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dc.contributor.authorLawrenson, Rossen_NZ
dc.contributor.authorLao, Chunhuanen_NZ
dc.contributor.authorElwood, Marken_NZ
dc.contributor.authorBrown, Charisen_NZ
dc.contributor.authorSarfati, Dianaen_NZ
dc.contributor.authorCampbell, Ianen_NZ
dc.date.accessioned2017-06-15T04:41:24Z
dc.date.available2016en_NZ
dc.date.available2017-06-15T04:41:24Z
dc.date.issued2016en_NZ
dc.identifier.citationLawrenson, R., Lao, C., Elwood, M., Brown, C., Sarfati, D., & Campbell, I. (2016). Urban Rural Differences in Breast Cancer in New Zealand. International Journal of Environmental Research And Public Health, 13(10). https://doi.org/10.3390/ijerph13101000en
dc.identifier.issn1660-4601en_NZ
dc.identifier.urihttp://hdl.handle.net/10289/11112
dc.description.abstractMany rural communities have poor access to health services due to a combination of distance from specialist services and a relative shortage of general practitioners. Our aims were to compare the characteristics of urban and rural women with breast cancer in New Zealand, to assess breast cancer-specific and all-cause survival using the Kaplan–Meier method and Cox proportional hazards model, and to assess whether the impact of rurality is different for Māori and New Zealand (NZ) European women. We found that rural women tended to be older and were more likely to be Māori. Overall there were no differences between urban and rural women with regards their survival. Rural Māori tended to be older, more likely to be diagnosed with metastatic disease and less likely to be screen detected than urban Māori. Rural Māori women had inferior breast cancer-specific survival and all-cause survival at 10 years at 72.1% and 55.8% compared to 77.9% and 64.9% for urban Māori. The study shows that rather than being concerned that more needs to be done for rural women in general it is rural Māori women where we need to make extra efforts to ensure early stage at diagnosis and optimum treatment.
dc.format.mimetypeapplication/pdf
dc.language.isoenen_NZ
dc.publisherMDPI AGen_NZ
dc.rightsThis is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
dc.subjectScience & Technologyen_NZ
dc.subjectLife Sciences & Biomedicineen_NZ
dc.subjectEnvironmental Sciencesen_NZ
dc.subjectPublic, Environmental & Occupational Healthen_NZ
dc.subjectEnvironmental Sciences & Ecologyen_NZ
dc.subjectruralen_NZ
dc.subjecturbanen_NZ
dc.subjectbreast canceren_NZ
dc.subjectMaorien_NZ
dc.subjectequityen_NZ
dc.subjectsurvivalen_NZ
dc.subjectSURVIVALen_NZ
dc.subjectDIAGNOSISen_NZ
dc.subjectSTAGEen_NZ
dc.subjectAREASen_NZ
dc.titleUrban Rural Differences in Breast Cancer in New Zealanden_NZ
dc.typeJournal Article
dc.identifier.doi10.3390/ijerph13101000en_NZ
dc.relation.isPartOfInternational Journal of Environmental Research And Public Healthen_NZ
pubs.elements-id143029
pubs.issue10en_NZ
pubs.organisational-group/Waikato
pubs.organisational-group/Waikato/2018 PBRF
pubs.organisational-group/Waikato/FASS
pubs.organisational-group/Waikato/FASS/National Institute Demographic Economic Analysis
pubs.organisational-group/Waikato/OOVC
pubs.organisational-group/Waikato/OOVC/2018 PBRF - OOVC
pubs.organisational-group/Waikato/OOVC/Senior Deputy Vice-Chancellor
pubs.organisational-group/Waikato/Staff
pubs.publication-statusPublisheden_NZ
pubs.volume13en_NZ
uow.identifier.article-no1000


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