Cancer among circumpolar populations : an emerging public health concern
Objectives. To determine and compare the incidence of cancer among the 8 Arctic States and their northern regions, with special focus on 3 cross-national indigenous groups - Inuit, Athabaskan Indians and Sami. Methods. Data were extracted from national and regional statistical agencies and cancer re...
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ftunivhelsihelda:oai:helda.helsinki.fi:10138/163148 2024-01-07T09:41:17+01:00 Cancer among circumpolar populations : an emerging public health concern Young, T. Kue Kelly, Janet J. Friborg, Jeppe Soininen, Leena Wong, Kai O. Department of Public Health Clinicum 2016-06-02T12:38:01Z 12 application/pdf http://hdl.handle.net/10138/163148 eng eng International Union for Circumpolar Health 10.3402/ijch.v75.29787 Young , T K , Kelly , J J , Friborg , J , Soininen , L & Wong , K O 2016 , ' Cancer among circumpolar populations : an emerging public health concern ' , International Journal of Circumpolar Health , vol. 75 , 29787 . https://doi.org/10.3402/ijch.v75.29787 84957554141 e2f57db0-59d1-4ea7-9a65-6954fbe7702a http://hdl.handle.net/10138/163148 000375137300001 cc_by openAccess info:eu-repo/semantics/openAccess cancer Arctic epidemiology prevention Indigenous people Inuit North American Indians Sami NORTHERN FINLAND SAMI POPULATION PATTERNS ALASKA 3142 Public health care science environmental and occupational health 3122 Cancers Review Article publishedVersion 2016 ftunivhelsihelda 2023-12-14T00:05:41Z Objectives. To determine and compare the incidence of cancer among the 8 Arctic States and their northern regions, with special focus on 3 cross-national indigenous groups - Inuit, Athabaskan Indians and Sami. Methods. Data were extracted from national and regional statistical agencies and cancer registries, with direct age-standardization of rates to the world standard population. For comparison, the "world average'' rates as reported in the GLOBOCAN database were used. Findings. Age-standardized incidence rates by cancer sites were computed for the 8 Arctic States and 20 of their northern regions, averaged over the decade 2000 - 2009. Cancer of the lung and colon/rectum in both sexes are the commonest in most populations. We combined the Inuit from Alaska, Northwest Territories, Nunavut and Greenland into a "Circumpolar Inuit'' group and tracked cancer trends over four 5-year periods from 1989 to 2008. There has been marked increase in lung, colorectal and female breast cancers, while cervical cancer has declined. Compared to the GLOBOCAN world average, Inuit are at extreme high risk for lung and colorectal cancer, and also certain rare cancers such as nasopharyngeal cancer. Athabaskans (from Alaska and Northwest Territories) share some similarities with the Inuit but they are at higher risk for prostate and breast cancer relative to the world average. Among the Sami, published data from 3 cohorts in Norway, Sweden and Finland show generally lower risk of cancer than non-Sami. Conclusions. Cancer among certain indigenous people in the Arctic is an increasing public health concern, especially lung and colorectal cancer. Peer reviewed Review Arctic Circumpolar Health Greenland International Journal of Circumpolar Health inuit Northern Finland Northwest Territories Nunavut sami Alaska HELDA – University of Helsinki Open Repository Arctic Greenland Northwest Territories Norway Nunavut International Journal of Circumpolar Health 75 1 29787 |
institution |
Open Polar |
collection |
HELDA – University of Helsinki Open Repository |
op_collection_id |
ftunivhelsihelda |
language |
English |
topic |
cancer Arctic epidemiology prevention Indigenous people Inuit North American Indians Sami NORTHERN FINLAND SAMI POPULATION PATTERNS ALASKA 3142 Public health care science environmental and occupational health 3122 Cancers |
spellingShingle |
cancer Arctic epidemiology prevention Indigenous people Inuit North American Indians Sami NORTHERN FINLAND SAMI POPULATION PATTERNS ALASKA 3142 Public health care science environmental and occupational health 3122 Cancers Young, T. Kue Kelly, Janet J. Friborg, Jeppe Soininen, Leena Wong, Kai O. Cancer among circumpolar populations : an emerging public health concern |
topic_facet |
cancer Arctic epidemiology prevention Indigenous people Inuit North American Indians Sami NORTHERN FINLAND SAMI POPULATION PATTERNS ALASKA 3142 Public health care science environmental and occupational health 3122 Cancers |
description |
Objectives. To determine and compare the incidence of cancer among the 8 Arctic States and their northern regions, with special focus on 3 cross-national indigenous groups - Inuit, Athabaskan Indians and Sami. Methods. Data were extracted from national and regional statistical agencies and cancer registries, with direct age-standardization of rates to the world standard population. For comparison, the "world average'' rates as reported in the GLOBOCAN database were used. Findings. Age-standardized incidence rates by cancer sites were computed for the 8 Arctic States and 20 of their northern regions, averaged over the decade 2000 - 2009. Cancer of the lung and colon/rectum in both sexes are the commonest in most populations. We combined the Inuit from Alaska, Northwest Territories, Nunavut and Greenland into a "Circumpolar Inuit'' group and tracked cancer trends over four 5-year periods from 1989 to 2008. There has been marked increase in lung, colorectal and female breast cancers, while cervical cancer has declined. Compared to the GLOBOCAN world average, Inuit are at extreme high risk for lung and colorectal cancer, and also certain rare cancers such as nasopharyngeal cancer. Athabaskans (from Alaska and Northwest Territories) share some similarities with the Inuit but they are at higher risk for prostate and breast cancer relative to the world average. Among the Sami, published data from 3 cohorts in Norway, Sweden and Finland show generally lower risk of cancer than non-Sami. Conclusions. Cancer among certain indigenous people in the Arctic is an increasing public health concern, especially lung and colorectal cancer. Peer reviewed |
author2 |
Department of Public Health Clinicum |
format |
Review |
author |
Young, T. Kue Kelly, Janet J. Friborg, Jeppe Soininen, Leena Wong, Kai O. |
author_facet |
Young, T. Kue Kelly, Janet J. Friborg, Jeppe Soininen, Leena Wong, Kai O. |
author_sort |
Young, T. Kue |
title |
Cancer among circumpolar populations : an emerging public health concern |
title_short |
Cancer among circumpolar populations : an emerging public health concern |
title_full |
Cancer among circumpolar populations : an emerging public health concern |
title_fullStr |
Cancer among circumpolar populations : an emerging public health concern |
title_full_unstemmed |
Cancer among circumpolar populations : an emerging public health concern |
title_sort |
cancer among circumpolar populations : an emerging public health concern |
publisher |
International Union for Circumpolar Health |
publishDate |
2016 |
url |
http://hdl.handle.net/10138/163148 |
geographic |
Arctic Greenland Northwest Territories Norway Nunavut |
geographic_facet |
Arctic Greenland Northwest Territories Norway Nunavut |
genre |
Arctic Circumpolar Health Greenland International Journal of Circumpolar Health inuit Northern Finland Northwest Territories Nunavut sami Alaska |
genre_facet |
Arctic Circumpolar Health Greenland International Journal of Circumpolar Health inuit Northern Finland Northwest Territories Nunavut sami Alaska |
op_relation |
10.3402/ijch.v75.29787 Young , T K , Kelly , J J , Friborg , J , Soininen , L & Wong , K O 2016 , ' Cancer among circumpolar populations : an emerging public health concern ' , International Journal of Circumpolar Health , vol. 75 , 29787 . https://doi.org/10.3402/ijch.v75.29787 84957554141 e2f57db0-59d1-4ea7-9a65-6954fbe7702a http://hdl.handle.net/10138/163148 000375137300001 |
op_rights |
cc_by openAccess info:eu-repo/semantics/openAccess |
container_title |
International Journal of Circumpolar Health |
container_volume |
75 |
container_issue |
1 |
container_start_page |
29787 |
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1787422101852913664 |