Home Medizin Studie zeigt Ungleichheiten in der Gesundheitsversorgung von Nunavik-Inuit-Bewohnern mit Lungenkrebs auf

Studie zeigt Ungleichheiten in der Gesundheitsversorgung von Nunavik-Inuit-Bewohnern mit Lungenkrebs auf

von NFI Redaktion


According to a new study published in the Canadian Medical Association Journal (CMAJ), people in the Inuit region of Nunavik in northern Quebec are dying earlier after being diagnosed with lung cancer than residents of Montreal treated at the same cancer center (https://www.cmaj.ca/lookup/doi/10.1503/cmaj.230682).

All residents of Nunavik are examined and treated for cancer at the McGill University Health Center (MUHC) in Montreal, as resources in the region are limited.

The researchers compared the survival rate of lung cancer between 95 residents of Nunavik and 185 residents of Montreal treated at the MUHC. They found that residents of Nunavik with similar stages of lung cancer had a shorter survival time than residents of Montreal, even when other differences between the groups were taken into account.

Analysis of the results with community representatives suggested that chronic undersupply of healthcare might be a possible cause of these differences in survival.

We emphasize that our results should not be interpreted as indicating that Inuit have a genetic predisposition to poorer lung cancer outcomes. Our study observations, contextualized with other insights about healthcare services and access in Nunavik, rather suggest chronic underfunding and under-resourcing of healthcare services in Nunavik as well as limited representation of Inuit in healthcare as likely upstream determinants of the inequality observed in our study,“ writes Dr. Faiz Ahmad Khan, a respirologist and associate professor at MUHC, Montreal, Quebec, with co-authors.

The authors recommend several measures to improve lung cancer survival among Nunavik Inuit, including:

  • Provision of Inuit-specific smoking cessation and prevention services
  • Provision of immediate availability of lung cancer screenings in an accessible, acceptable, and culturally safe format to enable earlier detection of lung cancer
  • Improvement of lung health services, for example, by creating X-ray capacities in villages
  • Support for a Nunavik Inuit-specific lung cancer treatment plan
  • Provision of training and employment for Inuit health navigators to support patients and families in Montreal
  • Increasing financial and human resources to strengthen healthcare services in Nunavik

Overall, observations like ours should support Nunavik Inuit efforts for greater self-governance, as increased Inuit decision-making on healthcare policy and financing will help ensure healthcare services are tailored to the population’s needs.

Source:

Canadian Medical Association Journal

Journal reference:

Chen, Y., et al. (2024) Lung Cancer in Nunavik: How Are We Doing? A Retrospective Matched Cohort Study. CMAJ. doi.org/10.1503/cmaj.230682.

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