• Login
    View Item 
    •   Home
    • Massey Documents by Type
    • Theses and Dissertations
    • View Item
    •   Home
    • Massey Documents by Type
    • Theses and Dissertations
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Epidemiological studies of cervical cancer survival in New Zealand : a thesis presented in partial fulfilment of the requirements for the degree of Doctor of Philosophy in Epidemiology at Massey University, Wellington Campus, New Zealand

    Icon
    View/Open Full Text
    02_whole.pdf (4.827Mb)
    01_front.pdf (73.17Kb)
    Export to EndNote
    Abstract
    In this thesis I describe a series of studies of the stage at diagnosis and subsequent survival of women registered with cervical cancer in New Zealand during the period 1994 to 2005, and the factors that may contribute to the demographic differences that were found in both stage at diagnosis and survival. The studies involved all of the cervical cancer cases registered on the New Zealand Cancer Registry between 1994 and 2005. The cases were linked to the National Mortality Collection (for mortality data), the National Cervical Screening Programme- Register (for screening history), and the hospital events on the National Minimum Dataset (for information on comorbid conditions). The studies assessed what proportions of the ethnic differences in late stage diagnosis (after adjustment for socioeconomic position) were due to various factors such as screening history and urban/rural residency, and what proportions of the ethnic differences in survival (after adjustment for socio-economic position) were due to various factors including stage at diagnosis, comorbid conditions, and travel time and distance to the nearest General Practitioner and cancer centre. Māori and Pacific women had a higher risk of late stage diagnosis compared with ‘Other’ (predominantly European) women. Screening history did not entirely explain the increased risk in Māori women, but did explain that in Pacific women. More than half of the women with cervical cancer had not been screened, while those that had been ‘regularly’ screened had a considerably lower risk of a late stage diagnosis. Stage at diagnosis accounted for some but not all of the ethnic differences in survival. Comorbidity explained a moderate proportion of the ethnic differences in survival, while travel time may account for a small proportion of the ethnic differences in stage at diagnosis, and to a lesser extent mortality, particularly for Pacific women. The higher risk of late stage diagnosis in Māori women remains largely unexplained, whereas in Pacific women it is almost entirely due to differences in screening history and travel time. More than one-half of the higher risk of mortality in Māori and Pacific women is explained by differences in stage at diagnosis and comorbid conditions.
    Date
    2011
    Author
    Brewer, Naomi
    Rights
    The Author
    Publisher
    Massey University
    URI
    http://hdl.handle.net/10179/2879
    Collections
    • Theses and Dissertations
    Metadata
    Show full item record

    Copyright © Massey University
    | Contact Us | Feedback | Copyright Take Down Request | Massey University Privacy Statement
    DSpace software copyright © Duraspace
    v5.7-2020.1-beta1
     

     

    Tweets by @Massey_Research
    Information PagesContent PolicyDepositing content to MROCopyright and Access InformationDeposit LicenseDeposit License SummaryTheses FAQFile FormatsDoctoral Thesis Deposit

    Browse

    All of MROCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsThis CollectionBy Issue DateAuthorsTitlesSubjects

    My Account

    LoginRegister

    Statistics

    View Usage Statistics

    Copyright © Massey University
    | Contact Us | Feedback | Copyright Take Down Request | Massey University Privacy Statement
    DSpace software copyright © Duraspace
    v5.7-2020.1-beta1