). Differences in cytological abnormalities were investigated by..

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Grants

Awarded by National Health and Medical Research Council (NHMRC) Project


Awarded by Centre of Research Excellence in Discovering Indigenous Strategies to improve Cancer Outcomes via Engagement, Research Translation & Training (DISCOVER-TT CRE) - NHMRC


Awarded by Strategic Research Partnership to Improve Cancer Control for Indigenous Australians (STREP Ca-CIndA) through Cancer Council NSW


Awarded by NHMRC Early Career Fellowship


Awarded by NHMRC Research Fellowship


Awarded by NHMRC Training Scholarship for Indigenous Australian Health Research


Awarded by NHMRC Career Development Fellowship


Funding Acknowledgements

The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The National Indigenous Cervical Screening Project (NICSP) was funded by a National Health and Medical Research Council (NHMRC) Project Grant [#1045591]. This project was conducted under the auspice of the Centre of Research Excellence in Discovering Indigenous Strategies to improve Cancer Outcomes via Engagement, Research Translation & Training (DISCOVER-TT CRE) funded by NHMRC [#1041111] and the Strategic Research Partnership to Improve Cancer Control for Indigenous Australians (STREP Ca-CIndA), funded through Cancer Council NSW [#SRP 13-01] with supplementary funding from Cancer Council WA. We also acknowledge the ongoing support of the Lowitja Institute, Australia's National Institute for Aboriginal and Torres Strait Islander Health Research. Gail Garvey was supported by an NHMRC Early Career Fellowship [#1105399] and Lisa Whop by an NHMRC Early Career Fellowship [#1142085]. Joan Cunningham was supported by an NHMRC Research Fellowship [#1058244]. Abbey Diaz was supported by an NHMRC Training Scholarship for Indigenous Australian Health Research [#1055587] and a Menzies Enhanced Living Top-up scholarship funded by the DISCOVER-TTCRE. Patricia C Valery was supported by an NHMRC Career Development Fellowship [#1083090]. Karen Canfell was supported by an NHMRC Career Development Fellowship [#1007994]. The views expressed in this publication are those of the authors and do not necessarily reflect the views of the funding agencies.