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DECOLONIZING CANCER CARE IN CANADA.

Matthew Beckett1, Katherine Cole2, Mitchell White3

  • 1Division of Radiation Oncology, The Ottawa Hospital, Ottawa, ON, Canada; University of Ottawa Faculty of Medicine, Ottawa, ON, Canada.

Journal of Cancer Policy
|May 13, 2022
PubMed
Summary
This summary is machine-generated.

Cancer rates are rising among Indigenous peoples in Canada, who face systemic barriers to high-quality, culturally appropriate care. Decolonizing cancer services requires restructuring under Indigenous leadership to address these inequities.

Keywords:
CancerIndigenous healthcancer policydecolonizationglobal healthoncologypublic health

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Area of Science:

  • Public Health
  • Health Equity
  • Indigenous Health

Background:

  • Cancer incidence and mortality are increasing among First Nations, Inuit, and Métis peoples in Canada, disproportionately affecting them compared to non-Indigenous populations.
  • Indigenous peoples face higher risks for cancers linked to modifiable factors, compounded by historical and ongoing jurisdictional challenges in accessing quality cancer care.
  • Existing inequities in cancer care are exacerbated by systemic racism and administrative hurdles, necessitating a re-evaluation of current healthcare systems.

Purpose of the Study:

  • To highlight the rising cancer burden among Indigenous peoples in Canada.
  • To identify systemic barriers hindering equitable cancer care for First Nations, Inuit, and Métis.
  • To advocate for the decolonization and restructuring of cancer care systems under Indigenous leadership.

Main Methods:

  • Analysis of cancer statistics and healthcare system challenges.
  • Review of collaborative initiatives and Indigenous-led programs.
  • Examination of systemic racism and inequity in the context of cancer care.

Main Results:

  • Cancer incidence and mortality rates are higher among Indigenous peoples compared to non-Indigenous Canadians.
  • Significant jurisdictional and administrative challenges impede access to quality cancer care for Indigenous populations.
  • Indigenous-led collaborative initiatives are identifying critical needs in screening, funding, and culturally safe care.

Conclusions:

  • Decolonizing cancer care is essential, requiring a critical analysis and restructuring of existing systems.
  • Indigenous leadership and multidisciplinary collaboration are crucial for addressing cancer inequities.
  • The Canadian Partnership Against Cancer is investing in Indigenous cancer programs, emphasizing local and regional priorities.