Cancer mortality in Yukon 1999–2013: elevated mortality rates and a unique cancer profile
Background: Although cancer is the leading cause of death in Canada, cancer in the North has been incompletely described. Objective: To determine cancer mortality rates in the Yukon Territory, compare them with Canadian rates, and identify major causes of cancer mortality. Design: The Yukon Vital St...
Published in: | International Journal of Circumpolar Health |
---|---|
Main Authors: | , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Taylor & Francis Group
2017
|
Subjects: | |
Online Access: | https://doi.org/10.1080/22423982.2017.1324231 https://doaj.org/article/f0f55fee043d4a2d97e80621716273ba |
id |
ftdoajarticles:oai:doaj.org/article:f0f55fee043d4a2d97e80621716273ba |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:f0f55fee043d4a2d97e80621716273ba 2023-05-15T15:10:17+02:00 Cancer mortality in Yukon 1999–2013: elevated mortality rates and a unique cancer profile Jonathan Simkin Ryan Woods Catherine Elliott 2017-01-01T00:00:00Z https://doi.org/10.1080/22423982.2017.1324231 https://doaj.org/article/f0f55fee043d4a2d97e80621716273ba EN eng Taylor & Francis Group http://dx.doi.org/10.1080/22423982.2017.1324231 https://doaj.org/toc/2242-3982 2242-3982 doi:10.1080/22423982.2017.1324231 https://doaj.org/article/f0f55fee043d4a2d97e80621716273ba International Journal of Circumpolar Health, Vol 76, Iss 1 (2017) Cancer epidemiology prevention & control mortality rural health circumpolar health Yukon Territory public health population health Arctic medicine. Tropical medicine RC955-962 article 2017 ftdoajarticles https://doi.org/10.1080/22423982.2017.1324231 2022-12-31T16:14:05Z Background: Although cancer is the leading cause of death in Canada, cancer in the North has been incompletely described. Objective: To determine cancer mortality rates in the Yukon Territory, compare them with Canadian rates, and identify major causes of cancer mortality. Design: The Yukon Vital Statistics Registry provided all cancer deaths for Yukon residents between 1999-2013. Age-standardised mortality rates (ASMRs) were calculated using direct standardisation and compared with Canadian rates. Standardised mortality ratios (SMRs) were calculated using indirect standardisation relative to age-specific rates from Canada, British Columbia (BC), and three sub-provincial BC administrative health regions : Interior Health (IH), Northern Health (NH) and Vancouver Coastal Health (VCH). Trends in smoothed ASMRs were examined with graphical methods. Results: Yukon’s all-cancer ASMRs were elevated compared with national and provincial rates for the entire period. Disparities were greatest compared with the urban VCH: prostate (SMRVCH=246.3, 95% CI 140.9–351.6), female lung (SMRVCH=221.2, 95% CI 154.3–288.1), female breast (SMRVCH=169.0 95% CI, 101.4–236.7), and total colorectal (SMRVCH=149.3, 95% CI 101.8–196.8) cancers were significantly elevated. Total stomach cancer mortality was significantly elevated compared with all comparators. Conclusions: Yukon cancer mortality rates were elevated compared with national, provincial, urban, and southern-rural jurisdictions. More research is required to elucidate these differences. Article in Journal/Newspaper Arctic Circumpolar Health International Journal of Circumpolar Health Yukon Directory of Open Access Journals: DOAJ Articles Arctic Yukon Canada British Columbia ENVELOPE(-125.003,-125.003,54.000,54.000) International Journal of Circumpolar Health 76 1 1324231 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Cancer epidemiology prevention & control mortality rural health circumpolar health Yukon Territory public health population health Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
Cancer epidemiology prevention & control mortality rural health circumpolar health Yukon Territory public health population health Arctic medicine. Tropical medicine RC955-962 Jonathan Simkin Ryan Woods Catherine Elliott Cancer mortality in Yukon 1999–2013: elevated mortality rates and a unique cancer profile |
topic_facet |
Cancer epidemiology prevention & control mortality rural health circumpolar health Yukon Territory public health population health Arctic medicine. Tropical medicine RC955-962 |
description |
Background: Although cancer is the leading cause of death in Canada, cancer in the North has been incompletely described. Objective: To determine cancer mortality rates in the Yukon Territory, compare them with Canadian rates, and identify major causes of cancer mortality. Design: The Yukon Vital Statistics Registry provided all cancer deaths for Yukon residents between 1999-2013. Age-standardised mortality rates (ASMRs) were calculated using direct standardisation and compared with Canadian rates. Standardised mortality ratios (SMRs) were calculated using indirect standardisation relative to age-specific rates from Canada, British Columbia (BC), and three sub-provincial BC administrative health regions : Interior Health (IH), Northern Health (NH) and Vancouver Coastal Health (VCH). Trends in smoothed ASMRs were examined with graphical methods. Results: Yukon’s all-cancer ASMRs were elevated compared with national and provincial rates for the entire period. Disparities were greatest compared with the urban VCH: prostate (SMRVCH=246.3, 95% CI 140.9–351.6), female lung (SMRVCH=221.2, 95% CI 154.3–288.1), female breast (SMRVCH=169.0 95% CI, 101.4–236.7), and total colorectal (SMRVCH=149.3, 95% CI 101.8–196.8) cancers were significantly elevated. Total stomach cancer mortality was significantly elevated compared with all comparators. Conclusions: Yukon cancer mortality rates were elevated compared with national, provincial, urban, and southern-rural jurisdictions. More research is required to elucidate these differences. |
format |
Article in Journal/Newspaper |
author |
Jonathan Simkin Ryan Woods Catherine Elliott |
author_facet |
Jonathan Simkin Ryan Woods Catherine Elliott |
author_sort |
Jonathan Simkin |
title |
Cancer mortality in Yukon 1999–2013: elevated mortality rates and a unique cancer profile |
title_short |
Cancer mortality in Yukon 1999–2013: elevated mortality rates and a unique cancer profile |
title_full |
Cancer mortality in Yukon 1999–2013: elevated mortality rates and a unique cancer profile |
title_fullStr |
Cancer mortality in Yukon 1999–2013: elevated mortality rates and a unique cancer profile |
title_full_unstemmed |
Cancer mortality in Yukon 1999–2013: elevated mortality rates and a unique cancer profile |
title_sort |
cancer mortality in yukon 1999–2013: elevated mortality rates and a unique cancer profile |
publisher |
Taylor & Francis Group |
publishDate |
2017 |
url |
https://doi.org/10.1080/22423982.2017.1324231 https://doaj.org/article/f0f55fee043d4a2d97e80621716273ba |
long_lat |
ENVELOPE(-125.003,-125.003,54.000,54.000) |
geographic |
Arctic Yukon Canada British Columbia |
geographic_facet |
Arctic Yukon Canada British Columbia |
genre |
Arctic Circumpolar Health International Journal of Circumpolar Health Yukon |
genre_facet |
Arctic Circumpolar Health International Journal of Circumpolar Health Yukon |
op_source |
International Journal of Circumpolar Health, Vol 76, Iss 1 (2017) |
op_relation |
http://dx.doi.org/10.1080/22423982.2017.1324231 https://doaj.org/toc/2242-3982 2242-3982 doi:10.1080/22423982.2017.1324231 https://doaj.org/article/f0f55fee043d4a2d97e80621716273ba |
op_doi |
https://doi.org/10.1080/22423982.2017.1324231 |
container_title |
International Journal of Circumpolar Health |
container_volume |
76 |
container_issue |
1 |
container_start_page |
1324231 |
_version_ |
1766341325348667392 |